Provider medicaid fraud: A note on white-coat crime

To date, relatively few empirical studies have been conducted of provider medicaid fraud or, more generally, of “white-coat crime”--offenses by health professionals. Based on data accumulated by a quality control unit on the duplicate billings for a single service by New York State providers, the pr...

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Bibliographic Details
Main Author: Cullen, Francis T. (Author)
Contributors: Heiner, Karl W. ; Travis, Lawrence F.
Format: Electronic Article
Language:English
Published: 1984
In: American journal of criminal justice
Year: 1984, Volume: 8, Issue: 2, Pages: 146-161
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Keywords:
Criminal Justice Program
Business Orientation
Chicago Tribune
Fraudulent Activity
Corporate Crime
Description
Summary:To date, relatively few empirical studies have been conducted of provider medicaid fraud or, more generally, of “white-coat crime”--offenses by health professionals. Based on data accumulated by a quality control unit on the duplicate billings for a single service by New York State providers, the present research attempts to help fill this void by assessing the prevalence of medicaid fraud. Two conclusions are suggested by the data. First, unlike other realms of upperworld criminality, provider fraud does not appear to be pervasive. Second, provider occupations with more of a business orientation appear to have a greater involvement in fraudulent activities than groups that are more fully professionalized.
ISSN:1936-1351
DOI:10.1007/BF02885862