Medicare Improper Payments Challenges For Measuring Potential Fraud And Abuse Remain Despite Planned Enhancements
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Author | : |
Publisher | : DIANE Publishing |
Total Pages | : 34 |
Release | : |
Genre | : |
ISBN | : 142897217X |
Download Medicare improper payments challenges for measuring potential fraud and abuse remain despite planned enhancements Book in PDF, Epub and Kindle
Author | : United States Government Accountability Office |
Publisher | : Createspace Independent Publishing Platform |
Total Pages | : 34 |
Release | : 2018-02-10 |
Genre | : |
ISBN | : 9781985255326 |
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T-AIMD/OSI-00-251 Medicare Improper Payments: Challenges for Measuring Potential Fraud and Abuse Remain Despite Planned Enhancements
Author | : U S Government Accountability Office (G |
Publisher | : BiblioGov |
Total Pages | : 38 |
Release | : 2013-06 |
Genre | : |
ISBN | : 9781289001346 |
Download Medicare Improper Payments Book in PDF, Epub and Kindle
Pursuant to a congressional request, GAO discussed the Health Care Financing Administration's (HCFA) efforts to improve the measurement of improper payments in the Medicare fee-for-service program. GAO noted that: (1) because it was not intended to include procedures designed specifically to identify all types of potential fraudulent and abusive activity, the current methodology does not provide an estimate of the full extent of improper Medicare fee-for-service payments; (2) HCFA has initiated three projects designed to further its measurement efforts which offer some promise for determining the extent of improper payments attributable to potential fraud and abuse; (3) based on careful evaluation of their effectiveness, performing additional potential fraud identification techniques as part of its efforts to measure improper payments could assist HCFA in arriving at a more comprehensive measurement and, ultimately, develop cost-effective internal controls to combat improper payments; and (4) however, no set of techniques, no matter how extensive, can be expected to measure all potential fraud and abuse.
Author | : |
Publisher | : |
Total Pages | : |
Release | : 2000 |
Genre | : Medicare |
ISBN | : |
Download Medicare Improper Payments Book in PDF, Epub and Kindle
Author | : Kay Daly |
Publisher | : DIANE Publishing |
Total Pages | : 54 |
Release | : 2001-04 |
Genre | : Medical |
ISBN | : 9780756708962 |
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Reviews the Health Care Fin Admin's. (HCFA) efforts to enhance the measurement of improper payments in the Medicare fee-for-service program. Identifies structural problems that exist in the Medicare claims processing system which contribute to vulnerabilities resulting in erroneous Medicare payments. Focuses on: what HCFA proposals have been designed or initiated to measure Medicare improper payments; & the status of these proposals & initiatives & how they will enhance HCFA's ability to comprehensively measure improper Medicare payments & the frequency of kickbacks, false claims, & other inappropriate provider practices. Tables.
Author | : United States. General Accounting Office |
Publisher | : |
Total Pages | : 50 |
Release | : 2000 |
Genre | : Medicare |
ISBN | : |
Download Medicare Improper Payments Book in PDF, Epub and Kindle
Author | : United States Government Accountability Office |
Publisher | : Createspace Independent Publishing Platform |
Total Pages | : 56 |
Release | : 2018-02-10 |
Genre | : |
ISBN | : 9781985255357 |
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AIMD/OSI-00-281 Medicare Improper Payments: While Enhancements Hold Promise for Measuring Potential Fraud and Abuse, Challenges Remain
Author | : U S Government Accountability Office (G |
Publisher | : BiblioGov |
Total Pages | : 58 |
Release | : 2013-06 |
Genre | : |
ISBN | : 9781289000981 |
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The U.S. Government Accountability Office (GAO) is an independent agency that works for Congress. The GAO watches over Congress, and investigates how the federal government spends taxpayers dollars. The Comptroller General of the United States is the leader of the GAO, and is appointed to a 15-year term by the U.S. President. The GAO wants to support Congress, while at the same time doing right by the citizens of the United States. They audit, investigate, perform analyses, issue legal decisions and report anything that the government is doing. This is one of their reports.
Author | : |
Publisher | : DIANE Publishing |
Total Pages | : 55 |
Release | : |
Genre | : |
ISBN | : 1428972188 |
Download Medicare improper payments : while enhancements hold promise for measuring potential fraud and abuse, challenges remain : report to congressional requesters Book in PDF, Epub and Kindle
Author | : |
Publisher | : |
Total Pages | : 5 |
Release | : 2012 |
Genre | : |
ISBN | : |
Download Eliminating Fraud and Abuse Book in PDF, Epub and Kindle
At a time of high federal budget deficits and unsustainable growth in health care costs, there is general agreement on the need to eliminate unnecessary spending in health care--and among the leading candidates are fraud and abuse. Despite ongoing, concerted efforts, making meaningful inroads has not been easy. "Fraud" refers to illegal activities in which someone gets something of value without having to pay for it or earn it, such as kickbacks or billing for services that were not provided. "Abuse" occurs when a provider or supplier bends rules or doesn't follow good medical practices, resulting in unnecessary costs or improper payments. Examples include the over-use of services or the providing of unnecessary tests. (Another area, "waste," refers to health care that is not effective, and will be the subject of a separate Health Policy Brief.) Endowed with new powers under the Affordable Care Act and the Small Business Jobs Act of 2010, the Centers for Medicare and Medicaid Services (CMS) has been adopting new tools to curb fraud and abuse in the Medicare and Medicaid programs. The new approach amounts to a paradigm shift from the earlier model, in which CMS paid providers first, then sought to chase down fraud and abuse after the fact--a process known as "pay and chase." This policy brief focuses on eliminating fraud and abuse in Medicare and Medicaid and explores the challenges involved in putting the new tools into place.