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Book Medicare Fraud Prevention

    Book Details:
  • Author : United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations
  • Publisher :
  • Release : 1998
  • ISBN :
  • Pages : 264 pages

Download or read book Medicare Fraud Prevention written by United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations and published by . This book was released on 1998 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Medicare Fraud Prevention and Enforcement Efforts

Download or read book Medicare Fraud Prevention and Enforcement Efforts written by United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations and published by . This book was released on 1999 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Medicare Contractors  Efforts to Fight Fraud

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:

Book Defrauding Medicare

    Book Details:
  • Author : United States. Congress. House. Committee on Government Reform. Subcommittee on Government Management, Information, and Technology
  • Publisher :
  • Release : 2001
  • ISBN :
  • Pages : 152 pages

Download or read book Defrauding Medicare written by United States. Congress. House. Committee on Government Reform. Subcommittee on Government Management, Information, and Technology and published by . This book was released on 2001 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Medicare Fraud Prevention

    Book Details:
  • Author : Valerie C. Melvin
  • Publisher :
  • Release : 2013-01-03
  • ISBN : 9781457841361
  • Pages : 48 pages

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.

Book Preventing Health Care Fraud

Download or read book Preventing Health Care Fraud written by United States. Congress. Senate. Committee on Finance and published by . This book was released on 2011 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Medicare Fraud Prevention

    Book Details:
  • Author : Government Accountability Office
  • Publisher : Createspace Independent Publishing Platform
  • Release : 2017-08-08
  • ISBN : 9781974231331
  • Pages : 48 pages

Download or read book Medicare Fraud Prevention written by Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-08-08 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. CMS, as the agency within the Department 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 FPS. GAO was asked to (1) determine the status of the implementation and use of FPS, (2) describe how the agency uses FPS to identify and investigate potentially fraudulent payments, (3) assess how the agency's use of FPS compares to private insurers' and Medicaid programs' practices, and (4) determine the extent to which CMS has defined and measured benefits and performance goals for the system. To do this, GAO reviewed program documentation, held discussions with state Medicaid officials and private insurers, and interviewed CMS officials and contractors. "

Book Medicare Fraud Prevention

    Book Details:
  • Author : United States Government Accountability Office
  • Publisher : Createspace Independent Publishing Platform
  • Release : 2018-01-11
  • ISBN : 9781983712197
  • Pages : 48 pages

Download or read book Medicare Fraud Prevention 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 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: MEDICARE FRAUD PREVENTION: CMS Has Implemented a Predictive Analytics System, but Needs to Define Measures to Determine Its Effectiveness

Book Medicare Program Integrity

    Book Details:
  • Author : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations
  • Publisher :
  • Release : 2015
  • ISBN :
  • Pages : 164 pages

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:

Book Fraud Control in the Health Care Industry

Download or read book Fraud Control in the Health Care Industry written by Malcolm K. Sparrow and published by . This book was released on 1998 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Medicare Fraud Prevention

Download or read book Medicare Fraud Prevention written by and published by . This book was released on 2012 with total page 43 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. CMS, as the agency within the Department 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 FPS. GAO was asked to (1) determine the status of the implementation and use of FPS, (2) describe how the agency uses FPS to identify and investigate potentially fraudulent payments, (3) assess how the agency's use of FPS compares to private insurers' and Medicaid programs' practices, and (4) determine the extent to which CMS has defined and measured benefits and performance goals for the system. To do this, GAO reviewed program documentation, held discussions with state Medicaid officials and private insurers, and interviewed CMS officials and contractors.

Book Improved Efforts to Combat Health Care Fraud

Download or read book Improved Efforts to Combat Health Care Fraud written by United States and published by . This book was released on 2011 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Fraud Detection Systems  Centers for Medicare and Medicaid Services Needs to Ensure More Widespread Use

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:

Book License To Steal

Download or read book License To Steal written by Malcolm K. Sparrow and published by Routledge. This book was released on 2019-03-13 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book brings an unusual opportunity to explore the peculiarities of America's health care industry's approach to fraud control, when compared with the financial services sector, credit card companies, or the Internal Revenue Service—all of which have to defend themselves against fraud.

Book Improved Efforts to Combat Health Care Fraud  Serial No  112 OS1  March 2  2011  112 1 Hearing

Download or read book Improved Efforts to Combat Health Care Fraud Serial No 112 OS1 March 2 2011 112 1 Hearing written by United States. Congress. House. Committee on Ways and Means and published by . This book was released on 2012 with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Cutting Waste  Fraud  and Abuse in Medicare and Medicaid

Download or read book Cutting Waste Fraud and Abuse in Medicare and Medicaid written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and published by . This book was released on 2013 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Medicare

    Book Details:
  • Author : United States. General Accounting Office
  • Publisher :
  • Release : 1995
  • ISBN :
  • Pages : 36 pages

Download or read book Medicare written by United States. General Accounting Office and published by . This book was released on 1995 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: