Healthcare Fraud and Regulations

Absolutely no plagiarism, must be original and very thorough. Please make sure everything is followed in the question and the grading rubric. Assigned reading articles are attached. Must include a cover page and reference page. Must include multiple outside academic resources with free links. Sentences should be short but thorough. Tough professor so it really needs to be thorough.

Although healthcare is a heavily regulated field, healthcare fraud continues to be a rampant problem that costs the United States tens of billions of dollars a year. These fraudulent activities include activities such as filing false health care claims for profit, obtaining prescriptions that are unneeded and selling them on the black market, billing for care that was never rendered, filing duplicate claims, giving kickbacks for member referrals, and prescribing unnecessary treatment. Research the current measures that the government and healthcare entities are using to combat health care fraud. Summarize the methods being used and discuss whether or not these methods are effective. Also, discuss alternative methods to combat fraud that could be used. Your paper should be between 800-1000 words and integrate external research and sources
of information from the eLibrary.

  • Week 3 Assignment Rubric for MBE501

Week 3 Assignment Rubric for MBE501

Criteria

Ratings

Pts

This criterion is linked to a Learning Outcome Critical Thinking

30.0 pts

Assignment/visual diagram demonstrates excellent use of various critical thinking standards and concepts. These may include proper use of logic, reasoning and the posing of well-considered questions.

30.0 pts

This criterion is linked to a Learning Outcome Content and Development

30.0 pts

Content is very comprehensive and supported by detailed references to lectures and readings. Thoroughly evaluates the impact, creativity, and value of the subject.

30.0 pts

This criterion is linked to a Learning Outcome Organization and Length

15.0 pts

Appropriate tool is used (submitted as a Word document). The organization is clear and easy to follow. The assignment follows the suggested word count.

15.0 pts

This criterion is linked to a Learning Outcome Sentence Structure, Grammar, Spelling and APA Form and Style

15.0 pts

Sentences are structured correctly. There are no grammatical or spelling errors. There is use of proper APA form and style, where appropriate. No abstract please.

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