Medicaid Fraud and Abuse: CMS's Commitment to Helping States Safeguard Program Dollars Is Limited: GAO-05-855T
Related Articles
- MEDICAID: More Transparency of and Accountability for Supplemental Payments Are Needed. Iritani, Katherine M. // GAO Reports;12/21/2012, preceding p1
The article discusses a report related to the U.S. health insurance which has been prepared by the U.S. Government Accountability Office (GAO). It informs that annual audits and reports for disproportionate share hospital (DSH) payments can help the Centers for Medicare and Medicaid Services...
- Medicare Physician Fees: Geographic Adjustment Indices Are Valid in Design, but Data and Methods Need Refinement: GAO-05-119. Steinwald, A. Bruce // GAO Reports;3/11/2005, p1
The Medicare physician fee schedule adjusts physician fees for area differences in physicians' costs of operating a private medical practice. Three separate indices, known as geographic practice cost indices (GPCI), raise or lower Medicare fees in an area, depending on whether the area's...
- Medicare Physician Fee Schedule: CMS Needs a Plan for Updating Practice Expense Component: GAO-05-60. // GAO Reports;12/13/2004, p1
Medicare's payments for the costs physicians incur in operating their practices are based on two sets of estimates: total practice expenses and resource estimates for individual services. Total practice expense estimates were derived from American Medical Association (AMA) physician surveys,...
- Medicaid Integrity: Implementation of New Program Provides Opportunities for Federal Leadership to Combat Fraud and Abuse: GAO-06-578T. Aronovitz, Leslie G. // GAO Reports;3/29/2006, p1
Today's hearing concerns fraud, waste, and abuse control in Medicaid, a program that provides health care coverage for over 56 million eligible low-income people and is jointly financed by the federal government and the states. In fiscal year 2004, Medicaid had benefit payments of $287 billion,...
- Deficiencies in Contract Management Internal Control Are Pervasive. // GAO Reports;11/24/2009, preceding p1
The article presents the Government Accountability Office's (GAO) assessment on the deficiencies of contract management in the Centers for Medicare and Medicaid Services (CMS) in the U.S. It states that the deficiencies in CMS contract management increase the risks of improper payments or waste...
- Medicare Integrity Program: Agency Approach for Allocating Funds Should Be Revised: GAO-06-813. // GAO Reports;10/9/2006, p1
Since 1990, GAO has considered Medicare at high risk for fraud, waste, abuse, and mismanagement. The Medicare Integrity Program (MIP) provides funds to the Centers for Medicare & Medicaid Services (CMS--the agency that administers Medicare--to safeguard over $300 billion in program payments...
- Centers for Medicare and Medicaid Services Needs to Ensure More Widespread Use. Melvin, Valerie C. // GAO Reports;7/12/2011, preceding p1
The article presents a study conducted by the U.S. Government Accountability Office (GAO) concerning the Centers for Medicare and Medical Services ((CMS) program. It states that CMS has established two information technology system programs, the Integrated Data Repository (IDR) and One Program...
- MEDICARE PART D: Complaint Rates Are Declining, but Operational and Oversight Challenges Remain. King, Kathleen M. // GAO Reports;7/29/2008, preceding p1
The article discusses the research study of the U.S. Government Accountability Office (GAO) concerning complaint rates filed with Centers for Medicare & Medicaid Services (CMS) regarding Medicare Part D program. The study result showed that the number of complaints filed by beneficiaries are...
- Medicaid: States' Efforts to Maximize Federal Reimbursements Highlight Need for Improved Federal Oversight: GAO-05-836T. Allen, Kathryn G. // GAO Reports;6/28/2005, p1
Medicaid--the federal-state health care financing program covering almost 54 million low-income people at a cost of $276 billion in fiscal year 2003--is by its size and structure at significant risk of waste and exploitation. Because of challenges inherent in overseeing the program, which is...