6. Fighting Health Care Fraud and Abuse

Chapters in this book

1. Frontmatter i
2. Contents vii
3. Preface ix
4. Acknowledgments xi
5. Introduction: The Big Picture 1
6. 1. Health Care Fraud and Its Facilitating Crimes 21
7. 2. The Major Health Care Fraud Laws 41
8. 3. Fraud in Fee-for-Service and Managed Care: Different Sides of the Same Coin 60
9. 4. Fraud at Major Hospitals: Profits at Any Cost, Part One 97
10. 5. Fraud in the Pharmaceutical, Medical Equipment, and Supply Industries: Profits at Any Cost, Part Two 116
11. 6. Fighting Health Care Fraud and Abuse 144
12. Conclusion 177
13. Appendix: A Note on the Major U.S. Public Insurance Programs 183
14. Notes 189
15. References 207
16. Index 231