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:
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 Medicaid program integrity state and federal efforts to prevent and detect improper payments report to the Chairman Committee on Finance U S Senate written by and published by DIANE Publishing. This book was released on with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Title XX Social Services written by and published by . This book was released on 1980 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Program Integrity written by U.s. Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-08-05 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: " In 2011, CMS estimated that Medicaid and Medicare had improper payments of $21.9 billion and almost $43 billion, respectively-among the largest for all federal programs. Both health care programs are on GAO's list of high-risk programs. Over the years, Congress has passed legislation designed to help address program integrity issues in the two programs but they remain vulnerable to fraud, waste, and abuse. The program integrity challenges are different for Medicaid and Medicare. With 51 distinct state-based programs, Medicaid has complex challenges for finding the appropriate balance between state and federal efforts. Medicare uses contractors to help administer the program and CMS must oversee their efforts. This statement examines the progress made and important steps still to be taken in these programs. GAO focused on four key strategies and recommendations that were designed to facilitate them that were identified in prior work and that could help reduce improper payments: (1) strengthening provider enrollment standards and procedures to ensure that only legitimate providers participate in the program; (2) improving prepayment controls; (3) improving postpayment claims review and recovery of improper payments; and (4) developing a robust process for addressing identified vulnerabilities. This statement is based on GAO products issued from April 2004 through May 2012 and interviews with agency officials and other stakeholders. In May 2012, GAO"
Download or read book Program Integrity written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-09-26 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: Federal agencies may use commercial data services in conducting program integrity activities designed to identify fraud and improper payments, which pose a significant risk to the integrity of federal programs. For example, federal agencies may obtain commercial data-subject to applicable laws and protections-that identifies individuals' deaths, income and assets, or other information that may help the agency determine whether individuals or entities are eligible for a government program or benefit. GAO was asked to review issues surrounding the use of commercial data in conducting program integrity activities. This report identifies and describes the views of selected agency officials and commercial data service providers regarding (1) reasons selected agencies have used commercial data services in conducting program integrity activities; and (2) factors agencies may consider in determining whether commercial data services meet their information requirements for conducting program integrity activities. To do this, GAO reviewed documents and conducted interviews with federal agency officials and representatives of commercial data service providers selected as part of a nonprobability sample of 12 entities selected to represent a range of program integrity activities and commercial data services. The information and perspectives that GAO obtained are
Download or read book Justification Review written by Florida. Office of Program Policy Analysis and Government Accountability and published by . This book was released on 2001 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicaid Program Integrity written by U.s. Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-08-17 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Testimony The Centers for Medicare & Medicaid Services (CMS), the federal agency that oversees Medicaid, estimated that improper payments in the federal-state Medicaid program were $21.9 billion in fiscal year 2011. The Deficit Reduction Act of 2005 established the Medicaid Integrity Program and gave CMS an expanded role in assisting and improving the effectiveness of state activities to ensure proper payments. Making effective use of this expanded role, however, requires that federal resources are targeted appropriately and do not duplicate state activities. GAO was asked to testify on Medicaid program integrity. GAO's statement focuses on how CMS's expanded role in ensuring Medicaid program integrity (1) poses a challenge because of overlapping state and federal activities regarding provider audits and (2) presents opportunities through oversight to enhance state program integrity efforts. To do this work, GAO reviewed CMS reports and documents on Medicaid program integrity as well as its own and others' reports on this topic. In particular, GAO reviewed CMS reports that documented the results of its state oversight and monitoring activities. GAO also interviewed CMS officials in the agency's Medicaid Integrity Group (MIG), which was established to implement the Medicaid Integrity Program. This work was conducted in November and December 2011. GAO discussed the facts in this statement with CMS officials. What GAO Found The key challenge faced by the Medicaid Integrity Group (MIG) is the need to avoid duplication of federal and state program integrity efforts, particularly in the area of auditing provider claims. In 2011, the MIG reported that it was redesigning its national provider audit program. Previously, its audit contractors were using incomplete claims data to identify overpayments. According to MIG data, overpayments identified by its audit contractors since fiscal year 2009 were not commensurate with its contractors' costs. The MIG's redesign will result ..."
Download or read book Guidelines for Mechanical Integrity Systems written by CCPS (Center for Chemical Process Safety) and published by John Wiley & Sons. This book was released on 2006-08-11 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years, process safety management system compliance audits have revealed that organizations often have significant opportunities for improving their Mechanical Integrity programs. As part of the Center for Chemical Process Safety's Guidelines series, Guidelines for Mechanical Integrity Systems provides practitioners a basic familiarity of mechanical integrity concepts and best practices. The book recommends efficient approaches for establishing a successful MI program.
Download or read book What Works written by James McGuire and published by John Wiley & Sons. This book was released on 1999-05-04 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: The last few years have seen a marked change in attitudes to the rehabilitation and management of offenders. It is now impossible to ignore evidence which demonstrates the possibilities for reducing reoffending. This book assembles and consolidates that evidence, and indicates the implications for both practice and research. Professionals in probation, parole and law, as well as in forensic psychology, psychiatry, nursing, and prison management and policy, will find this book of direct relevance to their work and thinking. It will be of interest and value to practitioners, academics and researchers across the whole field of adult and juvenile criminal justice. A key emphasis of the book is the relationship between research and practice: the evidence presented here constitutes a significant advancement in knowledge in the social sciences generally, and the findings are of considerable practical importance, in providing guidelines of relevance to practitioners and policy-makers throughout the criminal justice system.
Download or read book Program Integrity written by United States Government Account Office and published by Createspace Independent Publishing Platform. This book was released on 2018-01-13 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: Program Integrity: Further Action Needed to Address Vulnerabilities in Medicaid and Medicare Programs
Download or read book Medicaid Program Integrity written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-10-04 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: In fiscal year 2013, the Medicaid program covered about 71.7 million individuals at a cost of $431.1 billion, of which CMS estimated that $14.4 billion (5.8 percent) were improper payments. Multiple state and federal entities are involved in program integrity efforts, such as payment review, auditing, and investigating fraud. GAO was asked to examine how these entities ensure comprehensive Medicaid program integrity. This report examines state and federal roles and responsibilities to identify potential (1) gaps in efforts to ensure Medicaid program integrity coverage; and (2) fragmentation, overlap, or duplication of program integrity efforts, and efforts to coordinate activities. GAO examined relevant federal laws and regulations, CMS guidance, and state program integrity reviews. GAO also interviewed officials from CMS and HHS's Office of Inspector General, as well as PI unit and MFCU officials from seven states.
Download or read book Medicaid Program Integrity written by and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicaid Program Integrity written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-01-13 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid Program Integrity: Expanded Federal Role Presents Challenges to and Opportunities for Assisting States
Download or read book Medicaid Program Integrity written by United States. Congress and published by Createspace Independent Publishing Platform. This book was released on 2017-12-05 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid program integrity : screening out errors, fraud, and abuse : hearing before the Subcommittee on Oversight and Investigations of the Committee on Energy and Commerce, House of Representatives, One Hundred Fourteenth Congress, first session, June 2, 2015.
Download or read book Program Integrity Third Edition written by Gerardus Blokdyk and published by 5starcooks. This book was released on 2018-10-25 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt: What are the potential basics of Program Integrity fraud? Have the types of risks that may impact Program Integrity been identified and analyzed? What is the purpose of Program Integrity in relation to the mission? What business benefits will Program Integrity goals deliver if achieved? Does Program Integrity create potential expectations in other areas that need to be recognized and considered? This amazing Program Integrity self-assessment will make you the accepted Program Integrity domain auditor by revealing just what you need to know to be fluent and ready for any Program Integrity challenge. How do I reduce the effort in the Program Integrity work to be done to get problems solved? How can I ensure that plans of action include every Program Integrity task and that every Program Integrity outcome is in place? How will I save time investigating strategic and tactical options and ensuring Program Integrity costs are low? How can I deliver tailored Program Integrity advice instantly with structured going-forward plans? There's no better guide through these mind-expanding questions than acclaimed best-selling author Gerard Blokdyk. Blokdyk ensures all Program Integrity essentials are covered, from every angle: the Program Integrity self-assessment shows succinctly and clearly that what needs to be clarified to organize the required activities and processes so that Program Integrity outcomes are achieved. Contains extensive criteria grounded in past and current successful projects and activities by experienced Program Integrity practitioners. Their mastery, combined with the easy elegance of the self-assessment, provides its superior value to you in knowing how to ensure the outcome of any efforts in Program Integrity are maximized with professional results. Your purchase includes access details to the Program Integrity self-assessment dashboard download which gives you your dynamically prioritized projects-ready tool and shows you exactly what to do next. Your exclusive instant access details can be found in your book. You will receive the following contents with New and Updated specific criteria: - The latest quick edition of the book in PDF - The latest complete edition of the book in PDF, which criteria correspond to the criteria in... - The Self-Assessment Excel Dashboard, and... - Example pre-filled Self-Assessment Excel Dashboard to get familiar with results generation ...plus an extra, special, resource that helps you with project managing. INCLUDES LIFETIME SELF ASSESSMENT UPDATES Every self assessment comes with Lifetime Updates and Lifetime Free Updated Books. Lifetime Updates is an industry-first feature which allows you to receive verified self assessment updates, ensuring you always have the most accurate information at your fingertips.
Download or read book The New Medicaid Integrity Program written by Victoria Wachino and published by . This book was released on 2007 with total page 71 pages. Available in PDF, EPUB and Kindle. Book excerpt:
