Download or read book Medicare Program Integrity written by United States. Government Accountability Office and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Program Integrity written by and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Program Integrity written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 2008 with total page 72 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 Medicare Program Integrity 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 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare Program Integrity: CMS Continues Efforts to Strengthen the Screening of Providers and Suppliers
Download or read book Medicare Program Integrity written by U.s. Government Accountability Office and published by . This book was released on 2017-08-04 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Why GAO Did This StudyAccording to the Centers for Medicare & Medicaid Services (CMS)-the agency within the Department of Health and Human Services (HHS) that administers the Medicare program-more than 1.5 million health providers and suppliers of medical equipment were enrolled in the Medicare program in 2011, and 30,000 more enroll each month. CMS has established Medicare enrollment standards and procedures intended to ensure that only qualified providers and suppliers can enroll. While most providers and suppliers pose a limited risk to the Medicare program, our previous work found persistent weaknesses in CMS's Medicare enrollment standards and procedures that increased the risk of enrolling entities intent on defrauding the program. In 2010, the Patient Protection and Affordable Care Act (PPACA) authorized CMS to implement procedures to strengthen the Medicare enrollment process.GAO was asked to review CMS's Medicare provider enrollment procedures. In this report, GAO describes (1) how CMS and its contractors use provider and supplier enrollment information to prevent improper payments and factors that may affect the usefulness of this information, and (2) the extent to which CMS has implemented new provider and supplier enrollment screening procedures since the enactment of PPACA. To do so, GAO reviewed relevant regulations and documents, and interviewed officials from CMS"
Download or read book Medicare Program Integrity written by Kathleen M. King and published by . This book was released on 2012-11-05 with total page 37 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to the Centers for Medicare & Medicaid Services (CMS) -- the agency within the Dept. of Health and Human Services (HHS) that administers the Medicare program -- more than 1.5 million health providers and suppliers of medical equipment were enrolled in the Medicare program in 2011, and 30,000 more enroll each month. CMS has established Medicare enrollment standards and procedures intended to ensure that only qualified providers and suppliers can enroll. While most providers and suppliers pose a limited risk to the Medicare program, GAO found persistent weaknesses in CMS's Medicare enrollment standards and procedures that increased the risk of enrolling entities intent on defrauding the program. In 2010, the Patient Protection and Affordable Care Act (PPACA) authorized CMS to implement procedures to strengthen the Medicare enrollment process. This report describes (1) how CMS and its contractors use provider and supplier enrollment information to prevent improper payments and factors that may affect the usefulness of this information; and (2) the extent to which CMS has implemented new provider and supplier enrollment screening procedures since the enactment of PPACA.Tables and figures. This is a print on demand report.
Download or read book Medicaid Program Integrity written by United States. General Accounting Office and published by . This book was released on 2004 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Program Integrity written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-12-21 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare Program Integrity: CMS Pursues Many Practices to Address Prescription Drug Fraud, Waste, and Abuse
Download or read book Medicare Program Integrity CMS Pursues Many Practices to Address Prescription Drug Fraud Waste and Abuse written by U.s. Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-07-28 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: " Recent media reports and law enforcement actions have highlighted the problem of prescription drug fraud, waste, and abuse in the United States. Medicare, and the Part D prescription drug benefit, are susceptible to such fraud-a risk made greater by Medicare's size, scope, and complexity. GAO and others have raised questions about CMS's oversight of its activities to address fraud, waste, and abuse in Part D, as well as oversight of the contractors tasked with this work. GAO examined (1) practices for promoting prescription drug program integrity, and (2) the extent that CMS's oversight of Medicare Part D program integrity, including the program integrity contractors, reflects these practices. To develop a list of practices, GAO interviewed 14 stakeholder groups involved in various aspects of prescription drug program integrity, including provider, beneficiary, and anti-fraud groups; identified and reviewed related documents; and conducted a search of eight bibliographic databases that included peer-reviewed articles and government documents. GAO organized the practices based on the three categories of GAO's Fraud Prevention Framework. To determine how CMS's oversight reflects these practices, GAO analyzed agency documents, such as contracts, manuals, work products, and CMS audits of contractors; and interviewed"
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 Medicare Integrity Program Agency Approach for Allocating Funds Should be Revised written by and published by DIANE Publishing. This book was released on 2006 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Program Integrity written by Us Government Accountability Office and published by CreateSpace. This book was released on 2013-08-12 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare comprises 12 percent of the federal budget and is the third largest federal program after defense and Social Security. For fiscal year 2011, HHS reported an estimate of almost $29 billion in Medicare FFS improper payments. Our Standards for Internal Control in the Federal Government suggests that agencies should continually perform monitoring activities to reduce the incidence of improper payments.15 However, our prior reports found weaknesses in CMS's monitoring of Medicare provider and supplier enrollment and claims payment contractors.
Download or read book Medicare Program Integrity written by Kathleen M. King and published by . This book was released on 2015-01-01 with total page 39 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recent media reports and law enforcement actions have highlighted the problem of prescription drug fraud, waste, and abuse in the U.S. Medicare, and the Part D prescription drug benefit, are susceptible to such fraud -- a risk made greater by Medicare's size, scope, and complexity. Questions have been raised about the Department of Health and Human Services' (HHS) Centers for Medicare & Medicaid Services' (CMS's) oversight of its activities to address fraud, waste, and abuse in Part D, as well as oversight of the contractors tasked with this work. This report examined: (1) practices for promoting prescription drug program integrity; and (2) the extent that CMS's oversight of Medicare Part D program integrity, including the program integrity contractors, reflects these practices. Tables and figures. This is a print on demand report.
Download or read book Medicare written by United States. General Accounting Office and published by . This book was released on 1988 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Program Integrity written by and published by . This book was released on 2013 with total page 31 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Regional office manual written by and published by . This book was released on 1985 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt:
