Question

you must research Medicare Fraud on the internet, locate three trustworthy sources, write up three summary tables (one for each source) then post your summary tables to the discussion.

Note: You should not repeatedly use the same source or type of source (e.g., government web site). Rather you should utilize multiple sources. Additionally, dictionaries, although credible, should not be used as sources for this activity.

Article 1

Title of Article: Author: Publication/source: URL: Date published: Date accessed:

I think this resource is credible because:

Summary of article (2-3 paragraphs). Do NOT cut and paste material from article. You must summarize the article in your own words:

Answer 1

1)title of ththe article: perspective in health information management/AHIMA , American health information management association.

author:william J Rudman, phd ,program director of the AHIMA foundation.

John S Eberhard,3 an executive vice President of foundation.

publication source:perspect health inf mang. 2009,6(fall),

url:http://oig.hhs.gov/publications/docs/hcfac/hcfacreport2007.pdf.

date published:2009 sep16.

I think this source is credible because: this article provides full information about training and education,CAC,abuse of coding system .these all explained by the review of literature.

Summary of article:fraud want to address the issues and abuse,responsibilites,ownership,and consequences for actions must cross the continuum at the each physician,healthcare provider.healthcare providers and organizations are must involvement in training programs,creating coding,abuse committees,and utilization of data mining.those who commit fraud abuse in an organised and systematic manner.

2)Title of the article:medicare's New Bundled payments: Design,Strategy,and evaluation.

Author:matthew j press,M D,Msc.( Centres for medicare )service

Rahul Rajkumar,MD,JD (centre of medicare.).

Patrick h Conway.

Publication source:online December 17, 2015.doi:10.1001/jama.2 015.18161.

Url:http://jama.jamanetwork.com/by a advocate Library network user on 02/24/2016.

Date published:december 17,2015.

I think this source is credible because: iit reserved copyright of American medical association.

Summary of article: this article focusing on paying for health care through alternative payment modes that reward value and quality.before 20% of medicare free for service payment flow through Apm,after putting administration goals of 30% by 2016and 50% by 2018 within reach.bundle payments could be paid prospectively as a single payment.retrospective method used in most current Bundled payments modes.

3) Title of the article: medicare fraud in the united states:can it ever be stopped.

author: Chelsea hill, Alex hunter,. Leslie Johnson , Alberto Coustasse.

publication source:published by management,marketing and MIS.

url:http://mds.marshall.edu/mgmt_ faculty.

date published:07 2014.

I think this source is credible because: this article is trusted . information provided from Marshall university,Marshall digital scholar.(management faculty research).

summary of the article:the purpose of the article is to explore the current status of Medicare fraud in the US identify policies and legal matters that foster medicare fraud.providing investment in government partnerships and new systems can reduce medicare fraud but probably will not eliminate altogether.