Read Maryland Health Care Provider Sentenced to 10 years in Federal Prison for Health Care Fraud Resulting in Patient Deaths from the United States Attorney's Office.
Use the Five Whys diagram to conduct a root cause analysis to determine why the Medicare fraud occurred and Timothy Emeigh’s participation in the case. Construct Diagram.
Write a 700- to 1,050-word analysis that identifies and evaluates the root cause for Medicare fraud in this case.
Include the following:
Articulate the “Five Whys” for this case and provide an explanation for each.
Speculate how and why Mr. Emeigh participated in the scheme.
Explain what you, as an administrator, might have done to prevent this from happening.
Recommend risk management strategies the organization can utilize to prevent this and similar types of events from occurring in the future.