Download or read book Fraud Detection Systems Centers for Medicare and Medicaid Services Needs to Ensure More Widespread Use written by Valerie C. Melvin and published by DIANE Publishing. This book was released on 2012-10-07 with total page 49 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Fraud Detection Systems written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-01-11 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fraud Detection Systems: Centers for Medicare and Medicaid Services Needs to Ensure More Widespread Use
Download or read book Fraud Detection Systems written by United States. Government Accountability Office and published by . This book was released on 2011 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Fraud Detection Systems written by U.s. Government Accountability Office and published by . This book was released on 2017-08-13 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: "GAO has designated Medicare andMedicaid as high-risk programs, inpart due to their susceptibility toimproper payments-estimated to beabout $70 billion in fiscal year 2010.Improper payments have manycauses, such as submissions ofduplicate claims or fraud, waste, andabuse. As the administrator of theseprograms, the Centers for Medicareand Medicaid Services (CMS) isresponsible for safeguarding themfrom loss. To integrate claimsinformation and improve its ability todetect fraud, waste, and abuse inthese programs, CMS initiated twoinformation technology systemprograms: the Integrated DataRepository (IDR) and One ProgramIntegrity (One PI).GAO was asked to (1) assess theextent to which IDR and One PI havebeen developed and implementedand (2) determine CMS's progresstoward achieving its goals andobjectives for using these systems tohelp detect fraud, waste, and abuse.To do so, GAO reviewed system andprogram management plans andother documents and compared themto key practices. GAO alsointerviewed program officials,analyzed system data, and reviewedreported costs and benefits. GAO is recommending that CMS takesteps to finalize plans and reliableschedules for fully implementing"
Download or read book Fraud detection systems written by Valerie C. Melvin and published by . This book was released on 2011 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Fraud Detection Systems written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-05-12 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fraud Detection Systems: Additional Actions Needed to Support Program Integrity Efforts at Centers for Medicare and Medicaid Services
Download or read book Fraud detection systems written by Joel C. Willemssen and published by . This book was released on 2011 with total page 11 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Fraud Detection and Deterrence in Medicare and Medicaid written by Anton Ferilli and published by Nova Science Publishers. This book was released on 2013-04-09 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Government Accountability Office (GAO) has designated Medicare and Medicaid as high-risk programs, in part due to their susceptibility to improper payments -- estimated to be about $70 billion in fiscal year 2010. Improper payments have many causes, such as submissions of duplicate claims or fraud, waste, and abuse. As the administrator of these programs, the Centers for Medicare and Medicaid Services (CMS) is responsible for safeguarding them from loss. This book explores fraud detection and deterrence in Medicare and Medicaid, with a focus on fraud detection systems; screening providers and suppliers; and program integrity.
Download or read book Medicare Fraud Prevention written by Valerie C. Melvin and published by . This book was released on 2013-01-03 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: GAO has designated Medicare as a high-risk program, in part because its complexity makes it particularly vulnerable to fraud. The Centers for Medicare and Medicaid Services (CMS), as the agency within the Dept. of Health and Human Services (HHS) responsible for administering Medicare and reducing fraud, uses a variety of systems that are intended to identity fraudulent payments. To enhance these efforts, the Small Business Jobs Act of 2010 provided funds for and required CMS to implement predictive analytics technologies --automated systems and tools that can help identify fraudulent claims before they are paid. In turn, CMS developed its Fraud Prevention System (FPS). This report (1) determines the status of the implementation and use of FPS; (2) describes how the agency uses FPS to identify and investigate potentially fraudulent payments; (3) assesses how the agency's use of FPS compares to private insurers' and Medicaid programs'practices; and (4) determines the extent to which CMS has defined and measured benefits and performance goals for the system. Tables and figures. This is a print on demand report.
Download or read book Health Care Fraud and Abuse written by Aspen Health Law Center and published by . This book was released on 1998 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stepped-up efforts to ferret out health care fraud have put every provider on the alert. The HHS, DOJ, state Medicaid Fraud Control Units, even the FBI is on the case -- and providers are in the hot seat! in this timely volume, you'll learn about the types of provider activities that fall under federal fraud and abuse prohibitions as defined in the Medicaid statute and Stark legislation. And you'll discover what goes into an effective corporate compliance program. With a growing number of restrictions, it's critical to know how you can and cannot conduct business and structure your relationships -- and what the consequences will be if you don't comply.
Download or read book Medicare Contractors Efforts to Fight Fraud written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations and published by . This book was released on 2013 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Reducing Waste in Government written by United States. Congress. House. Committee on Oversight and Government Reform and published by . This book was released on 2014 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Activities of the Committee on Homeland Security and Governmental Affairs written by United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs and published by . This book was released on 2013 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A Medicaid Fraud Victim Speaks Out written by United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Government Organization, Efficiency, and Financial Management and published by . This book was released on 2012 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Program Integrity written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations and published by . This book was released on 2015 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Improper Medicare Payments written by United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Government Organization, Efficiency, and Financial Management and published by . This book was released on 2012 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A Health Care Quality Improvement System for Medicaid Managed Care written by and published by . This book was released on 1993 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt:
