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Fraud in Fee-for-Service and Managed Care: Different Sides of the Same Coin

Terry L. Leap

in Phantom Billing, Fake Prescriptions, and the High Cost of Medicine: Health Care Fraud and What to Do about It

Published in print:
2011
Published Online:
August 2016
ISBN:
9780801449796
eISBN:
9780801460807
Item type:
chapter
Publisher:
Cornell University Press
DOI:
10.7591/cornell/9780801449796.003.0003
Subject:
Sociology, Health, Illness, and Medicine

This chapter examines fraud in fee-for-service systems and managed care plans. A common health care fraud that is linked directly to fee-for-service is the submission of fraudulent claims to the ... More


Phantom Billing, Fake Prescriptions, and the High Cost of Medicine: Health Care Fraud and What to Do about It

Terry L. Leap

Published in print:
2011
Published Online:
August 2016
ISBN:
9780801449796
eISBN:
9780801460807
Item type:
book
Publisher:
Cornell University Press
DOI:
10.7591/cornell/9780801449796.001.0001
Subject:
Sociology, Health, Illness, and Medicine

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 ... More


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