Health Care: Consultants' Billing Advice May Lead to Improperly Paid Insurance Claims

Health Care: Consultants' Billing Advice May Lead to Improperly Paid Insurance Claims

Date: June 27, 2001
Creator: United States. General Accounting Office.
Description: A letter report issued by the General Accounting Office with an abstract that begins "This report investigates health care consultants who conduct seminars or workshops that offer advice to health care providers on ways to enhance revenue and avoid audits or investigations. GAO attended several seminars and workshops offered by these consultants. GAO sought to determine whether the consultants were providing advice that could result in improper or excessive claims to Medicare, Medicaid, other federally funded health plans, and private health insurance carriers. GAO found that some advice was inconsistent with guidance provided by the Department of Health and Human Services' Office of Inspector General (OIG). Such advice could result in violations of both civil and criminal statutes."
Contributing Partner: UNT Libraries Government Documents Department
Health Care: Consultants' Billing Advice May Lead to Improperly Paid Insurance Claims

Health Care: Consultants' Billing Advice May Lead to Improperly Paid Insurance Claims

Date: June 27, 2001
Creator: United States. General Accounting Office.
Description: Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses the results of GAO's investigation of health care billing consultants whose seminars and workshops advise health care providers on how to boost revenue and avoid audits. Consultants at two workshops that GAO attended provided in-depth discussions of regulations on billing for health care services and compliance with health care laws and regulations. Some of this advice was inconsistent with federal law and guidance provided by the Department of Health and Human Services' Office of Inspector General. Such advice could result in violations of both civil and criminal statutes. Some consultants urged health care providers to not report or refund overpayments from insurance carriers after they were discovered. The consultants also encouraged the performance of unnecessary tests and procedures to generate documentation that would support bills for evaluation and management services at a higher level of complexity than actually confronted during patients' office visits. This testimony summarizes a June report (GAO-01-818)."
Contributing Partner: UNT Libraries Government Documents Department
Health Care: Approaches to Address Racial and Ethnic Disparities

Health Care: Approaches to Address Racial and Ethnic Disparities

Date: July 8, 2003
Creator: United States. General Accounting Office.
Description: Correspondence issued by the General Accounting Office with an abstract that begins "A recent report by the Institute of Medicine, a branch of the National Academy of Sciences, found that racial and ethnic minority groups tend to receive a lower quality of health care than nonminorities, even when access-related factors such as income and insurance coverage are controlled. It concluded that the elimination of racial and ethnic health care disparities is a major challenge in the United States. Racial and ethnic minority groups identified by the federal government--American Indians or Alaska Natives, Asians, Blacks or African Americans, Hispanics or Latinos, and Native Hawaiians or other Pacific Islanders--are expected to make up an increasingly large portion of the U.S. population in coming years. The federal government, primarily through programs under the Department of Health and Human Services (HHS), plays a major role in providing and financing health care for minority groups. HHS is also the primary federal entity involved in projects and research aimed at understanding and addressing disparities in health care. HHS has focused on racial and ethnic disparities in health access and outcomes in six areas: cancer screening and management, cardiovascular disease, diabetes, HIV infection/AIDS, immunizations, and infant mortality. ...
Contributing Partner: UNT Libraries Government Documents Department
Health Care: Adequacy of Pharmacy, Laboratory, and Radiology Workforce Supply Difficult to Determine

Health Care: Adequacy of Pharmacy, Laboratory, and Radiology Workforce Supply Difficult to Determine

Date: October 10, 2001
Creator: United States. General Accounting Office.
Description: Correspondence issued by the General Accounting Office with an abstract that begins "Concerns have been growing about the supply of health care workers and the future needs of an aging population. Shortages of nurses and nurse aides, the two largest categories of health care workers, are of particular concern. Although the number of pharmacists has grown during the past decade, the increasing demand for pharmacy services is outpacing the growth in supply, according to the Department of Health and Human Services. Provider and professional associations have reported high vacancy rates and a decline in new entrants to the laboratory and radiologic fields. However, employment and earnings data for laboratory and radiologic technologists and technicians do not indicate a balance of supply and demand for these workers. Demographic changes, technological advances, and management decisions on how staff and technology are used will affect the future demand for health care workers."
Contributing Partner: UNT Libraries Government Documents Department
An empirical investigation of the salient dimensions of Baby Boomer and Generation Y consumers' health care decision choices.

An empirical investigation of the salient dimensions of Baby Boomer and Generation Y consumers' health care decision choices.

Date: August 2006
Creator: Krishnankutty Nair Rajamma, Rajasree
Description: The purpose of this research is to empirically investigate consumers' health care decision choices in a dynamic market setting. The unprecedented demands on the U.S. health care system coupled with the mounting controversies surrounding health care reform suggest that consumers' health care decisions warrant empirical research attention. Toward this end, this dissertation empirically explored (1) the characteristics of consumers who possess a willingness to use non-conventional treatments over conventional treatments, (2) the characteristics of consumers who elect self-medication in lieu of health care practitioner-directed medication, and (3) the salient dimensions of consumers' channel choice for the procurement of health care products. Each of these decision choice factors were tested across two U.S. generational segments to assess whether differences existed across Baby Boomers' and Gen Yers' health care decision choices. The conceptual framework for empirical assessment is Bandura's (1986) social cognitive theory. From Bandura's social cognitive theory, a general model of healthcare decision choice is proposed to assess consumers' states of mind, states of being and states of action (decision choice). Results indicate that social cognitive factors (e.g., self-efficacy, objectivism) play an important role in each of the decision domains explored in this dissertation. Moreover, health value was found to be ...
Contributing Partner: UNT Libraries
ReSource, Volume 11, Number 1, Fall 1994

ReSource, Volume 11, Number 1, Fall 1994

Date: 1994
Creator: University of North Texas
Description: ReSource magazine includes articles and notes about research at University of North Texas in various academic fields.
Contributing Partner: University Relations, Communications & Marketing department for UNT
Budget Control Act: Potential Impact of Automatic Spending Reduction Procedures on Health Reform

Budget Control Act: Potential Impact of Automatic Spending Reduction Procedures on Health Reform

Date: October 17, 2011
Creator: Redhead, Stephen C.
Description: The Budget Control Act of 2011 (BCA; P.L. 112-25) established new budget enforcement mechanisms for reducing the federal deficit by at least $2.1 trillion over the 10-year period FY2012-FY2021. The BCA places statutory limits, or caps, on discretionary spending for each of those 10 fiscal years, which will save an estimated $0.9 trillion during that period. In addition, it creates a Joint Select Committee on Deficit Reduction (Joint Committee), which is instructed to develop legislation to reduce the federal deficit by at least another $1.5 trillion through FY2021.
Contributing Partner: UNT Libraries Government Documents Department
A Comparative Analysis of Diseases Associated with Mining and Non-Mining Communities: A Case Study of Obusai and Asankrangwa, Ghana

A Comparative Analysis of Diseases Associated with Mining and Non-Mining Communities: A Case Study of Obusai and Asankrangwa, Ghana

Date: August 2005
Creator: Reddy, Sumanth G.
Description: Disease prevalence varies with geographic location. This research pursues a medical geographic perspective and examines the spatial variations in disease patterns between Obuasi, a gold mining town and Asankrangwa, a non gold mining town in Ghana, West Africa. Political ecology/economy and the human ecology frameworks are used to explain the prevalence of diseases. Mining alters the environment and allows disease causing pathogens and vectors to survive more freely than in other similar environments. Certain diseases such as upper respiratory tract infections, ear infections, sexually transmitted diseases such as HIV/AIDS and syphilis, certain skin diseases and rheumatism and joint pains may have a higher prevalence in Obuasi when compared to Asankrangwa due to the mining in Obuasi.
Contributing Partner: UNT Libraries
Understanding the Health Care Needs of the Medically Indigent of Grayson County

Understanding the Health Care Needs of the Medically Indigent of Grayson County

Date: Summer 2005
Creator: Rahman, Rumana
Description: Honors thesis written by a student in the UNT Honors College discussing difficulties in obtaining medical care faced by uninsured residents of Grayson County, Texas.
Contributing Partner: UNT Honors College
An Entangled Pathology

An Entangled Pathology

Date: Spring 2012
Creator: Vargas, Annalisa L.
Description: Thesis written by a student in the UNT Honors College discussing the history of healthcare in the Gaza Strip from 1940 to 2008, the role of healthcare in the development of Hamas, the current state of health systems in the Gaza Strip, and how the relationship between Hamas with the citizens of Gaza, Israel, and other countries have an effect on the healthcare of Gaza.
Contributing Partner: UNT Honors College
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