Beneficence, Non-Malfeasance, Fraud, and Abuse in Healthcare Settings

This report delves into the ethical and legal considerations within healthcare, focusing on the principles of beneficence and non-malfeasance. It provides examples illustrating how these principles can be applied to benefit patients and protect organizations. The report also distinguishes between fraud and abuse in healthcare, offering examples of each and discussing how healthcare managers can address these issues. Specifically, it explores how fraud involves intentional misrepresentation for financial gain, while abuse involves actions that lead to unnecessary costs or compromise the quality of care. The report references relevant literature to support its analysis, emphasizing the importance of ethical practices and legal compliance in healthcare settings. The main idea of the report is to provide healthcare professionals, students and managers with the tools needed to navigate ethical dilemmas and maintain integrity within the industry.

Describe examples of both ethical and legal circumstances where you can apply the
concepts of beneficence and non-malfeasance. How do these concepts work within your
examples to provide protection to both the organization and the patient?
Beneficence is an activity for the good and benefit of others. The measures can be taken
to avoid or eliminate harms, or merely to enhance others ' condition. Examples of beneficial
measures include providing the public with vaccinations, resuscitating a drowning person, or
educating a poor society about secure gender procedures or STDs. No maliciousness implies
"doing no damage." In principle, doctors should refrain from offering inadequate therapies or
using harsh tone with their clients. The ethical problem is concerned with the pros and cons of
therapy i.e. whether or not therapy advantages outweigh the burdens and damage. An instance of
non-malicious action prevents a client from receiving what can be beneficial for him in his
recovery and is marked as unethical practice in medical laws (Jahn, 2011).
Discuss the differences between fraud and abuse. Provide examples of each and how health
care managers might deal with them.
The distinction between fraud and abuse is bound up with the purpose of the person. In
cases of both fraud and abuse, the funds from Medicare Trust Fund are targeted. These funds are
meant for the beneficiaries of the Medicare and the actions of fraud and violence misuse them. It
is the intention that generates a scenario of fraud (Anthony, 2017).

The state can pursue a state criminal conviction when fraud has been undertaken, brings
administrative action to exclude the liable sides from the Medicare program, or completely
remove the supplier from the Medicare program.
Examples:
Examples of prevalent health fraud operations include charging for no-show meetings,
submitting more complex service allegations and requests reimbursement levels than supplied or
recorded, accounting for unfurnished goods, and charging for referrals.
Healthcare abuse involves procedures that produce excessive expenses directly or
indirectly. Further, it limits the clients from getting medically necessary facilities, fail to satisfy
professional norms, and are reasonably expensive.

References
Anthony, M. (2017). Fraud and Abuse. Home Healthcare Now, 35(10), 535-536.
Jahn, W. (2011). The 4 basic ethical principles that apply to forensic activities are respect for
autonomy, beneficence, nonmaleficence, and justice. Journal Of Chiropractic
Medicine, 10(3), 225-226.