Reporting Medicare Fraud: Roles and Fraud Types' Influence on Whistleblowing

What is it about?

This study explores the likelihood of healthcare professionals reporting Medicare fraud. It examines the role of professional positions (administrative staff vs. healthcare providers) and the nature of fraud (billing for unnecessary procedures vs. billing for unperformed procedures) in influencing whistleblowing intentions. The study finds that both job role and fraud type impact the decision to report fraud, contributing to our understanding of whistleblowing behavior in the healthcare industry, especially regarding Medicare fraud.

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Photo by Kristina Flour on Unsplash

Photo by Kristina Flour on Unsplash

Why is it important?

This study is unique and timely as it delves into whistleblowing within the specific context of Medicare fraud in healthcare. It provides valuable insights into the factors influencing whether healthcare professionals, administrators, or providers are likely to report fraudulent activities. This research can significantly impact the development of policies and training programs to encourage ethical reporting behavior, particularly in combating fraud in government-funded healthcare programs, ultimately contributing to a more ethical and transparent healthcare system.