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Medicare Recovery Audit Contractors And Cmss Actions To Address Improper Payments Referrals Of Potential Fraud And Performance
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Book Synopsis Medicare Recovery Audit Contractors and Cms's Actions to Address Improper Payments, Referrals of Potential Fraud, and Performance. by : CreateSpace Independent Publishing Platform
Download or read book Medicare Recovery Audit Contractors and Cms's Actions to Address Improper Payments, Referrals of Potential Fraud, and Performance. written by CreateSpace Independent Publishing Platform and published by Createspace Independent Publishing Platform. This book was released on 2018-07-05 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare recovery audit contractors and CMS's actions to address improper payments, referrals of potential fraud, and performance.
Book Synopsis Medicare improper payments challenges for measuring potential fraud and abuse remain despite planned enhancements by :
Download or read book Medicare improper payments challenges for measuring potential fraud and abuse remain despite planned enhancements 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:
Book Synopsis Medicare Improper Payments by : Kay Daly
Download or read book Medicare Improper Payments written by Kay Daly and published by DIANE Publishing. This book was released on 2001-04 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reviews the Health Care Fin Admin's. (HCFA) efforts to enhance the measurement of improper payments in the Medicare fee-for-service program. Identifies structural problems that exist in the Medicare claims processing system which contribute to vulnerabilities resulting in erroneous Medicare payments. Focuses on: what HCFA proposals have been designed or initiated to measure Medicare improper payments; & the status of these proposals & initiatives & how they will enhance HCFA's ability to comprehensively measure improper Medicare payments & the frequency of kickbacks, false claims, & other inappropriate provider practices. Tables.
Book Synopsis The Medicare Recovery Audit Contractor Program by : Duane C. Abbey
Download or read book The Medicare Recovery Audit Contractor Program written by Duane C. Abbey and published by CRC Press. This book was released on 2017-11-15 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare fraud is big business, but while only a few profit from intentional malfeasance, the Centers for Medicare and Medicaid Services is now taking a closer look at everyone. The Medicare Recovery Audit Contractor Program, already infamously known as the RAC, swings into full operation in 2010 and every healthcare provider that receives payment
Book Synopsis Medicare Fraud, Waste, and Abuse: Challenges and Strategies for Preventing Improper Payments by : Kathleen M. King
Download or read book Medicare Fraud, Waste, and Abuse: Challenges and Strategies for Preventing Improper Payments written by Kathleen M. King and published by DIANE Publishing. This book was released on 2010-10 with total page 15 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare¿s size and complexity make it vulnerable to fraud, waste, and abuse. Fraud represents intentional acts of deception with knowledge that the action or representation could result in an inappropriate gain, while abuse represents actions inconsistent with acceptable bus. or med. practices. Waste, which includes inaccurate payments for services, also occurs in the Medicare program. In 2009, the Centers for Medicare and Medicaid Services (CMS) estimated billions of dollars in improper payments in the Medicare program. This statement focuses on challenges facing CMS and selected key strategies that are particularly important to helping prevent fraud, waste, and abuse, and ultimately to reducing improper payments. Illustrations.
Author :United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Government Organization, Efficiency, and Financial Management Publisher : ISBN 13 : Total Pages :88 pages Book Rating :4.:/5 (318 download)
Book Synopsis Improper Medicare Payments by : United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Government Organization, Efficiency, and Financial Management
Download or read book Improper Medicare Payments 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 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicare and Medicaid Fraud,Waste, and Abuse by :
Download or read book Medicare and Medicaid Fraud,Waste, and Abuse written by and published by DIANE Publishing. This book was released on with total page 31 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare written by James C. Cosgrove and published by DIANE Publishing. This book was released on 2009-09 with total page 53 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare spending on home health totaled $12.9 billion in 2006, up 44% from 2002. Concerns have been raised that improper payments from practices indicating fraud and abuse may have contributed to Medicare home health spending and utilization. This report examines the growth in Medicare home health spending and utilization and the benefit's vulnerability to improper payments. The report focused on states with the highest growth in Medicare home health spending or utilization; fraudulent and abusive practices contributing to recent spending and utilization; and administrative issues that make it vulnerable to improper payments. Includes recommendations. Charts and tables.
Author :United States Government Accountability Office Publisher :Createspace Independent Publishing Platform ISBN 13 :9781719029780 Total Pages :26 pages Book Rating :4.0/5 (297 download)
Book Synopsis Medicare Recovery Audit Contracting by : United States Government Accountability Office
Download or read book Medicare Recovery Audit Contracting written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-05-12 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare Recovery Audit Contracting: Lessons Learned to Address Improper Payments and Improve Contractor Coordination and Oversight
Book Synopsis Medicare Recovery Audit Contracting by : United States. Government Accountability Office
Download or read book Medicare Recovery Audit Contracting written by United States. Government Accountability Office and published by . This book was released on 2010 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Centers for Medicare & Medicaid Services (CMS) conducted a mandated 3-year project from March 2005 through March 2008 to demonstrate the use of recovery audit contractors (RAC) in identifying Medicare improper payments and recouping overpayments. CMS implemented a mandated national RAC program, which began in March 2009. GAO was asked to examine specific issues that arose during the demonstration project and CMS's efforts to address them in the national RAC program. This report examines the extent to which CMS (1) developed a process and took corrective actions to address vulnerabilities identified by the RACs that led to improper payments, (2) resolved coordination issues between the RACs and the Medicare claims administration contractors, and (3) established methods to oversee RAC claim review accuracy and provider service during the national program. GAO reviewed CMS documents and interviewed officials from CMS and contractors and provider groups affected by the demonstration project.
Book Synopsis Medicare recovery audit contracting by : Kathleen M. King
Download or read book Medicare recovery audit contracting written by Kathleen M. King and published by . This book was released on 2010 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security Publisher : ISBN 13 : Total Pages :172 pages Book Rating :4.:/5 (318 download)
Book Synopsis Preventing and Recovering Medicare Payment Errors by : United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security
Download or read book Preventing and Recovering Medicare Payment Errors 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 2011 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicare Fraud, Progress Made, But More Action Needed to Address Medicare Fraud, Waste and Abuse by : U.s. Government Accountability Office
Download or read book Medicare Fraud, Progress Made, But More Action Needed to Address Medicare Fraud, Waste and Abuse written by U.s. Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-07-27 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: " GAO has designated Medicare as a high-risk program, in part because the program's size and complexity make it vulnerable to fraud, waste, and abuse. In 2013, Medicare financed health care services for approximately 51 million individuals at a cost of about $604 billion. The deceptive nature of fraud makes its extent in the Medicare program difficult to measure in a reliable way, but it is clear that fraud contributes to Medicare's fiscal problems. More broadly, in fiscal year 2013, CMS estimated that improper payments-some of which may be fraudulent-were almost $50 billion. This statement focuses on the progress made and important steps to be taken by CMS and its program integrity contractors to reduce fraud in Medicare. These contractors perform functions such as screening and enrolling providers, detecting and investigating potential fraud, and identifying improper payments and vulnerabilities that could lead to payment errors. This statement is based on relevant GAO products and recommendations issued from 2004 through 2014 using a variety of methodologies. In April 2014, GAO also received updated information from CMS on its actions related to the laws, regulations, and guidance discussed in this statement. Additionally, GAO updated information by examining public documents and relevant policies"
Author :United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations Publisher : ISBN 13 : Total Pages :124 pages Book Rating :4.:/5 (319 download)
Book Synopsis Medicare Contractors' Efforts to Fight Fraud by : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations
Download or read book Medicare Contractors' Efforts to Fight Fraud written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations and published by . This book was released on 2013 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Improper Payments by : McCoy Williams
Download or read book Improper Payments written by McCoy Williams and published by DIANE Publishing. This book was released on 2008-12 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: On Jan. 31, 2008, the author testified before a Senate Subcommittee at a hearing entitled, ¿Eliminating Agency Payment Errors.¿ At the hearing, he discussed fed. agencies¿ progress in addressing key requirements of the Improper Payments Information Act of 2002 (IPIA) and Section 831 of the Nat. Defense Authorization Act for FY 2002, commonly known as the Recovery Auditing Act. A review and testimony focused on: (1) progress made in agencies¿ implementation and reporting under IPIA for FY 2007; (2) remaining challenges with IPIA implementation; and (3) agencies¿ efforts to report recovery auditing information. This report provides answers to follow-up questions relating to the Jan. 31 2008 testimony.
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:
Author :United States Government Accountability Office Publisher :Createspace Independent Publishing Platform ISBN 13 :9781985255357 Total Pages :56 pages Book Rating :4.2/5 (553 download)
Book Synopsis Medicare Improper Payments by : United States Government Accountability Office
Download or read book Medicare Improper Payments written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-02-10 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: AIMD/OSI-00-281 Medicare Improper Payments: While Enhancements Hold Promise for Measuring Potential Fraud and Abuse, Challenges Remain
