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Medicare Program Efficiency And Integrity
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Author :United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health Publisher : ISBN 13 : Total Pages :168 pages Book Rating :4.0/5 ( download)
Book Synopsis Medicare Program Efficiency and Integrity by : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health
Download or read book Medicare Program Efficiency and Integrity written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and published by . This book was released on 2008 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States Government Accountability Office Publisher :Createspace Independent Publishing Platform ISBN 13 :9781981887200 Total Pages :62 pages Book Rating :4.8/5 (872 download)
Book Synopsis Medicare Program Integrity by : United States Government Accountability Office
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 2017-12-24 with total page 62 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare Program Integrity: Increased Oversight and Guidance Could Improve Effectiveness and Efficiency of Postpayment Claims Reviews
Book Synopsis Medicare Program Integrity by : U S Government Accountability Offi Gao
Download or read book Medicare Program Integrity written by U S Government Accountability Offi Gao and published by . This book was released on 2019-06-20 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare Program Integrity: Increased Oversight and Guidance Could Improve Effectiveness and Efficiency of Postpayment Claims Reviews
Download or read book Medicare program integrity written by and published by . This book was released on 2013 with total page 41 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States Government Accountability Office Publisher :Createspace Independent Publishing Platform ISBN 13 :9781983715402 Total Pages :48 pages Book Rating :4.7/5 (154 download)
Book Synopsis Medicare Program Integrity by : United States Government Accountability Office
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 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare Program Integrity: Increasing Consistency of Contractor Requirements May Improve Administrative Efficiency
Book Synopsis Medicare Program Integrity by : U.s. Government Accountability Office
Download or read book Medicare Program Integrity written by U.s. Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-08-03 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: " In fiscal year 2012, CMS estimated that $32.4 billion in Medicare FFS payments were improper. CMS uses several types of contractors to conduct postpayment claims reviews to identify improper payments. Recently, questions have been raised about the efficiency and effectiveness of these contractors' efforts and the administrative burden on providers. This report (1) describes these contractors and (2) assesses the extent to which requirements for postpayment claims reviews differ across the contractors and whether differences, if any, could impede effective and efficient claims reviews. GAO reviewed CMS's requirements for claims reviews in manuals and contracts, interviewed CMS officials and selected provider associations, and assessed the requirements against internal control standards and executive-agency guidance on streamlining service delivery. GAO also obtained data on numbers of claims reviewed, and appealed. "
Author :United States. Congress Publisher :Createspace Independent Publishing Platform ISBN 13 :9781981710324 Total Pages :126 pages Book Rating :4.7/5 (13 download)
Book Synopsis Assessing Medicare and Medicaid Program Integrity by : United States. Congress
Download or read book Assessing Medicare and Medicaid Program Integrity written by United States. Congress and published by Createspace Independent Publishing Platform. This book was released on 2017-12-14 with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt: Assessing Medicare and Medicaid program integrity : hearing before the Subcommittee on Government Organization, Efficiency, and Financial Management of the Committee on Oversight and Government Reform, House of Representatives, One Hundred Twelfth Congress, second session, June 7, 2012.
Book Synopsis Medicare Integrity Program: Agency Approach for Allocating Funds Should be Revised by :
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:
Author :United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations Publisher : ISBN 13 : Total Pages :164 pages Book Rating :4.F/5 ( download)
Book Synopsis Medicare Program Integrity by : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations
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 Synopsis Program Integrity by : U.s. Government Accountability Office
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"
Book Synopsis Medicare Program Integrity by : U.s. Government Accountability Office
Download or read book Medicare Program Integrity 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 62 pages. Available in PDF, EPUB and Kindle. Book excerpt: " Several types of Medicare contractors conduct postpayment claims reviews to help reduce improper payments. Questions have been raised about their effectiveness and efficiency, and the burden on providers. GAO was asked to assess aspects of the claims review process. Building on GAO's July 2013 report on postpayment claims review requirements, this report examines, among other things, the extent to which CMS has (1) data to assess whether contractors conduct duplicative postpayment claims reviews, (2) requirements for contractor correspondence with providers to help ensure effective communication, and (3) strategies for coordination of claims review activities. GAO reviewed CMS's requirements for claims reviews; interviewed CMS officials, selected contractors, and provider associations; analyzed CMS data; assessed a nongeneralizable sample of 114 pieces of contractor correspondence for compliance with requirements; and assessed CMS's requirements and oversight against federal internal control standards and other guidance. "
Book Synopsis Program integrity by : Carolyn Yocom
Download or read book Program integrity written by Carolyn Yocom and published by . This book was released on 2012 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Publisher : ISBN 13 : Total Pages :72 pages Book Rating :4.0/5 ( download)
Book Synopsis Medicare Program Integrity by : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
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:
Book Synopsis Medicare Contractors by : United States. General Accounting Office
Download or read book Medicare Contractors written by United States. General Accounting Office and published by . This book was released on 1999 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicare Contractors by : Richard L. Hembra
Download or read book Medicare Contractors written by Richard L. Hembra and published by DIANE Publishing. This book was released on 1999-12 with total page 82 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examines the Health Care Financing Administration's (HCFA) oversight of its claims administration contractors. Specifically, it discusses whether (1) there are weaknesses in HCFA's contractor oversight activities that may make Medicare more vulnerable to fraud, waste, & abuse, & (2) any changes in HCFA's contracting authority that may improve its ability to manage its contractors. HCFA has indicated that new contracting authority could mitigate many of the weaknesses that have been identified. This report also addresses whether any changes in HCFA's contracting authority may improve its ability to manage its contractors.
Book Synopsis Medicare Program Integrity by : Government Accountability Office
Download or read book Medicare Program Integrity written by Government Accountability Office and published by . This book was released on 2017-08-25 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: "GAO has designated Medicare as a high-risk program, in part because its size and complexity make it particularly vulnerable to fraud. To help detect and prevent potential Medicare fraud, CMS-the agency within the Department of Health and Human Services (HHS) that administers the Medicare program-contracts with ZPICs. These contractors are to identify potential fraud, investigate it thoroughly and in a timely manner, and take swift action, such as working to revoke suspect providers' Medicare billing privileges and referring potentially fraudulent providers to law enforcement.GAO examined (1) ZPIC contract costs and how ZPICs use those funds, (2) the results of ZPICs' work, and (3) the results of CMS's evaluations of ZPICs' performance and aspects of CMS's evaluation practices. To do this, GAO examined ZPIC funding, contracts, and related documents; data on ZPICs' workloads, investigations, and results; and CMS evaluations of ZPICs as well as federal standards for performance measurement. GAO also interviewed CMS and ZPIC officials."
Book Synopsis Medicare by : United States. General Accounting Office
Download or read book Medicare written by United States. General Accounting Office and published by . This book was released on 1999 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt:
