Are you guilty until proven innocent? Tougher rules on fraud enforcement put providers on the defensive

Article Abstract:

Healthcare providers are seriously enforcing ethics programs to ensure that their physicians and staffs avoid fraudulent activity. Healthcare observers say the effort is amounting to a crusade amid regulatory pressures, and they fear that employees who are innocently confused about reimbursement and anti-kickback rules will be unfairly targeted. The Fallon Clinic in Worcester, MA, is among the institutions that are focusing on fraud prevention.

Prevention, Fraud, Professional ethics

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Columbia under scrutiny: industry, investors nervous over Texas raid

Article Abstract:

A raid on a Columbia/HCA Healthcare Corp. facility in El Paso, TX, caused speculation that the 340-hospital chain was a possible target for a wide Medicare fraud probe. The raid, which was conducted for a publically undisclosed reason under sealed warrants, seized truckloads of the facility's data. Three days after the March 19, 1997, investigation announcement, Columbia's stock price fell almost 10% to $38.25/share.

Investigations, Hospitals, HCA Inc., El Paso, Texas

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Ethics for a new era

Article Abstract:

The American Medical Association has established a new ethics institute to conduct research and provide field training on ethics issues. The institute will respond to four primary areas of study: medical genetics, professionalism, end-of-life and health care organizations. Ethicist Linda L. Emmanuel will serve as director of the institute.

Editorial, Study and teaching, American Medical Association, Medical ethics

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