Description
Use the Five Whys to conduct a root cause analysis to determine why the Medicare fraud occurred and Timothy Emeigh's participation in the case.
Write a 600 word paper that identifies and evaluates the root cause for Medicare fraud in this case.
Include the following:
- List each of the Five 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).
Format APA guidelines.
Explanation & Answer
Attached.
Running head: ROOT OF FRAUD
1
Root of Fraud
Student’s Name
Institutional Affiliation
Date
ROOT OF FRAUD
2
Root of Fraud
Introduction
In this paper, the five Whys model is used to identify and evaluate the root cause for the
Medicare and Medicaid fraud that occurred in 2016 at a Maryland based Healthcare provider.
Five Whys Model
The Five Whys method is a simple approach but a powerful technique for getting
solutions and understanding the entire situation in a problem like the massive unethical practices
at the Alpha Diagnostic in Maryland where Medicare and Medicaid lost over $ 6 million in fraud
masterminded by the management of the facility led by its president and CEO, Rafael
Chikvashvili (Mind Tools Content Team, n.d; Cohn, 2015). The first why is due to the title of the
article as reading it invokes attention and readers want to know why the healthcare provider got
the 10 years sentence? The response to th...
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