Question 1. Explain the role of the following three 'bodies' in National Health Reform and the implementation of Activity Based Funding on a National level in Australia:
1. Council of Australian Governments (COAG) Reform Council
2. Independent Hospital Pricing Authority
3. Australian Commission on Safety and Quality in Health Care
Question 2. What is Healthcare Fraud and how is fraud different from Healthcare Abuse?
Question 3. Explain five causes of Financial Loss to Health Funds.
Question 4. How does fraud impact on Healthcare?
Question 5. Discuss five ways a health insurer can detect potential loss