TY - BOOK AU - Busch,Rebecca S. TI - Healthcare fraud: auditing and detection guide SN - 9781118227220 AV - KF3608.A4 U1 - 345.73/0263 23 PY - 2012/// CY - Hoboken, N.J. PB - John Wiley & Sons KW - Medicare fraud KW - Medicaid fraud KW - Medical care KW - Law and legislation KW - United States KW - Criminal provisions KW - Financial Audit KW - methods KW - Fraud KW - prevention & control KW - Computer Security KW - economics KW - Health Care Sector KW - legislation & jurisprudence KW - Insurance crimes KW - LAW KW - Criminal Law KW - General KW - bisacsh KW - fast KW - local KW - Medical care / Law and legislation / United States / Criminal provisions KW - Electronic books N1 - Includes bibliographical references and index; Healthcare Fraud; Contents; Preface; Acknowledgments; CHAPTER 1 Introduction to Healthcare Fraud; What Is Healthcare Fraud?; Healthcare Fraud in the United States; Healthcare Fraud in International Markets; What Does Healthcare Fraud Look Like?; Who Commits Healthcare Fraud?; What Is Healthcare Fraud Examination?; The Primary Healthcare Continuum: An Overview; Healthcare Fraud Overview: Implications for Prevention, Detection, and Investigation; Notes; CHAPTER 2 Defining Market Players within the Primary Healthcare Continuum; The Patient; The Provider; The Payer; The Employer/Plan Sponsor N2 - "This second edition provides comprehensive guidance on auditing and fraud detection for healthcare providers and company healthcare plans. New chapters have been added covering a comprehensive auditing model developed by the author on all of the key elements that must be addressed: Primary Healthcare, Secondary Healthcare, Information/Data Management and Privacy, Damages/Risk Management, and transparency. In addition to six new chapters, the current edition material will all be updated and brought up to date"--Provided by publisher UR - http://dx.doi.org/10.1002/9781119203636 ER -