Waste and Abuse in Medicare Payments for Medical Equipment and Supplies PDF Download

Author: United States. Congress. Senate. Committee on the Budget
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 540

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Book Description

Author: United States. Congress. Senate. Committee on Appropriations. Subcommittee on Departments of Labor, Health and Human Services, Education, and Related Agencies
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 88

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Book Description

Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Publisher:
ISBN:
Category : Governmental investigations
Languages : en
Pages : 122

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Book Description

Author: Leslie G. Aronovitz
Publisher: DIANE Publishing
ISBN: 9781422315637
Category :
Languages : en
Pages : 34

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Book Description
The Centers for Medicare & Medicaid Services (CMS) -- the agency that administers Medicare -- estimated that the program made about $700 million in improper payments for durable medical equipment, prosthetics, orthotics, & supplies (DMEPOS) from April 1, 2005, through March 31, 2006. To protect Medicare from improper DMEPOS payments, CMS relies on 3 Program Safeguard Contractors (PSC), & 4 contractors that process Medicare claims, to conduct critical program integrity activities. This report examines CMS¿s & CMS¿ contractors¿ activities to prevent & minimize improper payments for DMEPOS, & describe CMS¿s oversight of PSC program integrity activities. Includes GAO recommendations. Charts & tables.

Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on Oversight
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 124

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Book Description

Author: Kathleen M. King
Publisher: DIANE Publishing
ISBN: 1437935001
Category : Health & Fitness
Languages : en
Pages : 15

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Book Description
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. General Accounting Office
Publisher:
ISBN:
Category : Medical instruments and apparatus industry
Languages : en
Pages : 28

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Book Description

Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Publisher:
ISBN:
Category : Fraud
Languages : en
Pages : 120

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Book Description

Author:
Publisher: DIANE Publishing
ISBN: 143798293X
Category :
Languages : en
Pages : 31

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Book Description

Author: United States Government Accountability Office
Publisher: Createspace Independent Publishing Platform
ISBN: 9781976399688
Category :
Languages : en
Pages : 34

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Book Description
The Centers for Medicare & Medicaid Services (CMS)-the agency that administers Medicare-estimated that the program made about $700 million in improper payments for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) from April 1, 2005, through March 31, 2006. To protect Medicare from improper DMEPOS payments, CMS relies on three Program Safeguard Contractors (PSC), and four contractors that process Medicare claims, to conduct critical program integrity activities. GAO was requested to examine CMS's and CMS's contractors' activities to prevent and minimize improper payments for DMEPOS, and describe CMS's oversight of PSC program integrity activities. To do this, GAO analyzed DMEPOS claims data by supplier and item to identify atypical, or large, increases in billing; reviewed CMS documents; and conducted interviews with CMS and contractor officials. GAO focused its work on contractors' automated prepayment controls and described related claims analysis functions.