Fraud Detection And Deterrence In Medicare And Medicaid

Author : Anton Ferilli
Publisher : Nova Science Publishers
ISBN 13 : 9781624176586
Total Pages : 0 pages
Book Rating : 4.85/5 ( download)

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Download or read book Fraud Detection and Deterrence in Medicare and Medicaid written by Anton Ferilli and published by Nova Science Publishers. This book was released on 2013-04-09 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Government Accountability Office (GAO) has designated Medicare and Medicaid as high-risk programs, in part due to their susceptibility to improper payments -- estimated to be about $70 billion in fiscal year 2010. Improper payments have many causes, such as submissions of duplicate claims or fraud, waste, and abuse. As the administrator of these programs, the Centers for Medicare and Medicaid Services (CMS) is responsible for safeguarding them from loss. This book explores fraud detection and deterrence in Medicare and Medicaid, with a focus on fraud detection systems; screening providers and suppliers; and program integrity.

Author : Valerie C. Melvin
Publisher : DIANE Publishing
ISBN 13 : 1437988520
Total Pages : 49 pages
Book Rating : 4.29/5 ( download)

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Download or read book Fraud Detection Systems: Centers for Medicare and Medicaid Services Needs to Ensure More Widespread Use written by Valerie C. Melvin and published by DIANE Publishing. This book was released on 2012-10-07 with total page 49 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : United States. Congress. House. Committee on Interstate and Foreign Commerce. Subcommittee on Health and the Environment
Publisher :
ISBN 13 :
Total Pages : 158 pages
Book Rating : 4.42/5 ( download)

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Download or read book Medicare-Medicaid Anti-fraud Act written by United States. Congress. House. Committee on Interstate and Foreign Commerce. Subcommittee on Health and the Environment and published by . This book was released on 1976 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : Malcolm K. Sparrow
Publisher : Routledge
ISBN 13 : 0429721099
Total Pages : 213 pages
Book Rating : 4.90/5 ( download)

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Download or read book License To Steal written by Malcolm K. Sparrow and published by Routledge. This book was released on 2019-03-13 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book brings an unusual opportunity to explore the peculiarities of America's health care industry's approach to fraud control, when compared with the financial services sector, credit card companies, or the Internal Revenue Service—all of which have to defend themselves against fraud.

Author : U.s. Government Accountability Office
Publisher :
ISBN 13 : 9781974622856
Total Pages : 50 pages
Book Rating : 4.51/5 ( download)

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Download or read book Fraud Detection Systems written by U.s. Government Accountability Office and published by . This book was released on 2017-08-17 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: "GAO has designated Medicare andMedicaid as high-risk programs, inpart due to their susceptibility toimproper payments-estimated to beabout $70 billion in fiscal year 2010.Improper payments have manycauses, such as submissions ofduplicate claims or fraud, waste, andabuse. As the administrator of theseprograms, the Centers for Medicareand Medicaid Services (CMS) isresponsible for safeguarding themfrom loss. To integrate claimsinformation and improve its ability todetect fraud, waste, and abuse inthese programs, CMS initiated twoinformation technology systemprograms: the Integrated DataRepository (IDR) and One ProgramIntegrity (One PI).GAO was asked to (1) assess theextent to which IDR and One PI havebeen developed and implementedand (2) determine CMS's progresstoward achieving its goals andobjectives for using these systems tohelp detect fraud, waste, and abuse.To do so, GAO reviewed system andprogram management plans andother documents and compared themto key practices. GAO alsointerviewed program officials,analyzed system data, and reviewedreported costs and benefits. GAO is recommending that CMS takesteps to finalize plans and reliableschedules for fully implementing..."

Author : United States Government Accountability Office
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781983707681
Total Pages : 50 pages
Book Rating : 4.86/5 ( download)

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Download or read book Fraud Detection Systems written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-01-11 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fraud Detection Systems: Centers for Medicare and Medicaid Services Needs to Ensure More Widespread Use

Author : Valerie C. Melvin
Publisher :
ISBN 13 :
Total Pages : 12 pages
Book Rating : 4.69/5 ( download)

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Download or read book Fraud detection systems written by Valerie C. Melvin and published by . This book was released on 2011 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security
Publisher :
ISBN 13 :
Total Pages : 136 pages
Book Rating : 4.51/5 ( download)

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Download or read book Eliminating Waste and Fraud in Medicare and Medicaid written by United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security and published by . This book was released on 2009 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Human Resources and Intergovernmental Relations
Publisher :
ISBN 13 :
Total Pages : 144 pages
Book Rating : 4.89/5 ( download)

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Download or read book Keeping Fraudulent Providers Out of Medicare and Medicaid written by United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Human Resources and Intergovernmental Relations and published by . This book was released on 1996 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : United States. Congress. Senate. Committee on the Judiciary. Subcommittee on Crime and Drugs
Publisher :
ISBN 13 :
Total Pages : 108 pages
Book Rating : 4.36/5 ( download)

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Download or read book Criminal Prosecution as a Deterrent to Health Care Fraud written by United States. Congress. Senate. Committee on the Judiciary. Subcommittee on Crime and Drugs and published by . This book was released on 2010 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: