北美留学生作业代写 医保欺诈

 

医保欺诈是我熟悉的一个话题，因为我在耐用医疗设备行业工作了十多年，在各个部门工作，包括合规部门。在合规和账单管理岗位上，我参加了有关欺诈的网络研讨会，并及时了解了不断变化的医疗保险法规。出于这个原因，我选择研究医疗保险欺诈。在这个主题上有各种各样的资源，包括政府打击欺诈的规定和OIG报告的发现。虽然医疗保险欺诈的形式多种多样，但无论何种类型的医疗机构，将我的知识从DME行业的欺诈扩展到医疗保健的各个方面，以及各种类型的医疗机构，都会增加我的知识。1965年，林登·约翰逊总统实施了医疗保险计划。这个项目首先包括65岁以上的美国人的健康保险。进一步扩大了65岁以下的美国残疾人、终末期肾病患者、管理医疗保险福利的私营保险公司和处方药保险范围。多年来，由于人口老龄化和更多的残疾人，政府在医疗保险方面的支出有所增加。由于医疗保险欺诈，支出也有所增加。仅2011年一年，估计就有980亿美元的医疗支出被认定为欺诈。奥巴马总统实施的《2010年平价医疗法案》(ACA)的一个方面是打击医疗欺诈。ACA正在帮助医疗保险和医疗补助服务中心(CMS)削减开支，但也增加了3.5亿美元的资金以打击欺诈。对那些有欺诈行为的人实行更严厉的判决，对医疗服务提供者进行严格的筛选，调整报销方法，成立特别工作组调查潜在的欺诈行为，这些只是ACA颁布的法规中的一小部分。即使有这些努力，医疗保险计划的未来也面临风险。由于监管负担，愿意参与医疗保险计划的医疗服务提供者的数量正在减少。此外，如果目前的趋势继续下去，到2022年，每年将有大约1000亿美元用于打击欺诈。

北美留学生作业代写 医保欺诈

 Medicare fraud is a topic I am familiar with due to working in the Durable Medical Equipment industry for just over ten years in various departments including compliance. While in compliance and billing management positions I have attended webinars regarding fraud as well as kept up to date on ever-changing Medicare regulations. For this reason, I have chosen to research Medicare fraud. There are various resources available on this topic including government regulations in place to combat fraud and OIG report findings. Although Medicare fraud occurs in many forms regardless of the provider type, expanding my knowledge beyond fraud in the DME industry to all aspects of healthcare and a variety of provider types will enhance my knowledge. In 1965 the Medicare program was put into place by President Lyndon B. Johnson. This program first included health insurance coverage for Americans 65 and over. Further expansion was made to include Americans with disabilities under the age of 65, those with End-Stage Renal Disease, the inclusion of private insurance companies to manage Medicare benefits and prescription drug coverage. Over the years the government’s spending on Medicare has increased due to an aging population and a greater number of those with disabilities. Spending has also increased due to Medicare fraud. In 2011 alone, an estimated $98 billion in Medicare spending, was identified as fraudulent. One facet of The Affordable Care act of 2010 (ACA) put into place by President Barak Obama is to combat healthcare fraud. The ACA is helping the Centers for Medicare & Medicaid Services (CMS) to cut spending but also increased funding to fight fraud by $350 million. Harsher sentencing for those who commit fraud, strict screening for providers, restructuring reimbursement methodology, and task forces that investigate potential fraud are just a few of the regulations the ACA has enacted. Even with these efforts, the future of the Medicare program is at risk. The number of healthcare providers willing to participate in the Medicare program is shrinking due to the regulatory burdens. Also if the current trend continues, by the year 2022 around $100 billion dollars per year will be spent combating fraud.