Health Care Fraud and Abuse Control Program: Improvements Needed in Controls over Reporting Deposits and Expenditures

Health Care Fraud and Abuse Control Program: Improvements Needed in Controls over Reporting Deposits and Expenditures PDF Author: Kay L. Daly
Publisher: DIANE Publishing
ISBN: 1437987257
Category : Medical
Languages : en
Pages : 43

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Book Description
To help combat fraud and abuse in health care programs, Congress enacted the Health Care Fraud and Abuse Control (HCFAC) program as part of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). HIPAA requires that the Depts. of Health and Human Services (HHS) and Justice (DoJ) issue a joint annual report to Congress on amounts deposited to and appropriated from the Fed. Hospital Insur. Trust Fund for the HCFAC program. This review assesses the extent to which HHS and DOJ: (1) took actions to address the recommendations made in a 2005 report; and (2) designed effective controls over reporting HCFAC deposits and expenditures for FY 2008 and 2009. Charts and tables. This is a print on demand report.

Health Care Fraud and Abuse Control Program: Improvements Needed in Controls over Reporting Deposits and Expenditures

Health Care Fraud and Abuse Control Program: Improvements Needed in Controls over Reporting Deposits and Expenditures PDF Author: Kay L. Daly
Publisher: DIANE Publishing
ISBN: 1437987257
Category : Medical
Languages : en
Pages : 43

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Book Description
To help combat fraud and abuse in health care programs, Congress enacted the Health Care Fraud and Abuse Control (HCFAC) program as part of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). HIPAA requires that the Depts. of Health and Human Services (HHS) and Justice (DoJ) issue a joint annual report to Congress on amounts deposited to and appropriated from the Fed. Hospital Insur. Trust Fund for the HCFAC program. This review assesses the extent to which HHS and DOJ: (1) took actions to address the recommendations made in a 2005 report; and (2) designed effective controls over reporting HCFAC deposits and expenditures for FY 2008 and 2009. Charts and tables. This is a print on demand report.

Health Care Fraud and Abuse Control Program

Health Care Fraud and Abuse Control Program PDF Author: United States Government Accountability Office
Publisher: Createspace Independent Publishing Platform
ISBN: 9781983726675
Category :
Languages : en
Pages : 44

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Book Description
Health Care Fraud and Abuse Control Program: Improvements Needed in Controls over Reporting Deposits and Expenditures

Health Care Fraud and Abuse Control Program

Health Care Fraud and Abuse Control Program PDF Author: United States. Government Accountability Office
Publisher: DIANE Publishing
ISBN: 1428931074
Category : Medicare fraud
Languages : en
Pages : 41

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Book Description


Medicare improper payments : while enhancements hold promise for measuring potential fraud and abuse, challenges remain : report to congressional requesters

Medicare improper payments : while enhancements hold promise for measuring potential fraud and abuse, challenges remain : report to congressional requesters PDF Author:
Publisher: DIANE Publishing
ISBN: 1428972188
Category :
Languages : en
Pages : 55

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Book Description


Health Care Fraud and Abuse Control Program

Health Care Fraud and Abuse Control Program PDF Author: Government Accountability Office
Publisher:
ISBN: 9781974196647
Category :
Languages : en
Pages : 70

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Book Description
"GAO has designated Medicare and Medicaid as high-risk programs partly because their size, scope, and complexity make them vulnerable to fraud. Congress established the HCFAC program and provided funding to HHS and DOJ to help reduce fraud and abuse in Medicare and Medicaid.GAO was asked to examine how HHS and DOJ are using funds to achieve the goals of the HCFAC program, and to examine performance assessments and other metrics that HHS and DOJ use to determine the program's effectiveness. This report (1) describes how HHS and DOJ obligated funds for the HCFAC program, (2) examines how HHS and DOJ assess HCFAC activities and whether key program outputs have changed over time, and (3) examines what is known about the effectiveness of the HCFAC program in reducing health care fraud and abuse.To describe how HHS and DOJ obligated funds, GAO obtained financial information from HHS and DOJ for fiscal year 2012. To examine how HHS and DOJ assess HCFAC activities and whether key outputs have changed over time, GAO reviewed agency reports and documents, and interviewed agency officials. To examine what is known about the effectiveness of the HCFAC program, GAO conducted a literature review and interviewed experts.In comments on a draft of this report, HHS noted examples of CMS's efforts to reduce health care fraud, though"

Health Care Fraud and Abuse Control Program

Health Care Fraud and Abuse Control Program PDF Author: Daniel R. Levinson
Publisher: DIANE Publishing
ISBN: 1437935176
Category : Medical
Languages : en
Pages : 71

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Book Description
During FY 2009, the Fed. Gov¿t. won or negotiated approx. $1.63 billion in judgments and settlements, and it attained additional admin. impositions in health care fraud cases and proceedings. The Medicare Trust Fund received transfers of approx. $2.51 billion during this period as a result of these efforts, as well as those of preceding years, in addition to over $441 million in Fed. Medicaid money similarly transferred separately to the Treasury as a result of these efforts. The Health Care Fraud and Abuse Control Program account has returned over $15.6 billion to the Medicare Trust Fund since the inception of the Program in 1997. In FY 2009, U.S. Attorneys' Offices opened 1,014 new criminal health care fraud investigations involving 1,786 defendants. Illus.

Health Care Fraud and Abuse Control Program

Health Care Fraud and Abuse Control Program PDF Author: Kathleen M. King
Publisher:
ISBN: 9781457849978
Category :
Languages : en
Pages : 70

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Book Description
GAO has designated Medicare and Medicaid as high-risk programs partly because their size, scope, and complexity make them vulnerable to fraud. Congress established the Health Care Fraud and Abuse Control (HCFAC) program and provided funding to the Departments of Health and Human Services (HHS) and Justice (DOJ) to help reduce fraud and abuse in Medicare and Medicaid. This report (1) describes how HHS and DOJ obligated funds for the HCFAC program; (2) examines how HHS and DOJ assess HCFAC activities and whether key program outputs have changed over time; and (3) examines what is known about the effectiveness of the HCFAC program in reducing health care fraud and abuse. Tables and figures. This is a print on demand report.

Government Auditing Standards - 2018 Revision

Government Auditing Standards - 2018 Revision PDF Author: United States Government Accountability Office
Publisher: Lulu.com
ISBN: 0359536395
Category : Reference
Languages : en
Pages : 234

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Book Description
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.

Standards for Internal Control in the Federal Government

Standards for Internal Control in the Federal Government PDF Author: United States Government Accountability Office
Publisher: Lulu.com
ISBN: 0359541828
Category : Reference
Languages : en
Pages : 88

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Book Description
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.

Gao-05-134 Health Care Fraud and Abuse Control Program

Gao-05-134 Health Care Fraud and Abuse Control Program PDF Author: United States Government Accountability Office
Publisher: Createspace Independent Publishing Platform
ISBN: 9781984309617
Category :
Languages : en
Pages : 42

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Book Description
GAO-05-134 Health Care Fraud and Abuse Control Program: Results of Review of Annual Reports for Fiscal Years 2002 and 2003