Case Study – Medicare Fraud and Abuse Report

In this assignment we examine the legal and ethical implications of fraud and abuse with Medicare. Use the CSU-Global Library and the internet to identify a real-world case of Medicare fraud and/or abuse. Write a 4-5 page report using the readings, research, and your knowledge of health law and ethics to analyze this case.

Your report should address the following substantive requirements:

  • Description of what occurred, who was affected, and why
  • Assess the case from the following perspectives:
    • Ethical – identify the ethical principles involved in this situation from the perspective of all those involved.
    • Legal – what are the legal implications and what laws or statutes were involved?
  • Provide two recommendations for how to manage this case from the perspective of the healthcare organization involved. What could have been done to prevent this situation?
  • Recommend next steps to manage this case.

Your report should meet the following structural requirements:

  • Be 4-5 pages in length, not including the cover or reference pages.
  • Be formatted according to the CSU-Global Guide to Writing and APA Requirements.
  • Provide support for your statements with in-text citations from a minimum of four (4) scholarly articles. Two (2) of these sources may be from the class readings, textbook, or lectures, but two (2) must be external. The CSU-Global Library is a good place to find these references.
  • Utilize the following headings to organize the content in your work.
    • Introduction
    • Assessment
    • Recommendations
    • Conclusion




Case Study – Medicare Fraud and Abuse Report
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