rdf-syntax-grammar
mods:
  schema location: http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-2.xsd
  title info:
    title: Phantom billing, fake prescriptions, and the high cost of medicine
    sub title: health care fraud and what to do about it
  name:
    name part: Leap, Terry L.
    name part: 1948-
    role:
      role term: creator
    role:
      role term: author.
  name:
    name part: JSTOR (Organization)
  type of resource: text
  genre: bibliography
  genre: Electronic books.
  origin info:
    place:
      place term: nyu
    place:
      place term: Ithaca
    publisher: ILR Press
    date issued: 2011
    issuance: monographic
  language:
    language term: eng
  physical description:
    form: remote
    extent: 1 online resource (xi, 237 pages)
  abstract: "U.S. health care is a $2.5 trillion system that accounts for more than 17 percent of the nation's GDP. It is also highly susceptible to fraud. Estimates vary, but some observers believe that as much as 10 percent of all medical billing involves some type of fraud. In 2009, New York's Medicaid fraud office recovered $283 million and obtained 148 criminal convictions. In July 2010, the U.S. Justice Department charged nearly 100 patients, doctors, and health care executives in five states of bilking the Medicare system out of more than $251 million through false claims for services that were medically unnecessary or never provided. These cases only hint at the scope of the problem. In Phantom Billing, Fake Prescriptions, and the High Cost of Medicine, Terry L. Leap takes on medical fraud and its economic, psychological, and social costs. Illustrated throughout with dozens of specific and often fascinating cases, this book covers a wide variety of crimes: kickbacks, illicit referrals, overcharging and double billing, upcoding, unbundling, rent-a-patient and pill-mill schemes, insurance scams, short-pilling, off-label marketing of pharmaceuticals, and rebate fraud, as well as criminal acts that enable this fraud (mail and wire fraud, conspiracy, and money laundering). After assessing the effectiveness of the federal laws designed to fight health care fraud and abuse-the antikickback statute, the Stark Law, the False Claims Act, HIPAA, and the food and drug laws-Leap suggests a number of ways that health care providers, consumers, insurers, and federal and state officials can bring health care fraud and abuse under control, thereby reducing the overall cost of medical care in America"--Jacket
  table of contents: Health care fraud and its facilitating crimes -- The major health care fraud laws -- Fraud in fee-for-service and managed care : different sides of the same coin -- Fraud at major hospitals : profits at any cost, part 1 -- Fraud in the pharmaceutical, medical equipment, and supply industries : profits at any cost, part 2 -- Fighting health care fraud and abuse.
  note: Terry L. Leap.
  note: Includes bibliographical references and index.
  subject:
    geographic code: n-us---
  subject:
    topic: Medical care
    topic: Corrupt practices
    geographic: United States
  subject:
    topic: Fraud
    geographic: United States
  subject:
    topic: Fraud
  subject:
    topic: Quacks and quackery
  subject:
    topic: Fraud
  subject:
    topic: Professional Misconduct
  subject:
    topic: Quackery
  subject:
    geographic: United States
  subject:
    topic: Fraude
    geographic: États-Unis
  subject:
    topic: Fraude
  subject:
    topic: Charlatanisme
  subject:
    topic: fraud
  subject:
    topic: MEDICAL
    topic: Health Policy
  subject:
    topic: Quacks and quackery
  subject:
    topic: Fraud
  subject:
    topic: Medical care
    topic: Corrupt practices
  subject:
    geographic: United States
  classification: RA395.A3 L4125 2011
  classification: 364.16/3
  classification: 2011 E-823
  classification: HV 6695
  related item:
    identifier: (DLC) 2010041491
  related item:
    title info:
      title: Culture and politics of health care work
  identifier: 0801460808
  identifier: 9780801460807
  identifier: 9780801461286
  identifier: 0801461286
  identifier: 9780801449796
  identifier: 22573/ctt4sqtg JSTOR
  identifier: https://www.jstor.org/stable/10.7591/j.ctt7zgpq
  record info:
    record content source: YDXCP
    record creation date: 110614
    record change date: 20230103223226.6
    record identifier: in00004634462
    language of cataloging:
      language term: eng