Download or read book Medicaid written by Gregory D. Kutz and published by DIANE Publishing. This book was released on 2010-06 with total page 41 pages. Available in PDF, EPUB and Kindle. Book excerpt: One significant cost to Medicaid is prescription drugs, which accounted for over $23 billion in FY 2008, or about 7% of total Medicaid outlays. Many of these drugs are susceptible to abuse and include pain relievers and stimulants that are on the Drug Enforcement Administration's Schedule of Controlled Substances. This report determined: (1) whether there are indications of fraud and abuse related to controlled substances paid for by Medicaid; (2) if so, examples of fraudulent, improper, and abusive activity; and (3) the effectiveness of internal controls that the fed. gov¿t. and selected states have in place to prevent fraud and abuse related to controlled substances. Includes recommendations. Charts and tables.
Download or read book Medicaid Fraud and Abuse Related to Controlled Substances Identified in Selected States written by Gregory D. Kutz and published by DIANE Publishing. This book was released on 2010 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: Statement of Gregory D. Kutz, Managing Director, Forensic Audits and Special Investigations, GAO, discussing (1) continuing indications of fraud and abuse related to controlled substances paid for by Medicaid; (2) specific case study examples of fraudulent, improper, or abusive controlled substance activity; and (3) the effectiveness of internal controls that the federal government and selected states have in place to prevent and detect fraud and abuse related to controlled substances. Tables.
Download or read book Medicaid written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-09-19 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: One significant cost to Medicaid is prescription drugs, which accounted for over $23 billion in fiscal year (FY) 2008, or about 7 percent of total Medicaid outlays. Many of these drugs are susceptible to abuse and include pain relievers and stimulants that are on the Drug Enforcement Administration's (DEA) Schedule of Controlled Substances. As part of the American Recovery and Reinvestment Act of 2009 (ARRA), the Medicaid program will receive about $87 billion in federal assistance based on a greater federal share of Medicaid spending. GAO was asked to determine (1) whether there are indications of fraud and abuse related to controlled substances paid for by Medicaid; (2) if so, examples of fraudulent, improper, and abusive activity; and (3) the effectiveness of internal controls that the federal government and selected states have in place to prevent fraud and abuse related to controlled substances. To meet these objectives, GAO analyzed Medicaid controlled substance claims for fraud and abuse indications for FY 2006 and 2007 from five selected states. GAO also interviewed federal and state officials and performed investigations.
Download or read book Medicaid written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-05-20 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid: Fraud and Abuse Related to Controlled Substances Identified in Selected States
Download or read book Medicaid written by and published by . This book was released on 2009 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A Prescription for Waste written by United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security and published by . This book was released on 2010 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Pill Mills Medicaid Fraud and the Diversion of Pharmaceuticals written by United States. Congress. House. Select Committee on Narcotics Abuse and Control and published by . This book was released on 1992 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt: Distributed to some depository libraries in microfiche.
Download or read book Controlled Substances written by United States. General Accounting Office and published by . This book was released on 1988 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: In response to a congressional request, GAO assessed the possibility of using Medicaid data to identify health care providers who may be diverting prescription drugs for illegal purposes. GAO found that states should use data contained in the Medicaid Management Information System (MMIS) to identify health care providers who may be illegally diverting controlled substances, since: (1) states' MMIS often comprise the largest databases on the prescription and dispensing of controlled substances; (2) Medicaid laws allow disclosure of the data; and (3) it would enable law enforcement officials and licensing and regulatory agencies to identify sources of drug diversion.
Download or read book Medicaid Prescription Drug Diversion written by Janet Shikles and published by . This book was released on 1992 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicaid Fraud Control written by Krystal O. Holtzer and published by . This book was released on 2016 with total page 97 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid is a significant expenditure for the federal government and the states, with total federal outlays of $310 billion in fiscal year 2014. The Centers for Medicare & Medicaid Services (CMS) reported an estimated $17.5 billion in potentially improper payments for the Medicaid program in 2014. This book identifies and analyzes indicators of improper or potentially fraudulent payments in fiscal year 2011, and examines the extent to which federal and state oversight policies, controls, and processes are in place to prevent and detect fraud and abuse in determining eligibility.
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 Opportunities to Reduce Potential Duplication in Government Programs Save Tax Dollars and Enhance Revenue written by and published by DIANE Publishing. This book was released on with total page 345 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Prescription Drug Diversion and Pain written by John Peppin and published by Oxford University Press. This book was released on 2018-07-03 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prescription Drug Diversion and Pain provides an interdisciplinary overview of medications used to treat chronic pain, specifically the benefits and risks that are posed by long-term opioids use. These essential pain-relieving medications must be carefully managed to prevent serious side effects that may include physical dependence, addiction, and even death, which has led in recent years to increased attention on the development of alternative treatments for chronic pain. This book not only offers a single, comprehensive source for understanding the specialized field of the opioid crisis, but also addresses provocative topics including how pain drugs came to be regulated by the U.S. Government and the rarely-discussed aggressive marketing behind the spread of these drugs. Chapters are written by expert contributors from diverse backgrounds in medicine, psychiatry, pharmacy, nursing, health law, and ethics. Prescription Drug Diversion and Pain is a must-read for healthcare professionals, caregivers, policy makers, regulatory officials, law enforcement, and those in the pharmaceutical industry seeking to address the current and future opioid crisis.
Download or read book A Medicaid Fraud Victim Speaks Out written by United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Government Organization, Efficiency, and Financial Management and published by . This book was released on 2012 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Affordable Healthcare written by Akram Ali, MD and published by FriesenPress. This book was released on 2019-10-10 with total page 259 pages. Available in PDF, EPUB and Kindle. Book excerpt: Our healthcare system is on life support. It does not need temporary relief. What it needs is intensive therapy for a quick recovery. We need to abandon persistent past failures and current abuses to pursue a fundamentally different approach to achieve affordable healthcare for everyone. The fundamental problem of healthcare in our country is the persistently rising medical care cost. Nationally we spent $254 billion in 1980 and 3.3 trillion in 2018, a 1,200% rise in about four decades (in contrast our population increased by 32% during the same time period), and yet about 30 million Americans remain uninsured and about 25 million under insured. Those who are insured pay extra out of pocket in addition to paying high premiums and high deductibles. The medical care insurers are often blamed for rising medical care cost, although they only collect premiums from the consumers and pay the bills of the medical care providers, doctors, hospitals, drug makers and others. As the size of providers bills goes up so do the premiums of the insurers. The providers grossly abuse the system and they are accountable to no one. Here, an innovative, practical and sustainable system is presented that would control these abuses and make quality basic medical care affordable to everyone at about half the current cost. Per capita medical care cost in every state would be calculated and capped. This would not be socialized medicine nor would it be controlled by the government. This would be independent and non- profit system. It would be guided by the Central Board and managed by the State Boards. It would be overseen by the respective Senates. This plan would be pilot tested in a small state for three years prior to its application nationwide.
Download or read book A Ticking Time Bomb written by United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs and published by . This book was released on 2011 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt:
