Homework: Fraud and Abuse- Regulatory Environment in Health Care
Directions
You are outside counsel to the Marcus Welby Healthcare Corporation, which among its other operations owns a durable medical equipment (DME) subsidiary, which sells equipment for home use such as crutches, wheelchairs, and oxygen concentrators. You learn that the subsidiary has had certain business practices about which you have some question under the Medicare and Medicaid Anti-Fraud and Abuse provisions:
i. Salesmen regularly offer home health agency employees a "premium" whenever their clients order DME from the subsidiary.
ii. The subsidiary offers "rebates" to patients who use its equipment.
iii. The subsidiary pays hospital and home health agency personnel for assisting its patients in learning how to use its products.
iv. Some arterial blood gas test results may have been "massaged a bit" by the DME in order to facilitate Medicare payment for oxygen concentrators.
What advice would you give?
Format your homework according to the following formatting requirements:
i) The answer should be typed, using Times New Roman font (size 12), double spaced, with one-inch margins on all sides.
ii) The response also includes a cover page containing the title of the homework, the student's name, the course title, and the date. The cover page is not included in the required page length.
iii) Also include a reference page. The Citations and references must follow APA format. The reference page is not included in the required page length.