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Case Study – Medicare Fraud and Abuse Report
In this assignment we examine the legal and ethical implications of fraud and abuse with Medicare. Use the CSU-Global Library and the internet to identify a real-world case of Medicare fraud and/or abuse. Write a 4-5 page report using the readings, research, and your knowledge of health law and ethics to analyze this case.
Your report should address the following substantive requirements:
· Description of what occurred, who was affected, and why
· Assess the case from the following perspectives:
· Ethical – identify the ethical principles involved in this situation from the perspective of all those involved.
· Legal – what are the legal implications and what laws or statutes were involved?
· Provide two recommendations for how to manage this case from the perspective of the healthcare organization involved. What could have been done to prevent this situation?
· Recommend next steps to manage this case.
Your report should meet the following structural requirements:
· Be 4-5 pages in length, not including the cover or reference pages.
· Be formatted according to the CSU-Global Guide to Writing and APA Requirements.
· Provide support for your statements with in-text citations from a minimum of four (4) scholarly articles. Two (2) of these sources may be from the class readings, textbook, or lectures, but two (2) must be external. The CSU-Global Library is a good place to find these references.
· Utilize the following headings to organize the content in your work.
· Introduction
· Assessment
· Recommendations
· Conclusion
Thanks,
Barb.
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