HealthCare Fraud

HealthCare Fraud

Introduction

Health care fraud is a complicated crime in which several factors and many stakeholders are in play, thus making it extremely difficult for such cases of fraud to be detected and handled. The volume of health care claims is very large. Medicare, for example, is responsible for the disbursement of 4.4 million claims per day (NHCAA, 2011).

Discussion

The role that the different stakeholders play enhances the failure to make detections of such fraud. Since anyone can be responsible for committing fraud in the organization, it becomes difficult to identify the culprits. Making the job more difficult is the fact that ...