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Categorizing Home Health Care Fraud in White Collar Crime, Thesis of Financial Accounting

The rise of home health care fraud and crimes committed by healthcare workers within the Medicaid and Medicare systems. It explores various types of crimes such as murder, abuse, neglect, drug-related offenses, and theft from patients. The document also highlights fraudulent activities such as overcharging, signature forging, negative charting, and billing for unnecessary services. The need for health care in homes has increased due to demographic changes, patient references, and technological advancements. The document questions whether home health care fraud can be categorized within white-collar crime.

Typology: Thesis

2023/2024

Available from 02/09/2024

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Download Categorizing Home Health Care Fraud in White Collar Crime and more Thesis Financial Accounting in PDF only on Docsity! CJ 403 Can It Be Categorized? Grantham University CJ 403 White Collar Crime Can It Be Categorized? There are so many various types of crimes that are committed, they can range from automotive fraud to healthcare with so many more in the boundaries. Home health care fraud is when health care services takes place within the home. Over the years the need for health care in the homes have increased because of demographic changes. These changes have been due to patient references, the advancement in technology, changes to legislative as well as cost to containment strategies. Not only has there been those types of changes, but there has been a spike in crimes that have been committed by those that are in health care within homes. There are crimes such as murder, abuse that is physical, sexual, and emotional, neglect, drug related offenses, theft from the patients, Medicaid, and Medicare. When crimes are committed within the Medicaid and Medicare systems, they spread widely though a particular area or maybe even a group of people. Health care workers have committed crimes by performing services that are not necessary and billing the system for it, they also have billed the system for services that have not been done on the client’s behalf. Home health care workers have also been known to overcharge they system or maybe even their patient, signature forging on medical documents has also been an issue when it comes to fraud. There has also been issues with negative charting, having workers that are unlicensed workers provide medical care while billing insurance companies, making it seem as if there were services that were done by a licensed professional. Clients also may have been doubled billed.
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