A Study of the Control of Government Fraud, Waste, and Abuse PDF Download

Author: Timothy J. Lenzmeier
Publisher:
ISBN:
Category : Government financial institutions
Languages : en
Pages : 0

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Author: Jerome B. McKinney
Publisher:
ISBN:
Category : Political Science
Languages : en
Pages : 184

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Author: President's Council on Integrity and Efficiency (U.S.)
Publisher:
ISBN:
Category : Administrative agencies
Languages : en
Pages : 76

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Author: Oregon. State Controller's Division
Publisher:
ISBN:
Category : Waste in government spending
Languages : en
Pages : 4

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Author: United States Government Accountability Office
Publisher: Lulu.com
ISBN: 0359541828
Category : Reference
Languages : en
Pages : 88

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Policymakers and program managers are continually seeking ways to improve accountability in achieving an entity's mission. A key factor in improving accountability in achieving an entity's mission is to implement an effective internal control system. An effective internal control system helps an entity adapt to shifting environments, evolving demands, changing risks, and new priorities. As programs change and entities strive to improve operational processes and implement new technology, management continually evaluates its internal control system so that it is effective and updated when necessary. Section 3512 (c) and (d) of Title 31 of the United States Code (commonly known as the Federal Managers? Financial Integrity Act (FMFIA)) requires the Comptroller General to issue standards for internal control in the federal government.

Author:
Publisher:
ISBN:
Category : Administrative agencies
Languages : en
Pages : 159

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Author: United States Government Accountability Office
Publisher: Lulu.com
ISBN: 0359536395
Category : Reference
Languages : en
Pages : 234

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Audits provide essential accountability and transparency over government programs. Given the current challenges facing governments and their programs, the oversight provided through auditing is more critical than ever. Government auditing provides the objective analysis and information needed to make the decisions necessary to help create a better future. The professional standards presented in this 2018 revision of Government Auditing Standards (known as the Yellow Book) provide a framework for performing high-quality audit work with competence, integrity, objectivity, and independence to provide accountability and to help improve government operations and services. These standards, commonly referred to as generally accepted government auditing standards (GAGAS), provide the foundation for government auditors to lead by example in the areas of independence, transparency, accountability, and quality through the audit process. This revision contains major changes from, and supersedes, the 2011 revision.

Author: Aspen Health Law Center
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 156

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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.

Author: Malcolm K Sparrow
Publisher: Basic Books
ISBN: 0465010741
Category : Political Science
Languages : en
Pages : 306

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Who steals? An extraordinary range of folk -- from low-life hoods who sign on as Medicare or Medicaid providers equipped with nothing more than beepers and mailboxes, to drug trafficking organizations, organized crime syndicates, and even major hospital chains. In License to Steal, Malcolm K. Sparrow shows how the industry's defenses, which focus mostly on finding and correcting billing errors, are no match for such well orchestrated attacks. The maxim for thieves simply becomes "bill your lies correctly." Provided they do that, fraud perpetrators with any degree of sophistication can steal millions of dollars with impunity, testing payment systems carefully, and then spreading fraudulent billings widely enough across patient and provider accounts to escape detection. The kinds of highly automated, quality controlled claims processing systems that pervade the industry present fraud perpetrators with their favorite kind of target: rich, fast paying, transparent, utterly predictable check printing systems, with little threat of human intervention, and with the U.S. Treasury on the end of the electronic line. Sparrow picks apart the industry's response to the government's efforts to control this problem. The provider associations (well heeled and politically influential) have vociferously opposed almost every recent enforcement initiative, creating the unfortunate public impression that the entire health care industry is against effective fraud control. A significant segment of the industry, it seems, regards fraud and abuse not as a problem, but as a lucrative enterprise worth defending. Meanwhile, it remains a perfectly commonplace experience for patients or their relatives to examine a medical bill and discover that half of it never happened, or that; likewise, if patients then complain, they discover that no one seems to care, or that no one has the resources to do anything about it. Sparrow's research suggests that the growth of capitated managed care systems does not solve the problem, as many in the industry had assumed, but merely changes its form. The managed care environment produces scams involving underutilization, and the withholding of medical care schemes that are harder to uncover and investigate, and much more dangerous to human health. Having worked extensively with federal and state officials since the appearance of his first book on this subject, Sparrow is in a unique position to evaluate recent law enforcement initiatives. He admits the "war on fraud" is at least now engaged, but it is far from won.

Author: Daniel L. Feldman
Publisher: SUNY Press
ISBN: 1438449291
Category : Political Science
Languages : en
Pages : 356

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Expert advice on how any citizen can fight government fraud, waste, abuse, and corruption. Does government fraud, waste, abuse, and corruption make your blood boil? In The Art of the Watchdog, Daniel L. Feldman and David R. Eichenthal show how to fight back. Based on their own work in federal, state, and local government over the last forty years, they will arm you with the tools and techniques needed to put the spotlight on those who cheat and steal from the public or who squander valuable taxpayer dollars through waste and inefficiency. At the same time, Feldman and Eichenthal outline what they see as the good and the bad of current oversight efforts based on case studies from across the nation. Ultimately their goal is to ensure that the “art of the watchdog” does not become a lost one and to improve the quality and integrity of government and strengthen democracy. “In The Art of the Watchdog, Feldman and Eichenthal offer a comprehensive overview of the world of oversight from the perspective of two authors who have been around the block a time or two. If you want to understand the different forms of watchdogs and how they both succeed and fail, there is no better resource available.” — Neil M. Barofsky, author of Bailout: How Washington Abandoned Main Street While Rescuing Wall Street “This is simply the best book written on the government watchdog function. It smartly explains how a persistent, gutsy, and empirical watchdog can be a tugboat moving supertankers.” — Mark J. Green, former New York City Public Advocate and author of Who Runs Congress? “Who really watches out for abuses and waste in government? Often it is committed public servants who understand that oversight is part of doing the people’s business. Feldman and Eichenthal show how effective watchdogs can lead to better government performance and improved public confidence.” — Tom Griscom, former White House Communications Director in the Reagan administration