Fraudulent Billing Practices in the Healthcare Profession Research Paper by hoon4vr

Fraudulent Billing Practices in the Healthcare Profession
An examination of one of the most prevalent practices in medical fraud - double billing.
# 11124 | 2,916 words | 10 sources | APA | 2002 | US
Published on May 17, 2003 in Medical and Health (General) , Criminology (General)

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This paper addresses major concerns surrounding fraudulent billing practices in the healthcare industry including: What types of fraud take place and by whom? Is the system itself, those who use it, or both at fault? Who are the real victims? What is being done to curb fraudulent practices? What are the most effective methods of prevention? It covers perhaps the most important question: Is America ready to embrace more innovative approaches that will allow people to regain control of their healthcare choices, rather than deferring to third parties and the federal government?

From the Paper:

"A primary reason why health care costs have escalated so quickly in recent years is the quick change from a cost reimbursement system to a capitation system. Until the early 1980's, doctors and health care providers were reimbursed on a cost basis for whatever work they did for a patient, whether this be by an HMO (if the patient had employer-based or individual insurance) or by the government (if the patient had public insurance.) This system obviously leaves the doctors with no incentive to keep costs at a minimum."

Cite this Research Paper:

APA Format

Fraudulent Billing Practices in the Healthcare Profession (2003, May 17) Retrieved April 17, 2021, from

MLA Format

"Fraudulent Billing Practices in the Healthcare Profession" 17 May 2003. Web. 17 April. 2021. <>