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CASE STUDY 1
Healthcare Administration Assignment
Student’s Name
Institutional Affiliation
Date
Instructor’s Name
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CASE STUDY 2
Case: New Orleans woman sentenced to prison for role in $3.2 million health care fraud and
kickback scheme. (2018)
Introduction
This case is about Sandra Parkman, a 63-year-old woman found guilty of health care
fraud, amounting to $3.2 million. In this case, Kurt D. Engelhardt, a U.S. District judge of
Louisiana, sentenced the accused, in addition to a restitution payment of $277,197. The case's
primary charges included; one count of conspiracy to pay and receive health care kickbacks, one
account of the conspiracy to commit health care fraud, five accounts of receiving health care
kickbacks, and two counts of health care fraud (United States Department of Justice. 2018). This
paper will analyze the case and assess the appropriateness of the outcome while discussing how
health care organizations can successfully implement a corporate compliance program to assist in
minimizing the risk of fraud.
Case Analysis
The evidence provided by the FBI in collaboration with the HHS-OIG from 2004 to 2009
revealed that Parkman and others coordinated in supplying unnecessary durable medical
equipment power wheelchairs, and Medicare beneficiaries both inside and outside New Orleans.
The findings, in this case, showed that Parkman had collaborated with the co-defendant Tracy
Richardson Brown who owned an equipment supply firm to obtain signatures from physicians
authorizing the ordering of medically unnecessary appliances. Notably, the evidence revealed
that Parkman had obtained kickback payments amounting to $47,000, while Brown received
illegal referrals to supply the equipment, causing Medicare to pay $3.2 million as a result.
Following Brown's connection with the financial costs incurred by Medicare, he had been
sentenced to 80 months in prison in 2016 (United States Department of Justice, 2018).
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CASE STUDY 3
According to Yasmin Hoffmann, a researcher in the Association of Certified Fraud
Examiners (ACFE), fraud schemes in healthcare involve the billing of medically unnecessary or
ineligible medical equipment such as wheelchairs and other medical equipment ( Hoffmann,
2020). Consequently, giving kickbacks for false referrals is also categorized as a fraud within the
health care realm. Thus, Parkman’s case meets the presented criteria of fraud within a health care
organization, as Parkman received kickback payments from Brown after availing illegally
obtained signatures that led to the escalation of the scheme.
As shown in the case, Brown, the co-accused, was rightly imprisoned, as his involvement
caused financial losses for Medicare. On the other hand, Parkman's actions helped Brown in
advancing his mission to defraud the health care system by providing unnecessary medical
supplies. The circumstances of this case sufficiently justify Parkman's sentencing and the
payment ordered by the District judge.
Corporate Compliance Program
According to OIGatHHS (2012), an effective compliance program improve the quality of
care, reduce overall costs, and ensure a proactive approach to problems. While every
organization is different, it is essential to actively update compliance policies and communicate
with employees regarding the policy. Also, allowing employees to report potential misconducts
can create an opportunity to detect abnormalities and apply the necessary corrective measures.
An organization needs to periodically evaluate the effectiveness of its compliance
program. In regards to fraud, organizations should offer formal training to their staff to raise
awareness about proper conduct within the health care setting. An internal audit process can help
identify employees who fail to adhere to the set protocols and standards. As a result, the
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CASE STUDY 4
management can opt to take action against defectors, hence setting an example for future
violators.
Conclusion
This paper has analyzed the case of a New Orleans woman charged with fraud after
engaging in a collaborative scheme with Brown, where the incident caused Medicare to incur
$3.2 million in costs. Based on the presented evidence and the criteria for detecting health care
fraud, the analysis revealed that the accused was rightfully sentenced to prison following their
role in the scheme. Consequently, the paper has suggested frequent audits and employees'
training on compliance policies can effectively minimize fraud incidents in organizations.
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CASE STUDY 5
References
Hoffmann, Y. (2020). Health Care Fraud in Focus: Durable Medical Equipment. Retrieved 16
November 2020, from https://www.acfe.com/fraud-examiner.aspx?id=4295005945
OIGatHHS. (, 2012). Compliance Program Basics. Retrieved 16 November 2020, from
https://www.youtube.com/watch?v=bFT2KDTEjAk
United States Department of Justice. (2018). New Orleans Woman Sentenced To Prison For Role
In $3.2 Million Health Care Fraud And Kickback Scheme. Justice.gov. Retrieved 16
November 2020, from https://www.justice.gov/usao-edla/pr/new-orleans-woman-
sentenced-prison-role-32-million-health-care-fraud-and-kickback.

Unformatted Attachment Preview

CASE STUDY 1 Healthcare Administration Assignment Student’s Name Institutional Affiliation Date Instructor’s Name CASE STUDY 2 Case: New Orleans woman sentenced to prison for role in $3.2 million health care fraud and kickback scheme. (2018) Introduction This case is about Sandra Parkman, a 63-year-old woman found guilty of health care fraud, amounting to $3.2 million. In this case, Kurt D. Engelhardt, a U.S. District judge of Louisiana, sentenced the accused, in addition to a restitution payment of $277,197. The case's primary charges included; one count of conspiracy to pay and receive health care kickbacks, one account of the conspiracy to commit health care fraud, five accounts of receiving health care kickbacks, and two counts of health care fraud (United States Department of Justice. 2018). This paper will analyze the case and assess the appropriateness of the outcome while discussing how health care organizations can successfully implement a corporate compliance program to assist in minimizing the risk of fraud. Case Analysis The evidence provided by the FBI in collaboration with the HHS-OIG from 2004 to 2009 revealed that Parkman and others coordinated in supplying unnecessary durable medical equipment power wheelchairs, and Medicare beneficiaries both inside and outside New Orleans. The findings, in this case, showed that Parkman had collaborated with the co-defendant Tracy Richardson Brown who owned an equipment supply firm to obtain signatures from physicians authorizing the ordering of medically unnecessary appliances. Notably, the evidence revealed that Parkman had obtained kickback payments amounting to $47,000, while Brown received illegal referrals to supply the equipment, causing Medicare to pay $3.2 million as a result. Following Brown's connection with the financial costs incurred by Medicare, he had been sentenced to 80 months in prison in 2016 (United States Department of Justice, 2018). CASE STUDY 3 According to Yasmin Hoffmann, a researcher in the Association of Certified Fraud Examiners (ACFE), fraud schemes in healthcare involve the billing of medically unnecessary or ineligible medical equipment such as wheelchairs and other medical equipment ( Hoffmann, 2020). Consequently, giving kickbacks for false referrals is also categorized as a fraud within the health care realm. Thus, Parkman’s case meets the presented criteria of fraud within a health care organization, as Parkman received kickback payments from Brown after availing illegally obtained signatures that led to the escalation of the scheme. As shown in the case, Brown, the co-accused, was rightly imprisoned, as his involvement caused financial losses for Medicare. On the other hand, Parkman's actions helped Brown in advancing his mission to defraud the health care system by providing unnecessary medical supplies. The circumstances of this case sufficiently justify Parkman's sentencing and the payment ordered by the District judge. Corporate Compliance Program According to OIGatHHS (2012), an effective compliance program improve the quality of care, reduce overall costs, and ensure a proactive approach to problems. While every organization is different, it is essential to actively update compliance policies and communicate with employees regarding the policy. Also, allowing employees to report potential misconducts can create an opportunity to detect abnormalities and apply the necessary corrective measures. An organization needs to periodically evaluate the effectiveness of its compliance program. In regards to fraud, organizations should offer formal training to their staff to raise awareness about proper conduct within the health care setting. An internal audit process can help identify employees who fail to adhere to the set protocols and standards. As a result, the CASE STUDY 4 management can opt to take action against defectors, hence setting an example for future violators. Conclusion This paper has analyzed the case of a New Orleans woman charged with fraud after engaging in a collaborative scheme with Brown, where the incident caused Medicare to incur $3.2 million in costs. Based on the presented evidence and the criteria for detecting health care fraud, the analysis revealed that the accused was rightfully sentenced to prison following their role in the scheme. Consequently, the paper has suggested frequent audits and employees' training on compliance policies can effectively minimize fraud incidents in organizations. CASE STUDY 5 References Hoffmann, Y. (2020). Health Care Fraud in Focus: Durable Medical Equipment. Retrieved 16 November 2020, from https://www.acfe.com/fraud-examiner.aspx?id=4295005945 OIGatHHS. (, 2012). Compliance Program Basics. Retrieved 16 November 2020, from https://www.youtube.com/watch?v=bFT2KDTEjAk United States Department of Justice. (2018). New Orleans Woman Sentenced To Prison For Role In $3.2 Million Health Care Fraud And Kickback Scheme. Justice.gov. Retrieved 16 November 2020, from https://www.justice.gov/usao-edla/pr/new-orleans-womansentenced-prison-role-32-million-health-care-fraud-and-kickback. Name: Description: ...
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