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

Terry L. Leap

Abstract

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 as 10 percent of all medical billing involves some type of fraud. In 2009, New York's Medicaid fraud office recovered $283 million and obtained 148 criminal convictions. In July 2010, the U.S. Justice Department charged nearly 100 patients, doctors, and health care executives in five states of billing the Medicare system out of more than $251 million through false claims for services that were medi ... More

Keywords: health care, medical fraud, Medicaid, Medicare, health care fraud, anti-kickback statute, False Claims Act, Stark Law, insurance scams

Bibliographic Information

Print publication date: 2011 Print ISBN-13: 9780801449796
Published to Cornell Scholarship Online: August 2016 DOI:10.7591/cornell/9780801449796.001.0001

Authors

Affiliations are at time of print publication.

Terry L. Leap, author
University of Tennessee-Knoxville