Question

Describe some of the more common criminal offenses that occur in healthcare settings

. Explain why employers should place disclaimers in employee handbooks.

Describe the role of the judge and jury in the trial process.

Answer 1

1.Types of healthcare crimes:-

-Services not provided — This offense occurs when you bill for services that have not been rendered. In some cases, it may involve other crimes, such as accepting kickbacks or unlawfully forging signatures.

-?Duplicate claims — Medicare may be defrauded by filing the same claim twice and changing only minor details, thereby allowing you to receive double payment for a single service or piece of equipment.

-?Kickbacks — Kickbacks are gifts of money, jewelry or other items used to encourage medical professionals to use certain medical services.

-Services and items upcoding — Upcoding is the act of billing Medicare for more expensive items and services than were actually provided

-?Unnecessary services — Sometimes a provider bills for a service that was not related to the patient’s care or condition.

2. ?Disclaimers are important because they company leaders the freedom to interpret policies as they see fit.

? It means that there's some room for interpretation when employment issues aren't clear and the company can't be entirely sure how the policy should be interpreted.

-For example, if the company says employees may use no more than three personal days each year for absences due to inclement weather, there needs to be some leeway if the region experiences weeks of impassable roads due to uncharacteristically high snowfalls.
-?In this case, the employer has the right to modify the number of days an employee receives for absences due to bad weather or to provide employees with time off that's not charged against the employee's leave bank.

3.

Judges play many roles, They interpret the law, assess the evidence presented, and control how hearings and trials unfold in their courtrooms.
?
?The jurors become the triers of fact and assess the evidence while thejudge takes on the role of legal advisor, explaining the law to the jurors.