Patient Protection & Fraud and Abuse Enforcement
Part 1
Do laws and regulations protect patients or do health professionals protect patients?
- Thinking about laws and regulations, how would the events that led to the discovery and experimentation with HeLa cells have been different if they occurred today?
- Research and identify a contemporary case in which laws and regulations failed to protect patients from violations of privacy, compliance, or ethics.
- part 2
- Explore the OIG Enforcement Actions page https://oig.hhs.gov/fraud/enforcement/. Review and select one of the articles on a case of health care fraud. Write a analysis of the case that includes the following:
- Summarize the incident and the specific fraud that was enacted.
- Determine what laws were broken and which regulatory bodies are responsible for oversight of the regulations that were violated.
Describe the communications and information that would have been exchanged among the regulatory bodies and the offending organization during the investigation and charge of fraud or abuse in the case.
Explain the outcome of the case. If a judgment has not yet been passed, what do you think the outcome of the judgment should be? Justify your response.
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