Download or read book Health Care Fraud Medicare Secondary Payer Program written by United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations and published by . This book was released on 1990 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Care Fraud Medicare Secondary Payer Program written by United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations and published by . This book was released on 1990 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Administration of the Medicare Program payment Safeguards written by United States. Congress. Senate. Committee on Appropriations. Subcommittee on Departments of Labor, Health and Human Services, Education, and Related Agencies and published by . This book was released on 1994 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Fraud Waste and Abuse written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 1992 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Care Fraud written by United States. Congress. House. Select Committee on Aging. Subcommittee on Housing and Consumer Interests and published by . This book was released on 1993 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Secondary Payer Program written by Leslie G. Aronovitz and published by . This book was released on 1993 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Erroneous Payments Under the Medicare Secondary Payer Program written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Oversight and published by . This book was released on 1991 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare written by United States. General Accounting Office and published by . This book was released on 1998 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Medicare Handbook written by and published by . This book was released on 1992 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Improper Payments written by Kay Daly and published by DIANE Publishing. This book was released on 2001-04 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Medicare and Medicaid written by Sarah F. Jaggar and published by . This book was released on 1995 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 Will Health Care Reform Legislation Mitigate Medicare Fraud written by Scott A. Strain and published by . This book was released on 2010 with total page 86 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States (U.S.) health care system is failing and approaching a fault phase, economically speaking. Billions of dollars are being paid for fraudulent claims submitted by providers for a range of schemes, from billing for services not provided to submitting claims with fraudulent diagnosis and treatment information. The Medicare program has been in place since 1965 and is the backbone of the U.S. health care reimbursement system; despite its importance, the amount of Medicare fraud is staggering, making it almost impossible to know exactly how much health care fraud there is in the entire U.S. health care industry. The question is-how much money is lost annually to Medicare Parts A, B, C and D program fraud? Government and industry experts state that the amount of fraud ranges from 3% to 10% in the health care program, and one estimate claims that the Medicare program is plagued with 20% losses from fraud. The 2010 passage of the Health Insurance Reform legislation has allotted several billion dollars to launch a 10-year fight against Medicare fraud. Historical information is lacking on what percent of claims submitted to Medicare are fraudulent. This paper addresses whether or not an agency should be created that would be responsible for tracking Medicare fraud to determine the effectiveness and efficiency of the fight against it. The current study will survey health care fraud experts in both private and governmental industries and will allow the researcher to arrive at a solution by obtaining valid statistics for measuring accurately the impact that the Health Insurance Reform Legislation will have on the mitigation of Medicare fraud.
Download or read book Health Care Fraud Medicare Secondary Payer Program written by United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations and published by . This book was released on 1990 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Secondary Payer written by James C. Cosgrove and published by . This book was released on 2011 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Centers for Medicare & Medicaid Services (CMS) is responsible for protecting the Medicare program's fiscal integrity and ensuring that it pays only for those services that are its responsibility. Medicare Secondary Payer (MSP) provisions make Medicare a secondary payer to certain group health plans (GHP) and non-group health plans (NGHP), which include auto or other liability insurance, no-fault insurance, and workers' compensation plans. CMS has the right to recover Medicare payments made that should have been the responsibility of another payer, but CMS has not always been aware of these MSP situations. In 2007, Congress added mandatory reporting requirements for GHPs and NGHPs that should enable CMS to be aware of MSP situations. CMS reports that mandatory reporting was pushed back from 2009 to 2011 for some NGHPs and from 2009 to 2012 for others, in part due to concerns raised by the industry. GAO was asked to present background information about the MSP process as it pertains to NGHPs. To do this work, GAO reviewed relevant CMS documentation, including MSP regulations, manuals, and user guides, and conducted an interview with CMS related to mandatory reporting and the MSP process. GAO shared the information in this statement with CMS. CMS provided technical comments, which GAO incorporated as appropriate. GAO has ongoing work examining challenges related to the MSP process for NGHPs.
Download or read book Medicare Secondary Payer Program written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 1995 with total page 7 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical care, Medicaid, health insurance.
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:
