Do No Harm: Whistleblowing on Medicare Fraud

Author:

Lamboy-Ruiz Melvin A.1ORCID,McKay Britton A.1,Scheetz Andrea M.1ORCID

Affiliation:

1. Georgia Southern University

Abstract

ABSTRACT The high incidence of healthcare fraud in the United States resulted in the creation of multiple outlets to report fraud, such as the Medicare Hotline, the Office of the Inspector General, and the filing of False Claim Act lawsuits associated with whistleblower rewards. Despite the high incidence, examinations of whistleblowing factors in this industry, such as whistleblowers’ professional roles and fraud types, are scarce, and the interaction effects of these factors are unknown. In this study, participants from two different professional roles disclose their likelihood of reporting Medicare fraud through the aforementioned three reporting outlets conditional on two different billing fraud types. The results indicate that although workers in both professional roles show similar likelihoods to report fraud regardless of the reporting outlet, fraud type and its interaction with the professional role influence some but not all the reporting likelihoods.

Publisher

American Accounting Association

Subject

Computer Science Applications,History,Education,General Earth and Planetary Sciences,General Environmental Science

Reference75 articles.

1. The beliefs of nurses who were involved in a whistleblowing event;Ahern,;Journal of Advanced Nursing,2002

2. Methodological issues in whistle-blowing intentions research: Addressing the social desirability bias and order effects;Ahmad,;Procedia - Social and Behavioral Sciences,2014

3. Burnout processes in non-clinical health service encounters;Ashill,;Journal of Business Research,2011

4. Association of Certified Fraud Examiners (ACFE). 2020. Report to the nations: 2020 global study on occupational fraud and abuse. https://www.acfe.com/report-to-the-nations/2020/

5. Tragedy into policy: A quantitative study of nurses’ attitudes toward patient advocacy activities;Black,;AJN, American Journal of Nursing,2011

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3