Unfortunately, fraud and abuse in the healthcare industry have become all too common. Daily you will hear reports in the news on some form of healthcare fraud and abuse. As a result, it is very important to understand what these terms mean, to understand the laws that are in place to help prevent and enforce compliance, and to understand the role and responsibilities of management regarding fraud and abuse.

Address the following questions:

1. Discuss the differences between fraud and abuse.

2. Choose one of the recent laws that have been enacted that are included in the chapter and discuss why it is or isn't an effective stop-gap to health care fraud and abuse.

3. Describe your responsibilities as a future healthcare manager as they apply to fraud and abuse.