Thursday, September 26, 2019
Health Care Fraud Essay Example | Topics and Well Written Essays - 750 words
Health Care Fraud - Essay Example From this paper it is clear thatà the Patient Protection Affordable Act which was formulated in 2010 helps resolve the problem of increased healthcare cost by reducing fraud and abuse. The above act has been adopted by many organizations as the guiding principles in the fight against fraud. The Fraud Enforcement and Recovery Act implemented in 2009 helps direct government resources that help in law enforcement efforts of fraud prevention. Some the organizations geared toward the control of health care fraud include the National Health Care Anti-Fraud Association which controls Insurance related fraud cases in healthcare. The Public-Private Healthcare Fraud Prevention Partnership among public and private sectors whose sole purpose is to detect and prevent fraudulent payments and claims.As the study highlightsà the United States has achieved great success in the fight against health care fraud through the partnership between the Department of Health and Human Services and the Depar tment of Justice. The above two organizations have been in charge of the Health Care Fraud and Abuse Control Program. This program has been instrumental in implementing fraud control prevention, detection and reporting systems. à In 2009, the DOJ and HSS formed the Health Care Fraud Prevention and Enforcement Action Team. The HEAT has also been instrumental in ensuring defendants are convicted, and millions of fraudulent billings are detected and prevented.
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