MHA508 University of Phoenix Root Cause Using the 5 Whys Discussion

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Health Medical


University of Phoenix


Read Maryland Health Care Provider Sentenced to 10 years in Federal Prison for Health Care Fraud Resulting in Patient Deaths from the United States Attorney's Office.

Use the 5 Whys to conduct a root cause analysis to determine why the Medicare fraud occurred and Timothy Emeigh’s participation in the case.

Write a 525- to 700-word paper that identifies and evaluates the root cause for Medicare fraud in this case.

Include the following:

  • List each of the 5 Whys and your response.
  • Speculate as to why Mr. Emeigh participated in the scheme.
  • Explain what you might have done to prevent this from happening.

Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

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Explanation & Answer


Topic: Case Analysis: Healthcare Fraud
I. First paragraph description
A. The 5 Whys is a fundamental technique used for root cause analysis which help in problem
solving and quality improvement
B. Below is a 5 Whys that was conducted in order to analyze the root cause and to determine
why the Medicare fraud happened.
II. Second Paragraph description
A. From the 5 Whys analysis, it is evident that Alpha Diagnostics had employed unqualified
medical personnel who showed various forms of incompetence.
B. Employing unqualified staff only confirms that private medical centers only care about
money instead of the well-being of the sick.
III. Third paragraph description
A. Much of Mr. Emeigh incompetence is well visible from the fact that he blindly follows the
rules and instructions from Chikvashvili even when such rules do not uphold the ethical
standards required when carrying out medical services.
B. Viewing the medical images from a personal laptop then drafting a false physician
interpretation report is an act of fraud from a law perspective.
IV. Fourth paragraph description
A. In order to prevent such healthcare fraud from happening, I would conduct a proper hiring
process of the medical staff through making reasonable inquiries to ascertain the education
level of applica...

Just what I needed…Fantastic!


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