Reasons for Disclosure in the Physician-Patient Relationship: How Physician Conduct and Reimbursement Methodologies Lead to Fraud and Abuse in Medicare PDF
By:Kathleen Johnson
Published on 2010-05-19 by Universal-Publishers
The solvency of the Medicare Trust Fund has been debated for the past twenty-five years and despite various stop-gap measures, fraud and abuse continues. Public policy in the form of Stark legislation, anti-kickback laws, and false claims acts were enacted to reduce over-utilization of services and prohibit self-referral and inducements for patients and services. Despite public policy and continued prosecution of fraud, Medicare reimbursement methods fail to control physician conduct of over-utilization and inducements for referrals. Following the concept of the informed consent doctrine and the theory of fiduciary trust in the patient-physician relationship, it is the author's thesis that transparency and disclosure with respect to physician prescription and referral practices can mitigate the over-utilization problem.
This Book was ranked at 31 by Google Books for keyword capital health plan medical policy.
Book ID of Reasons for Disclosure in the Physician-Patient Relationship: How Physician Conduct and Reimbursement Methodologies Lead to Fraud and Abuse in Medicare's Books is nV4B0Bxq9uAC, Book which was written byKathleen Johnsonhave ETAG "ayJxDSD8RBQ"
Book which was published by Universal-Publishers since 2010-05-19 have ISBNs, ISBN 13 Code is 9781599423272 and ISBN 10 Code is 1599423278
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