Reporting Medicare Fraud

What is a medical practice worth? The answer depends, in part, on whom you ask. Purchasers would say value is based on what they plan to bring to the table; sellers assume it’ s simply a matter of formula applied uniformly across the board. In actuality, both are correct— to a degree. While there are basic guidelines used to ascertain values, valuation must be determined on a case-by-case basis, as each has a unique set of circumstances that ultimately affects final outcome. Covering the specific issues that impact valuation, Valuation of a Medical Practice takes you through the entire process, highlighting pitfalls and mistakes that are commonly made and that should be avoided. Written by Reed Tinsley, Rhonda Sides, and Gregory D. Anderson, leading experts in the field, this comprehensive resource clears up the ambiguous question of what exactly constitutes the value of a medical practice. As the authors stress, there are two main points to keep in mind: The strength of the practice’ s income stream and what it produces for the owner(s) is what creates true valueThe key to a successful valuation is deciding whether or not the practice’ s future income stream will mirror its present income streamAlong with case examples, sample valuation letters, and checklists for gathering data, as well as an exhaustive appendix and glossary of terms, Valuation of a Medical Practice has complete details on: Regulatory issues— Medicare fraud and abuse, private benefit/private inurement, the Stark LawSpecial issues— gross revenues, referral patterns, payer mix, practice efficiencies and transition, productivityGetting started— engagement preplanning and planning,requesting pertinent dataOn-site inspection and owner interview— fixed assets, personnel, accounting system, supply inventory, marketing, physician and management issuesCompleting the process— reporting, reviews, reconciling valuation methods.

False advertising - False advertising is an act of deliberately misleading a potential client about a product, service or a company in general by reporting false or misrepresenting information or data in advertising or other promotional materials. False advertising is a type of fraud.

Karen Ryan - Karen Ryan is a public relations specialist, and former television news reporter, who became famous for producing controversial video news release created to promote the Medicare and education systems for the United States government. Her appearance in the video was widely shown, including her closing words, "In Washington, this is Karen Ryan reporting.

Serious Fraud Office - The Serious Fraud Office is an arm of the Government of the United Kingdom, accountable to the Attorney-General. Established by the Criminal Justice Act 1987, the Serious Fraud Office is responsible for the investigation and prosecution of suspected cases of serious or complex fraud where 1 million or more GBP is at risk of being lost through fraud.

Certified fraud examiner - Certified Fraud Examiner is a designation awarded by The Association of Certified Fraud Examiners (ACFE). The ACFE is a 35,000 member-based global association dedicated to providing anti-fraud education and training.

reportingmedicarefraud

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