Question
Follow the link below and read the article https://www.justice.gov/usao-wdmi/pr/2021_0824_Happy_Clickers(Links to an external site.) (Links to an external site.) Criminal offenses can occur in healthcare settings.
Follow the link below and read the article
https://www.justice.gov/usao-wdmi/pr/2021_0824_Happy_Clickers(Links to an external site.)
(Links to an external site.)
Criminal offenses can occur in healthcare settings. Discuss your thought and how you think some of the issues discussed in this article can be avoided. Your textbook is a good reference to support your thoughts.
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Reply to this discussion post.
One of the primary issues addressed by this article was the aggressive telemarketer calls, mainly focused on the Medicare-aged demographic. Elderly people are more likely to fall for telemarketer scams, making up to 80% of victims. They are more likely to trust those posing as healthcare professionals or as representatives of a DME or genetics company, as seen in the article we read. Obviously proper caller caller ID screening tools can help avoid issues like this going forward, but that doesn't solve the fact that actual healthcare providers were signing off on these orders. I believe the incentive behind these providers hopping on board was more than likely the money they would be paid out by either Medicare or the fake DME/genetics company. While there are federal and state laws that prohibit healthcare fraud, these individuals were clearly "brave" enough to risk jail time/fines. They are unfortunately not alone. Every year, healthcare professionals commit fraud in a variety of ways, from upcoding services/supplies, to purposely over-billing for services. The only way I can see this issue being resolved is for there to be more audits performed by insurance provers/Medicare/Medicaid in order to find physicians or other providers who are committing these acts. The most simple solution is just for the individuals committing these crimes to just not do them, however, sometimes money as a motivator can skew someone's actions.
Reed, Tim (March 25, 2013)."Elder Abuse: Financial Scams Against Our Seniors".brigantinepolice. RetrievedMarch 30,2016.
Pozgar, G. D. (2019). Chapter 6. InLegal aspects of health care administration. essay, Jones & Bartlett Learning.
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