Exam 4: Criminal Aspects of Health Care

A pharmacist who submits Medicaid claims for reimbursement on brand name medications rather than on the less expensive generic drugs actually dispensed is considered __________.

Detectives are assigned to cases when necessary to gather __________.

Intentional injection of a lethal dose of a medication by a nurse into a patient is __________.

If a health care provider shows reckless disregard for the safety of his patients and intentional indifference to any injury that could follow his act(s), he could be charged with or sued for __________.

__________ reckless disregard for the safety of others and the willful indifference to an injury that could follow is defined as a

Conferencing a case in an attempt to avoid a trial and reach an acceptable conclusion to the parties __________.

Upcoding medical supplies and equipment and billing for more expensive equipment than that delivered to patients are examples of __________.

When members of a hospital council governing body solicit and receive money for special consideration in awarding a project to an architectural firm on a building project, they could be convicted of __________.

The numerous scams in home care fraud are caused by the __________ in supervising services provided in the home,

If a person presents or causes to be presented a false claim to the government, for the purpose of getting the false claim paid by the government, he or she can be charged with violating the __________.

Beginning in 1989 and continuing into the 1990s, when the AMA Council on Ethical and Judicial Affairs began to pass a series if acts specifically aimed at Physicians' ethical practices, they were targeting __________.

A __________ presents criminal cases to a grand jury

Prosecution of a crime generally begins with __________.

The __________ Act prohibits physicians who have ownership interest or compensation arrangements with a clinical laboratory from referring Medicare patients to that laboratory.

When a health care facility comingles its funds with those of its patients, it violates its __________ with those patients.

Conditioning the award of a contract on an under-the-table percentage payback to a public official who has the ability to influence who will be awarded the contract is known as a __________.

The Office of Inspector General, established in the Department of Health and Human Services in 1976, investigates cases of __________.

Submission of multiple bills for single office visits is a __________.

The intentional removal of life-support equipment can be considered the crime of __________.

Serious crime generally punishable by one or more years of imprisonment in a state or federal penitentiary is a __________.