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内部合规系统是防范欺诈的最佳防线。

Internal compliance systems are the best defense against fraud.

作者信息

Serbaroli F J

机构信息

Ober, Kaler, Grimes & Shriver, New York, NY.

出版信息

Healthc Financ Manage. 1994 Nov;48(11):60, 62, 64-5.

PMID:10146097
Abstract

Healthcare reform a key issue for the Clinton administration, extends far beyond healthcare coverage concerns. With healthcare fraud estimated by Congress to total as much as $80 billion to $100 billion per year, uncovering fraud has become one of the administration's top priorities. With FBI and other investigators assigned to the problem, all areas of the healthcare industry will face increasing levels of scrutiny. This anti-fraud campaign will affect every type of provider, from large hospitals to small equipment vendors. An internal compliance program can help healthcare managers identify problems and avoid criminal prosecution.

摘要

医疗保健改革是克林顿政府的一个关键问题,其影响远远超出了医疗保健覆盖范围的问题。据国会估计,每年医疗保健欺诈总额高达800亿至1000亿美元,揭露欺诈行为已成为政府的首要任务之一。随着联邦调查局和其他调查人员被派去处理这个问题,医疗保健行业的各个领域都将面临越来越严格的审查。这场反欺诈运动将影响从大型医院到小型设备供应商的各类医疗服务提供者。内部合规计划可以帮助医疗保健管理人员识别问题并避免刑事起诉。

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