Download or read book Opm Should Promote Medical Necessity Programs for Federal Employees Health Insurance written by United States Accounting Office (GAO) and published by Createspace Independent Publishing Platform. This book was released on 2018-06-11 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt: OPM Should Promote Medical Necessity Programs for Federal Employees' Health Insurance

Download or read book OPM Should Promote Medical Necessity Programs for Federal Employees Health Insurance written by United States. General Accounting Office and published by . This book was released on 1980 with total page 82 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book OPM Should Promote Medical Necessity Programs for Federal Employees Health Insurance written by United States. General Accounting Office and published by . This book was released on 1980 with total page 5 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book OPM Should Promote Medical Necessity Programs for Federal Employees Health Insurance written by United States. General Accounting Office and published by . This book was released on 1980 with total page 63 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Health Care written by U S Government Accountability Office (G and published by BiblioGov. This book was released on 2013-06 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book OPM Should Promote Medical Necessity Programs for Federal Employees Health Insurance written by and published by . This book was released on 1980 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Study of the Federal Employees Health Benefits Program written by and published by . This book was released on 1988 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Federal Employee Health Benefits OPM Program Guidance for 1999 written by United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Civil Service and published by . This book was released on 1998 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Federal Employees Health Benefits FEHB Facts written by and published by Office of Personnel Management. This book was released on 2001 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Federal Employees Health Plans written by United States. General Accounting Office and published by . This book was released on 2002 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Information for Retirees and Survivor Annuitants written by and published by . This book was released on 2011 with total page 33 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book OPM Should Promote Medical Necessity Programs for Federal Employees Health Insurance written by United States. General Accounting Office and published by . This book was released on 1980 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Federal Employees Health Benefits Program as a Model for Medicare Reform written by United States. Congress. House. Committee on Government Reform. Subcommittee on Civil Service and published by . This book was released on 2000 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Employment written by U S Government Accountability Office (G and published by BiblioGov. This book was released on 2013-06 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Office of Personnel Management (OPM) has not done an effective job of guiding and overseeing the Employee Organization Plans participating in the Federal Employees Health Benefits program. OPM has allowed the plans to make claim payments without determining whether the claims represented sound comprehensive systems to determine the reasonableness of charges as the contracts require. The Plans have paid claims without having information necessary to demonstrate medical necessity. Paid claims were found that: (1) appeared to represent noncovered routine physical examinations; (2) had been paid with no indication of symptoms or diagnoses; (3) had diagnoses or symptoms that were not clearly related to the tests provided; (4) were for hospitalizations that appeared either unnecessary or too long; and (5) were paid as emergencies when the patients' diagnoses did not indicate emergencies. The Plans' payment system did not fully comply with the contracts. The Plans are required to develop reasonable charge allowances and pay only up to those amounts except in unusual circumstances. OPM has been aware of some of these problems, but it has provided little formal guidance to help the plans determine medical necessity or reasonable allowances.

Download or read book Federal Employees Health Benefits Children s Equity Act of 2000 written by United States. Congress. House. Committee on Government Reform and published by . This book was released on 2000 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Federal Employee Health Benefits Program written by United States. Congress. House. Committee on Post Office and Civil Service. Subcommittee on Compensation and Employee Benefits and published by . This book was released on 1981 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Leadership by Example written by Institute of Medicine and published by National Academies Press. This book was released on 2003-05-21 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: The federal government operates six major health care programs that serve nearly 100 million Americans. Collectively, these programs significantly influence how health care is provided by the private sector. Leadership by Example explores how the federal government can leverage its unique position as regulator, purchaser, provider, and research sponsor to improve care - not only in these six programs but also throughout the nation's health care system. The book describes the federal programs and the populations they serve: Medicare (elderly), Medicaid (low income), SCHIP (children), VHA (veterans), TRICARE (individuals in the military and their dependents), and IHS (native Americans). It then examines the steps each program takes to assure and improve safety and quality of care. The Institute of Medicine proposes a national quality enhancement strategy focused on performance measurement of clinical quality and patient perceptions of care. The discussion on which this book focuses includes recommendations for developing and pilot-testing performance measures, creating an information infrastructure for comparing performance and disseminating results, and more. Leadership by Example also includes a proposed research agenda to support quality enhancement. The third in the series of books from the Quality of Health Care in America project, this well-targeted volume will be important to all readers of To Err Is Human and Crossing the Quality Chasm - as well as new readers interested in the federal government's role in health care.