Healthcare fraud-financial loss to health funds


Please find the answer of question below, all about Casemix. It is very important to do the work in quality and avoid plagiarism and very very important to write references and citation for each question in APA 6th Addition.

Question 1: Describe the role of the following three 'bodies' in National Health Reform and the implementation of Activity Based Funding on a National level in Australia:

A) Council of Australian Governments (COAG) Reform Council.
B) Independent Hospital Pricing Authority.
C) Australian Commission on Safety and Quality in Health Care.

Question 2: What is Healthcare Fraud and how is fraud different from Healthcare Abuse?

Question 3: Discuss 5 causes of Financial Loss to Health Funds.

Question 4: How does fraud impact on Healthcare?

Question 5: Discuss five (5) ways a health insurer can detect potential loss?

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