Author : U S Government Accountability Office (G
Release : 2013-06
Genre :
Kind : eBook
Book Rating : 346/5 ( reviews)

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Book Synopsis Medicare Improper Payments by : U S Government Accountability Office (G

Download or read book Medicare Improper Payments written by U S Government Accountability Office (G. This book was released on 2013-06. Available in PDF, EPUB and Kindle. Book excerpt: Pursuant to a congressional request, GAO discussed the Health Care Financing Administration's (HCFA) efforts to improve the measurement of improper payments in the Medicare fee-for-service program. GAO noted that: (1) because it was not intended to include procedures designed specifically to identify all types of potential fraudulent and abusive activity, the current methodology does not provide an estimate of the full extent of improper Medicare fee-for-service payments; (2) HCFA has initiated three projects designed to further its measurement efforts which offer some promise for determining the extent of improper payments attributable to potential fraud and abuse; (3) based on careful evaluation of their effectiveness, performing additional potential fraud identification techniques as part of its efforts to measure improper payments could assist HCFA in arriving at a more comprehensive measurement and, ultimately, develop cost-effective internal controls to combat improper payments; and (4) however, no set of techniques, no matter how extensive, can be expected to measure all potential fraud and abuse.