Healthcare Fraud
The type of crime committed by offenders working in the health care system.
What is health care fraud?
A crime often committed by a doctor that involves telling a patient that they need a procedure or surgery that they do not actually need.
What is provision of unnecessary services or billing for unnecessary procedures or surgeries?
Obtaining medications by deception is called __________.
_______ operates at the federal level and provides healthcare to the elderly and disabled adults.
What is Medicare?
____________ is the misuse of force on the part of law enforcement officers.
What is police brutality?
The prevalence of health care fraud in our society results in the loss of ______ in health care providers.
What is trust?
When providers direct patients to other providers or medical facilities in exchange for commission or extra pay.
What are kickbacks?
This refers to a type of crime committed by a pharmacist when they dispense fewer pills than prescribed, but bill for the full amount.
What is short counting?
In the late-1700s, the traditional way in which individuals received health care was through ___________.
What is home visits by health care providers?
________ occurs when police officers violate the trust they have been given and abuse their law enforcement authority.
What is police corruption?
These individuals are paid to seek out patients whose insurance will cover drug testing and other services, then refer them to specific facilities and receive a commission for each referral.
What are body brokers, body snatchers, or junkie hunters.
When doctors bill for multiple family members, but they have only treated one.
What is ganging?
Instances when a pharmacist wrongfully provides refills for schedule II substances.
What is delivery of controlled substances?
In the early-1900s, nurses traveled on ___________ to provide care in homes of sick residents.
What is horseback?
Failure to provide competent representation is an example of __________.
What is attorney misconduct?
These tests are most commonly used in addiction treatment center scams and produce profits of up to 2.4 million dollars a year.
What are urine tests?
Holistic doctors can be examples of doctors who ___________.
What is practice without a license?
In order to classify drug and alcohol use by pharmacists as a white-collar crime, it must occur during the course of their ____.
What is work, job, or occupation?
The type of crime committed if a personal care attendant provides the care, but the agency submits a bill suggesting that an aide provided it.
What is substitute provider?
Bringing contraband into a prison and sexual misconduct perpetrated against an inmate are examples of ____________.
What is correctional officer misconduct?
The ____________ was created in Florida as a policing initiative to help respond to and apprehend offenders of insurance and treatment center fraud.
What is the Sober Home Task Force?
This legislation provided less costly insurance for individuals and mandated that insurance companies began to cover drug addiction.
What is the Affordable Care Act of 2010?
_____________ is when a pharmacist uses more than one type of drug at a time.
What is poly-drug use?
__________ is one of the obstacles to prosecuting home health care offenses due to the lack and quality of the documentation.
What is record chasing?
A phrase used to describe situations where individuals in the military break rules guiding their workplace activities.
What is khaki-collar crime?