Discuss the differences between fraud and abuse during your


1. Discuss the differences between fraud and abuse. During your discussion, provide examples of each and how health care managers might deal with them.

2. How has the history of health care compliance changed since its inception? (Hint: Look at the ways in which penalties have increased in various ways.) What do you think will be the key to getting control of the issue of fraud and abuse in the future?

3. Choose one of the recent laws that have been enacted that are included in the chapter and discuss why it is or isn’t an effective stop-gap to health care fraud and abuse.

4. EMTALA is a far-reaching act; explain several of its benefits and describe how it is effective at preventing fraud and abuse as opposed to detecting it.

5. Describe your responsibilities as a health care manager as they apply to fraud and abuse. What if you were a unit manager? A department manager? A member of the executive division?

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