Saturday, April 27, 2019

Financial Health 2 Assignment Example | Topics and Well Written Essays - 750 words

Financial Health 2 - Assignment Exampleost of care salary is similar to the comprehensive care model in which payment for the full range of health care is given by a specified group for a decided period of time. (Cromwell, J., & Research Triangle Institute. 2011)The false claim act is a statute which provides flock who are not with the government to file action can on behalf of the government. It is a federal legality also known as whistle blowing that allows people who are not government-affiliated to file claims of fraud against the government. It has been employ to investigate many health suppliers from pharmaceutical companies to health care organizations, hospital, practices, agencies and equipment suppliers. Through the use of this fraud, government has hump across many fraud settlements over the years and has paid big payments who had sued on behalf of the government. This law applies in situations like double billing by providers, refusing to provide medically necessar y care etc.A number of federal and state statutes are dealt by the Government in regard to the Medicare fraudulent. The government provides the prosecutor with many options related to health care. Following is a list of possible criminal prosecutionA False Claims act is a government statute under which, any health care provider who presents a false claim or demand regarding any medical services can be held guilty. The prosecutor needs to prove that the provider intentionally false claimed.A False Statement consummation imposes liability on a provider if in a communication submitted to the government had false books or documents. In such a violation the government only needs to prove that the provider knowingly submitted the statement or documents knowing they were false.Anti-kickback act concerns individuals and entities that knowingly make false statements in applying for payments provided by the government and states regarding health care. It also prohibits individuals concealin g information of events that claim their

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