Medicare One Scheme Illustrates Vulnerabilities To Fraud PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download Medicare One Scheme Illustrates Vulnerabilities To Fraud PDF full book. Access full book title Medicare One Scheme Illustrates Vulnerabilities To Fraud.
Author | : United States Accounting Office (GAO) |
Publisher | : Createspace Independent Publishing Platform |
Total Pages | : 26 |
Release | : 2018-05-09 |
Genre | : |
ISBN | : 9781718920583 |
Download Medicare Book in PDF, ePub and Kindle
HRD-92-76 Medicare: One Scheme Illustrates Vulnerabilities to Fraud
Author | : United States. General Accounting Office |
Publisher | : |
Total Pages | : 28 |
Release | : 1992 |
Genre | : Medical laboratories |
ISBN | : |
Download Medicare : One Scheme Illustrates Vulnerabilities to Fraud Book in PDF, ePub and Kindle
Author | : U S Government Accountability Office (G |
Publisher | : BiblioGov |
Total Pages | : 30 |
Release | : 2013-06 |
Genre | : |
ISBN | : 9781289048761 |
Download Medicare Book in PDF, ePub and Kindle
Pursuant to a congressional request, GAO provided information on Medicare's involvement with fraudulent medical laboratory operations, focusing on: (1) the extent of false claims paid by Medicare; (2) Medicare's success in recovering lost funds; and (3) Medicare's vulnerability to similar fraudulent activities. GAO found that: (1) although Medicare experienced some success in identification and prosecution of fraudulent laboratory operators, many fraudulent claims were unrecovered; (2) physicians avoid liability for repayment by failing to respond to Health Care Financing Administration (HCFA) and carrier collection letters, stopping operations and forming new corporate identities, and using group practice billing; (3) recovering fraudulent claims concerning unnecessary tests remains difficult due to the required burden of proof; (4) pursuit of fraud cases through civil procedures is hampered by a lack of interagency cooperation and critical missing files; (5) inadequate monitoring of physicians' referral patterns, the ease of obtaining multiple provider numbers, and the failure of provider information regulations to exclude past violators continue to make Medicare vulnerable to fraud; and (6) some carriers have developed computerized claims edits to automatically suspend claims payments, and HCFA requires carriers to establish separate fraud investigations branches, but reduced Medicare funding may constrain and adversely affect investigations and reviews.
Author | : |
Publisher | : |
Total Pages | : 42 |
Release | : |
Genre | : Health insurance |
ISBN | : |
Download Health Reports Book in PDF, ePub and Kindle
Author | : United States. General Accounting Office |
Publisher | : |
Total Pages | : 44 |
Release | : 1992 |
Genre | : Health |
ISBN | : |
Download Health Reports Book in PDF, ePub and Kindle
Author | : National Library of Medicine (U.S.) |
Publisher | : |
Total Pages | : 880 |
Release | : 1993-04 |
Genre | : Medicine |
ISBN | : |
Download National Library of Medicine Current Catalog Book in PDF, ePub and Kindle
Author | : United States. General Accounting Office. Human Resources Division |
Publisher | : |
Total Pages | : 56 |
Release | : 1993-06 |
Genre | : Health insurance |
ISBN | : |
Download Health Reports Book in PDF, ePub and Kindle
Author | : |
Publisher | : |
Total Pages | : 112 |
Release | : 1995 |
Genre | : Administrative agencies |
ISBN | : |
Download Health, Education, and Human Services Division Reports Book in PDF, ePub and Kindle
Author | : |
Publisher | : |
Total Pages | : 72 |
Release | : 1994 |
Genre | : Economic security |
ISBN | : |
Download Health, Education, Employment, and Income Security Reports Book in PDF, ePub and Kindle
Author | : |
Publisher | : |
Total Pages | : 68 |
Release | : 1992-09 |
Genre | : Finance, Public |
ISBN | : |
Download Month in Review ... Book in PDF, ePub and Kindle