Medicare Recovery Audit Contractors And Cmss Actions To Address Improper Payments Referrals Of Potential Fraud And Performance

Author : CreateSpace Independent Publishing Platform
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781722261535
Total Pages : 32 pages
Book Rating : 4.36/5 ( download)

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Download or read book Medicare Recovery Audit Contractors and Cms's Actions to Address Improper Payments, Referrals of Potential Fraud, and Performance. written by CreateSpace Independent Publishing Platform and published by Createspace Independent Publishing Platform. This book was released on 2018-07-05 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare recovery audit contractors and CMS's actions to address improper payments, referrals of potential fraud, and performance.

Author :
Publisher : DIANE Publishing
ISBN 13 : 142897217X
Total Pages : 34 pages
Book Rating : 4.79/5 ( download)

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Download or read book Medicare improper payments challenges for measuring potential fraud and abuse remain despite planned enhancements written by and published by DIANE Publishing. This book was released on with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : Kay Daly
Publisher : DIANE Publishing
ISBN 13 : 9780756708962
Total Pages : 54 pages
Book Rating : 4.66/5 ( download)

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Download or read book Medicare Improper Payments written by Kay Daly and published by DIANE Publishing. This book was released on 2001-04 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reviews the Health Care Fin Admin's. (HCFA) efforts to enhance the measurement of improper payments in the Medicare fee-for-service program. Identifies structural problems that exist in the Medicare claims processing system which contribute to vulnerabilities resulting in erroneous Medicare payments. Focuses on: what HCFA proposals have been designed or initiated to measure Medicare improper payments; & the status of these proposals & initiatives & how they will enhance HCFA's ability to comprehensively measure improper Medicare payments & the frequency of kickbacks, false claims, & other inappropriate provider practices. Tables.

Author : Duane C. Abbey
Publisher : CRC Press
ISBN 13 : 1439857415
Total Pages : 139 pages
Book Rating : 4.10/5 ( download)

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Download or read book The Medicare Recovery Audit Contractor Program written by Duane C. Abbey and published by CRC Press. This book was released on 2017-11-15 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare fraud is big business, but while only a few profit from intentional malfeasance, the Centers for Medicare and Medicaid Services is now taking a closer look at everyone. The Medicare Recovery Audit Contractor Program, already infamously known as the RAC, swings into full operation in 2010 and every healthcare provider that receives payment

Author :
Publisher : DIANE Publishing
ISBN 13 : 143798293X
Total Pages : 31 pages
Book Rating : 4.30/5 ( download)

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Download or read book Medicare and Medicaid Fraud,Waste, and Abuse written by and published by DIANE Publishing. This book was released on with total page 31 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Government Organization, Efficiency, and Financial Management
Publisher :
ISBN 13 :
Total Pages : 88 pages
Book Rating : 4.32/5 ( download)

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Download or read book Improper Medicare Payments written by United States. Congress. House. Committee on Oversight and Government Reform. Subcommittee on Government Organization, Efficiency, and Financial Management and published by . This book was released on 2012 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : U.s. Government Accountability Office
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781973956716
Total Pages : 26 pages
Book Rating : 4.13/5 ( download)

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Download or read book Medicare Fraud, Progress Made, But More Action Needed to Address Medicare Fraud, Waste and Abuse written by U.s. Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-07-27 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: " GAO has designated Medicare as a high-risk program, in part because the program's size and complexity make it vulnerable to fraud, waste, and abuse. In 2013, Medicare financed health care services for approximately 51 million individuals at a cost of about $604 billion. The deceptive nature of fraud makes its extent in the Medicare program difficult to measure in a reliable way, but it is clear that fraud contributes to Medicare's fiscal problems. More broadly, in fiscal year 2013, CMS estimated that improper payments-some of which may be fraudulent-were almost $50 billion. This statement focuses on the progress made and important steps to be taken by CMS and its program integrity contractors to reduce fraud in Medicare. These contractors perform functions such as screening and enrolling providers, detecting and investigating potential fraud, and identifying improper payments and vulnerabilities that could lead to payment errors. This statement is based on relevant GAO products and recommendations issued from 2004 through 2014 using a variety of methodologies. In April 2014, GAO also received updated information from CMS on its actions related to the laws, regulations, and guidance discussed in this statement. Additionally, GAO updated information by examining public documents and relevant policies"

Author : James C. Cosgrove
Publisher : DIANE Publishing
ISBN 13 : 1437916139
Total Pages : 53 pages
Book Rating : 4.33/5 ( download)

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Download or read book Medicare written by James C. Cosgrove and published by DIANE Publishing. This book was released on 2009-09 with total page 53 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare spending on home health totaled $12.9 billion in 2006, up 44% from 2002. Concerns have been raised that improper payments from practices indicating fraud and abuse may have contributed to Medicare home health spending and utilization. This report examines the growth in Medicare home health spending and utilization and the benefit's vulnerability to improper payments. The report focused on states with the highest growth in Medicare home health spending or utilization; fraudulent and abusive practices contributing to recent spending and utilization; and administrative issues that make it vulnerable to improper payments. Includes recommendations. Charts and tables.

Author : Kathleen M. King
Publisher :
ISBN 13 :
Total Pages : 9 pages
Book Rating : 4.13/5 ( download)

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Download or read book Medicare recovery audit contracting written by Kathleen M. King and published by . This book was released on 2010 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : United States Government Accountability Office
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781719029780
Total Pages : 26 pages
Book Rating : 4.84/5 ( download)

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Download or read book Medicare Recovery Audit Contracting written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-05-12 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare Recovery Audit Contracting: Lessons Learned to Address Improper Payments and Improve Contractor Coordination and Oversight