Author: United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 276
Book Description
Medicare Fraud Prevention
Author: United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 276
Book Description
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 276
Book Description
Medicare Fraud Prevention and Enforcement Efforts
Author: United States. Congress. Senate. Committee on Governmental Affairs. Permanent Subcommittee on Investigations
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 58
Book Description
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 58
Book Description
Defrauding Medicare
Author: United States. Congress. House. Committee on Government Reform. Subcommittee on Government Management, Information, and Technology
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 154
Book Description
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 154
Book Description
Medicare Contractors' Efforts to Fight Fraud
Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations
Publisher:
ISBN:
Category : Fraud investigation
Languages : en
Pages : 124
Book Description
Publisher:
ISBN:
Category : Fraud investigation
Languages : en
Pages : 124
Book Description
Medicare Fraud Prevention
Author: Valerie C. Melvin
Publisher:
ISBN: 9781457841361
Category :
Languages : en
Pages : 48
Book Description
GAO has designated Medicare as a high-risk program, in part because its complexity makes it particularly vulnerable to fraud. The Centers for Medicare and Medicaid Services (CMS), as the agency within the Dept. of Health and Human Services (HHS) responsible for administering Medicare and reducing fraud, uses a variety of systems that are intended to identity fraudulent payments. To enhance these efforts, the Small Business Jobs Act of 2010 provided funds for and required CMS to implement predictive analytics technologies --automated systems and tools that can help identify fraudulent claims before they are paid. In turn, CMS developed its Fraud Prevention System (FPS). This report (1) determines the status of the implementation and use of FPS; (2) describes how the agency uses FPS to identify and investigate potentially fraudulent payments; (3) assesses how the agency's use of FPS compares to private insurers' and Medicaid programs'practices; and (4) determines the extent to which CMS has defined and measured benefits and performance goals for the system. Tables and figures. This is a print on demand report.
Publisher:
ISBN: 9781457841361
Category :
Languages : en
Pages : 48
Book Description
GAO has designated Medicare as a high-risk program, in part because its complexity makes it particularly vulnerable to fraud. The Centers for Medicare and Medicaid Services (CMS), as the agency within the Dept. of Health and Human Services (HHS) responsible for administering Medicare and reducing fraud, uses a variety of systems that are intended to identity fraudulent payments. To enhance these efforts, the Small Business Jobs Act of 2010 provided funds for and required CMS to implement predictive analytics technologies --automated systems and tools that can help identify fraudulent claims before they are paid. In turn, CMS developed its Fraud Prevention System (FPS). This report (1) determines the status of the implementation and use of FPS; (2) describes how the agency uses FPS to identify and investigate potentially fraudulent payments; (3) assesses how the agency's use of FPS compares to private insurers' and Medicaid programs'practices; and (4) determines the extent to which CMS has defined and measured benefits and performance goals for the system. Tables and figures. This is a print on demand report.
Medicare Fraud Prevention
Author: Government Accountability Office
Publisher: Createspace Independent Publishing Platform
ISBN: 9781974231331
Category :
Languages : en
Pages : 48
Book Description
" GAO has designated Medicare as a high-risk program, in part because its complexity makes it particularly vulnerable to fraud. CMS, as the agency within the Department of Health and Human Services (HHS) responsible for administering Medicare and reducing fraud, uses a variety of systems that are intended to identity fraudulent payments. To enhance these efforts, the Small Business Jobs Act of 2010 provided funds for and required CMS to implement predictive analytics technologies-automated systems and tools that can help identify fraudulent claims before they are paid. In turn, CMS developed FPS. GAO was asked to (1) determine the status of the implementation and use of FPS, (2) describe how the agency uses FPS to identify and investigate potentially fraudulent payments, (3) assess how the agency's use of FPS compares to private insurers' and Medicaid programs' practices, and (4) determine the extent to which CMS has defined and measured benefits and performance goals for the system. To do this, GAO reviewed program documentation, held discussions with state Medicaid officials and private insurers, and interviewed CMS officials and contractors. "
Publisher: Createspace Independent Publishing Platform
ISBN: 9781974231331
Category :
Languages : en
Pages : 48
Book Description
" GAO has designated Medicare as a high-risk program, in part because its complexity makes it particularly vulnerable to fraud. CMS, as the agency within the Department of Health and Human Services (HHS) responsible for administering Medicare and reducing fraud, uses a variety of systems that are intended to identity fraudulent payments. To enhance these efforts, the Small Business Jobs Act of 2010 provided funds for and required CMS to implement predictive analytics technologies-automated systems and tools that can help identify fraudulent claims before they are paid. In turn, CMS developed FPS. GAO was asked to (1) determine the status of the implementation and use of FPS, (2) describe how the agency uses FPS to identify and investigate potentially fraudulent payments, (3) assess how the agency's use of FPS compares to private insurers' and Medicaid programs' practices, and (4) determine the extent to which CMS has defined and measured benefits and performance goals for the system. To do this, GAO reviewed program documentation, held discussions with state Medicaid officials and private insurers, and interviewed CMS officials and contractors. "
Preventing Health Care Fraud
Author: United States. Congress. Senate. Committee on Finance
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 128
Book Description
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 128
Book Description
Medicare Fraud Prevention
Author: United States Government Accountability Office
Publisher: Createspace Independent Publishing Platform
ISBN: 9781983712197
Category :
Languages : en
Pages : 48
Book Description
MEDICARE FRAUD PREVENTION: CMS Has Implemented a Predictive Analytics System, but Needs to Define Measures to Determine Its Effectiveness
Publisher: Createspace Independent Publishing Platform
ISBN: 9781983712197
Category :
Languages : en
Pages : 48
Book Description
MEDICARE FRAUD PREVENTION: CMS Has Implemented a Predictive Analytics System, but Needs to Define Measures to Determine Its Effectiveness
Medicare Program Integrity
Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations
Publisher:
ISBN:
Category : Medicare
Languages : en
Pages : 164
Book Description
Publisher:
ISBN:
Category : Medicare
Languages : en
Pages : 164
Book Description
Improved Efforts to Combat Health Care Fraud
Author: United States
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 128
Book Description
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 128
Book Description