Healthcare Fraud: Auditing and Detection Guide, 2nd Edition

Notes

1. Corporate integrity agreement between the Office of Inspector General of the Department of Health and Human Services and Americhoice of Pennsylvania, Inc. www.oig.hhs.gov/fraud/cia/agreements/americhoice_of_pa_inc_06292005.pdf

2. Department of Justice, Health Care Fraud Report: Enforcements, Fiscal year 1997. www.justice.gov/dag/pubdoc/health97.htm - enforcement

3. Kavilanz, Parija, “Phantom pharmacy – A growing health care fraud,” CNNMoney, June 20, 2011. http://money.cnn.com/2011/06/20/news/economy/phantom_pharmacy_healthcare_fraud/index.htm

4. Kennedy, Kelli, “Massive Nationwide Medicare Bust: 111 Charged For Scams Worth $225 Million,” Huffington Post, February 17, 2011. www.huffingtonpost.com/2011/02/17/medicare-fraud-_n_824737.html

5. Office of Inspector General, “Kickback and Physician Self-Referral,” October 21, 2010. http://oig.hhs.gov/fraud/enforcement/cmp/kickback.asp

6. Welles, Ed, “Uncovered: To many small business owners, Employers Mutual looked like the ideal health-care provider, charging premiums far below its competitors’. But in the end it turned out to be a shady operation, leaving behind millions of dollars in unpaid claims. Could your company be hit next?” CNNMoney, May 1, 2003. http://money.cnn.com/magazines/fsb/fsb_archive/2003/05/01/343406/index.htm