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Avoiding Quality Fraud
Trustee, 09/04/08
Gosfield AG et al. - Many boards are paying attention to quality because they have recognized that improving the safety and quality of care is central to the mission and strategies of hospitals and health care systems. But few trustees are aware of an additional reason to pay close attention to quality reports: If a hospital is not delivering high-quality care and the board knew or should have known about it, yet they did nothing while the institution continued to submit claims to Medicare (and other payers), then the hospital’s leadership (including trustees) can be considered to have committed "quality fraud."
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