Question: Question: 1. Evaluate this case 2. What obstacles do they need to overcome to make this work? 3. What are the organizational strengths and weaknesses?

Question: 1. Evaluate this case 2. What obstacles

Question:

1. Evaluate this case

2. What obstacles do they need to overcome to make this work?

3. What are the organizational strengths and weaknesses?

- Chapters 16 and 17 ariametunawarias Sharon B. Buchbinder on boot Toritom Part they like to earn some money? We'll give them ten percent of every test we get paid for. All we need is their Medicaid or Medicare numbers. We'll mix in some real tests, just to have some- thing on the books, but the majority won't be Gimme says, "How will that work?" "Let's say you order blood work that we don't do. We bill Medicare for $100. We get paid $50. We give the patient $5. The more tests they agree to-without getting the needle- sticks, etc., the more we all make. We can call it the Do-Good Clinic." He leans over and gives her a big hug. "You are the smartest woman I've ever met. Let's get started tomorrow!" Ima sighs happily. This is going to be like shooting ducks in a barrel.la The very married Dr. Gimme Moore and his accountant/girlfriend-on-the-side, Ms. Ima Greedy decide they both should be earning more money than they are. The government, they decide while having a late-night romantic dinner, is taking too much money from them. As they whisper sweet nothings, they agree that they work hard, and they deserve to do better. Ima, who knows the laws regarding fraud and abuse, suggests they set up a real clinic with all the bells and whistles in a poor neighborhood with lots of people on Medicare and Medicaid who also are below poverty level and, for the most part, have not graduated from college. "We can hire a receptionist who works in the neighborhood and can get us patients." Ima becomes excited. "We can give them a referral fee in cash, so they won't be eager to rat us out. After all, they won't be paying taxes!" Gimme Moore grabs her hand and says, Baby, I love it when you talk this way. What next?" Ima blushes. Maybe he'll dump his wife if I come up with a really good plan? "We have a grand opening around Thanksgiving and give away free frozen tur- keys. The only way they get a turkey is if they sign up for physical exams." He squeezes her hand, "Tell me more. "When they come in, we give them a phys- ical and go straight to the good part: would Discussion Questions 1. 2. What laws, if any, are Gimme Moore and Ima planning to violate? What obstacles do they need to over- come to make this work? Why might their little plan be a big problem? 3. Part II Six months later, the grand opening of the clinic is a big hit. Ima even has to run to the store to buy more turkeys to keep up with the

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