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Book

License to Steal

Book

License to Steal

DOI link for License to Steal

License to Steal book

Why Fraud Plagues America’s Health Care System

License to Steal

DOI link for License to Steal

License to Steal book

Why Fraud Plagues America’s Health Care System
ByMalcolm K. Sparrow, Lawton Chiles
Edition 1st Edition
First Published 1996
eBook Published 17 June 2019
Pub. Location New York
Imprint Routledge
DOI https://doi.org/10.4324/9780429039577
Pages 256
eBook ISBN 9780429039577
Subjects Social Sciences
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Sparrow, M.K., & Chiles, L. (1996). License to Steal: Why Fraud Plagues America’s Health Care System (1st ed.). Routledge. https://doi.org/10.4324/9780429039577

ABSTRACT

This book brings an unusual opportunity to explore the peculiarities of America's health care industry's approach to fraud control, when compared with the financial services sector, credit card companies, or the Internal Revenue Service—all of which have to defend themselves against fraud.

TABLE OF CONTENTS

chapter |16 pages

Introduction

part Part One|104 pages

Understanding the Fraud-Control Challenge

chapter 1|21 pages

The Pathology of Fraud Control

chapter 2|16 pages

Particular Challenges in the Health Care Field

chapter 3|21 pages

The Importance of Measurement

chapter 4|27 pages

Assessment of Fraud-Control Systems

chapter 5|18 pages

The Antithesis of Modern Claims Processing

part Part Two|36 pages

Current Developments

chapter 6|19 pages

Electronic Claims Processing

chapter 7|16 pages

Managed Care

part Part Three|55 pages

Prescription for Progress

chapter 8|30 pages

A Model Fraud-Control Strategy

chapter 9|24 pages

Detection Systems

chapter |4 pages

Conclusion

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