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Essay / Research Paper Abstract
This 6 page paper provides an overview of Medicare and Medicaid fraud. Its impact on the quality of health care is duly noted. Bibliography lists 2 sources.
Page Count:
6 pages (~225 words per page)
File: RT13_SA016Med.rtf
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Unformatted sample text from the term paper:
Clinton described before he was elected president, and are guaranteed health care. It is expected. Their employer usually pays the HMO or PPO fee. Those who are on government assistance
or otherwise meet requirements for the government supported Medicare or Medicaid, also have a similar card. They do not worry about getting sick. They can become ill or get into
an accident and the insurance company or the government will pay for everything. Sometimes people get greedy and doctors facilitate their greed. And sometimes the doctors too want to make
money. They may take a peek at the type of insurance a patient has before recommending care. Actually, they have to do that anyway. In a maze of regulation, doctors
do have to comply with how insurance companies want things to work. However, there are those who want to make more money and see that the government , or an
insurance company will pay for a particular service. They may play that type of care up because it is expensive and they know they will get the money. In making
patient care decisions, physicians should not make them based on what the guarantor will pay. Rather, they should make the same recommendation to any patient in a particular condition, regardless
of how the treatment may be paid for. Other problems erupt when patients ask their doctors to fudge a code through the system because they need X and can only
pay for Y. Some doctors do bend the rules a bit. Medicaid and Medicare fraud is not black and white. There are shades of gray. There is outright fraud
conducted by Medicare fraud rings for example, and then at the other end there are doctors putting in slightly exaggerated claims, explaining to the patient that they have to do
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