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Case Study: Health Care Fraud

1963 Words8 Pages

PART I
PRELIMINARY

1.1 Background
If you see a news show on television, the most frequent topic dibicarkan is a corruption or fraud committed by individuals, non-profit organizations, corporations, and Government.
By 2016, there is news that Safely Commission Corruption suspect the flow of funding from pharmaceuticals to doctors. The presence of invetigasi from Tempo magazine alleged gratuities increasingly strengthen doctors from pharmaceutical companies that menginkan products a cure was made a prescription for the patient's doctor.
The Crime is one type of healthcare fraud relative seldom heard in Indonesia. Health Care Fraud is done doctors, medical personnel, health equipment suppliers, healthcare providers, to insurance companies. …show more content…

Medical departments and administration. Medical units include; emergency room, surgical suite, intensive care unit (ICU), as well as the mother and child unit of the Department, including Anesthesiology, radiology, pathology and rehabilitative medicine. While the Administration Department consists of; Accounting Department, human resources department, internal audit department, as well as medical records. The internal audit Department of which there is an internal Watchdog Unit (a unit of Functional Work in charge of carrying out internal oversight at the hospital. Internal oversight unit is responsible to and under the direction of the hospital and also established and defined by the leaders of the hospital), Committee (non structural Units consisting of experts or profession which was formed to give consideration to the strategic direction of the hospital in order to increase and development of hospital services. Committee on the set by the leadership of the hospital as needed which consists of the Medical Committee and the Committee of ethics and the law. The Committee is headed by a Chairperson who is appointed and dipilihm defined by the direction of the hospital. In terms of the formation and changes of the number and type of committees, the Chairman of the hospital needs the approval of the Director-General of Medical Service of community development), Installation (non-structural Service Unit that provides the facilities and organizing activities, education and research hospital). One of the components that are instrumental in the process of implementation of good corporate governance is the audit committee. The Influence of the audit committee in ensuring the quality of financial reporting of the company has become the spotlight since the onset of the accounting scandal became public

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