Health Care Fraud and Revenue Recovery Firms: Hearing Before the Permanent Subcommittee on Investigations of the Committee on Governmental Affairs, United States Senate, One Hundred First Congress, Second Session, June 20, 1990, Volume 4
United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations
U.S. Government Printing Office, 1990 - Fraud - 225 pages
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actually American amount analysts Associates audit believe Boland California called Carl charges charging policy charts Chief claims client concerned conducted contingent fee contract correct costs daily documentation dollars employees error example Exhibit fact findings forms going hearing hospital bills hospital's identify included increase industry instructed insurance companies issue Kapner KWA's letter look MANNS Company Matthews medical record Medicare meet Miller million never nurse auditors O'Callaghan operations ordered overcharges paid patient payment percent percentage perform person practice prepared problem procedures production question reason received reimbursement reports response result revenue recovery firms Rinzel Rodgers Roseanne Senator Roth signed specific staff statement Subcommittee submitted supplies Thank things told undercharges vice president Wolfberg
Page 71 - Do you swear that the testimony you are about to give before this subcommittee will be the truth, the whole truth, and nothing but the truth, so help you God ? Mr.
Page 3 - OPENING STATEMENT OF SENATOR ROTH Senator ROTH. Thank you, Mr. Chairman. I want to express my appreciation for your cooperation and that of your staff.
Page 74 - The subcommittee is in recess, subject to the call of the chairman.
Page 181 - FOR REIMBURSEMENT. AS INVESTIGATORS FOR FRAUD AND ABUSE IN THE HEALTH CARE AREA, WE ARE SEEING NUMEROUS INSTANCES OF FRAUDULENT RECOVERY BILLING. WE CURRENTLY HAVE ABOUT 35 CASES IN THIS AREA IN ADDITION TO COSTING PATIENTS, INSURANCE COMPANIES, AND THE MEDICARE PROGRAM MILLIONS OF DOLLARS, OUR CONCERNS WITH THESE BILLINGS TAKE ON ALARMING AND NEW MEANING IN LIGHT OF THE GROWING SOPHISTICATION BEING DEMONSTRATED BY THOSE SUBMITTING RECOVERY BILLINGS TO MEDICARE.
Page 59 - ... be impaired by the existence of circumstances which reasonable people might believe likely to influence independence. To be independent, the auditor must be intellectually honest; to be recognized as independent, he must be free from any obligation to or interest in the client, its management, or its owners.
Page 100 - I would be happy to answer any questions you may have for me at this time.
Page 60 - Do each of you solemnly swear the testimony you will give before this subcommittee will be the truth, the whole truth, and nothing but the truth, so help you God? Mr.
Page 18 - So with your permission, I would like to enter that into the record also.* Mr.