License to steal : why fraud plagues America's health care system / Malcolm K. Sparrow ; with a foreword by Lawton Chiles.
1996
RA395.A3 S764 1996 (Map It)
Available at Cellar Room B3
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Items
Details
Author
Title
License to steal : why fraud plagues America's health care system / Malcolm K. Sparrow ; with a foreword by Lawton Chiles.
Published
Boulder, Colo. : Westview Press, 1996.
Call Number
RA395.A3 S764 1996
ISBN
081333067X (alk. paper)
0813330688 (pbk. : alk. paper)
0813330688 (pbk. : alk. paper)
Description
xv, 240 pages ; 24 cm
System Control No.
(OCoLC)34640737
Bibliography, etc. Note
Includes bibliographical references (pages 219-234) and index.
Record Appears in
Table of Contents
Foreword / Lawton Chiles
Preface
Acknowledgments
Introduction
1
1
The Pathology of Fraud Control
18
2
Particular Challenges in the Health Care Field
39
3
The Importance of Measurement
55
4
Assessment of Fraud-Control Systems
76
5
The Antithesis of Modern Claims Processing
103
6
Electronic Claims Processing
122
7
Managed Care
141
8
A Model Fraud-Control Strategy
158
9
Detection Systems
188
Conclusion
212
Appendix
216
Notes
219
About the Book and Author
235
Index
237