Fraud Detection Systems: Centers for Medicare and Medicaid Services Needs to Ensure More Widespread Use PDF Download

Author: Valerie C. Melvin
Publisher: DIANE Publishing
ISBN: 1437988520
Category : Health & Fitness
Languages : en
Pages : 49

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Author: United States Government Accountability Office
Publisher: Createspace Independent Publishing Platform
ISBN: 9781983707681
Category :
Languages : en
Pages : 50

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Fraud Detection Systems: Centers for Medicare and Medicaid Services Needs to Ensure More Widespread Use

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

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Book Description
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: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations
Publisher:
ISBN:
Category : Fraud investigation
Languages : en
Pages : 124

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Author: United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Government Organization, Efficiency, and Financial Management
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 140

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Author: U.s. Government Accountability Office
Publisher:
ISBN: 9781974499830
Category :
Languages : en
Pages : 50

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"GAO has designated Medicare andMedicaid as high-risk programs, inpart due to their susceptibility toimproper payments-estimated to beabout $70 billion in fiscal year 2010.Improper payments have manycauses, such as submissions ofduplicate claims or fraud, waste, andabuse. As the administrator of theseprograms, the Centers for Medicareand Medicaid Services (CMS) isresponsible for safeguarding themfrom loss. To integrate claimsinformation and improve its ability todetect fraud, waste, and abuse inthese programs, CMS initiated twoinformation technology systemprograms: the Integrated DataRepository (IDR) and One ProgramIntegrity (One PI).GAO was asked to (1) assess theextent to which IDR and One PI havebeen developed and implementedand (2) determine CMS's progresstoward achieving its goals andobjectives for using these systems tohelp detect fraud, waste, and abuse.To do so, GAO reviewed system andprogram management plans andother documents and compared themto key practices. GAO alsointerviewed program officials,analyzed system data, and reviewedreported costs and benefits. GAO is recommending that CMS takesteps to finalize plans and reliableschedules for fully implementing"

Author: United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Government Organization, Efficiency, and Financial Management
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 88

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Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations
Publisher:
ISBN:
Category : Medicare
Languages : en
Pages : 164

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Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health
Publisher:
ISBN:
Category : Medicaid fraud
Languages : en
Pages : 102

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Book Description

Author: United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs
Publisher:
ISBN:
Category : Constitutional law
Languages : en
Pages : 192

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