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Publisher :
ISBN 13 :
Total Pages : 326 pages
Book Rating : 4.80/5 ( download)
Download or read book Regional office manual written by and published by . This book was released on 1985 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : United States. General Accounting Office
Publisher :
ISBN 13 :
Total Pages : 36 pages
Book Rating : 4.55/5 ( download)
Download or read book Medicaid Program Integrity written by United States. General Accounting Office and published by . This book was released on 2004 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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Publisher : DIANE Publishing
ISBN 13 : 1428937137
Total Pages : 34 pages
Book Rating : 4.30/5 ( download)
Download or read book Medicaid program integrity state and federal efforts to prevent and detect improper payments : report to the Chairman, Committee on Finance, U.S. Senate. 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 : U.s. Government Accountability Office
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781974261482
Total Pages : 32 pages
Book Rating : 4.84/5 ( download)
Download or read book Program Integrity written by U.s. Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-08-05 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: " In 2011, CMS estimated that Medicaid and Medicare had improper payments of $21.9 billion and almost $43 billion, respectively-among the largest for all federal programs. Both health care programs are on GAO's list of high-risk programs. Over the years, Congress has passed legislation designed to help address program integrity issues in the two programs but they remain vulnerable to fraud, waste, and abuse. The program integrity challenges are different for Medicaid and Medicare. With 51 distinct state-based programs, Medicaid has complex challenges for finding the appropriate balance between state and federal efforts. Medicare uses contractors to help administer the program and CMS must oversee their efforts. This statement examines the progress made and important steps still to be taken in these programs. GAO focused on four key strategies and recommendations that were designed to facilitate them that were identified in prior work and that could help reduce improper payments: (1) strengthening provider enrollment standards and procedures to ensure that only legitimate providers participate in the program; (2) improving prepayment controls; (3) improving postpayment claims review and recovery of improper payments; and (4) developing a robust process for addressing identified vulnerabilities. This statement is based on GAO products issued from April 2004 through May 2012 and interviews with agency officials and other stakeholders. In May 2012, GAO"
Author : United States Government Accountability Office
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781977581730
Total Pages : 28 pages
Book Rating : 4.30/5 ( download)
Download or read book Program Integrity written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-09-26 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: Federal agencies may use commercial data services in conducting program integrity activities designed to identify fraud and improper payments, which pose a significant risk to the integrity of federal programs. For example, federal agencies may obtain commercial data-subject to applicable laws and protections-that identifies individuals' deaths, income and assets, or other information that may help the agency determine whether individuals or entities are eligible for a government program or benefit. GAO was asked to review issues surrounding the use of commercial data in conducting program integrity activities. This report identifies and describes the views of selected agency officials and commercial data service providers regarding (1) reasons selected agencies have used commercial data services in conducting program integrity activities; and (2) factors agencies may consider in determining whether commercial data services meet their information requirements for conducting program integrity activities. To do this, GAO reviewed documents and conducted interviews with federal agency officials and representatives of commercial data service providers selected as part of a nonprobability sample of 12 entities selected to represent a range of program integrity activities and commercial data services. The information and perspectives that GAO obtained are
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ISBN 13 :
Total Pages : 40 pages
Book Rating : 4.20/5 ( download)
Download or read book Title XX Social Services written by and published by . This book was released on 1980 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : U.s. Government Accountability Office
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781974624119
Total Pages : 26 pages
Book Rating : 4.10/5 ( download)
Download or read book Medicaid Program Integrity written by U.s. Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-08-17 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Testimony The Centers for Medicare & Medicaid Services (CMS), the federal agency that oversees Medicaid, estimated that improper payments in the federal-state Medicaid program were $21.9 billion in fiscal year 2011. The Deficit Reduction Act of 2005 established the Medicaid Integrity Program and gave CMS an expanded role in assisting and improving the effectiveness of state activities to ensure proper payments. Making effective use of this expanded role, however, requires that federal resources are targeted appropriately and do not duplicate state activities. GAO was asked to testify on Medicaid program integrity. GAO's statement focuses on how CMS's expanded role in ensuring Medicaid program integrity (1) poses a challenge because of overlapping state and federal activities regarding provider audits and (2) presents opportunities through oversight to enhance state program integrity efforts. To do this work, GAO reviewed CMS reports and documents on Medicaid program integrity as well as its own and others' reports on this topic. In particular, GAO reviewed CMS reports that documented the results of its state oversight and monitoring activities. GAO also interviewed CMS officials in the agency's Medicaid Integrity Group (MIG), which was established to implement the Medicaid Integrity Program. This work was conducted in November and December 2011. GAO discussed the facts in this statement with CMS officials. What GAO Found The key challenge faced by the Medicaid Integrity Group (MIG) is the need to avoid duplication of federal and state program integrity efforts, particularly in the area of auditing provider claims. In 2011, the MIG reported that it was redesigning its national provider audit program. Previously, its audit contractors were using incomplete claims data to identify overpayments. According to MIG data, overpayments identified by its audit contractors since fiscal year 2009 were not commensurate with its contractors' costs. The MIG's redesign will result ..."
Author : United States Government Account Office
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781983762765
Total Pages : 34 pages
Book Rating : 4.68/5 ( download)
Download or read book Program Integrity written by United States Government Account Office and published by Createspace Independent Publishing Platform. This book was released on 2018-01-13 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: Program Integrity: Further Action Needed to Address Vulnerabilities in Medicaid and Medicare Programs
Author : United States Government Accountability Office
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781977941664
Total Pages : 34 pages
Book Rating : 4.64/5 ( download)
Download or read book Medicaid Program Integrity written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-10-04 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: In fiscal year 2013, the Medicaid program covered about 71.7 million individuals at a cost of $431.1 billion, of which CMS estimated that $14.4 billion (5.8 percent) were improper payments. Multiple state and federal entities are involved in program integrity efforts, such as payment review, auditing, and investigating fraud. GAO was asked to examine how these entities ensure comprehensive Medicaid program integrity. This report examines state and federal roles and responsibilities to identify potential (1) gaps in efforts to ensure Medicaid program integrity coverage; and (2) fragmentation, overlap, or duplication of program integrity efforts, and efforts to coordinate activities. GAO examined relevant federal laws and regulations, CMS guidance, and state program integrity reviews. GAO also interviewed officials from CMS and HHS's Office of Inspector General, as well as PI unit and MFCU officials from seven states.
Author : CCPS (Center for Chemical Process Safety)
Publisher : John Wiley & Sons
ISBN 13 : 0816909520
Total Pages : 322 pages
Book Rating : 4.20/5 ( download)
Download or read book Guidelines for Mechanical Integrity Systems written by CCPS (Center for Chemical Process Safety) and published by John Wiley & Sons. This book was released on 2006-08-11 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years, process safety management system compliance audits have revealed that organizations often have significant opportunities for improving their Mechanical Integrity programs. As part of the Center for Chemical Process Safety's Guidelines series, Guidelines for Mechanical Integrity Systems provides practitioners a basic familiarity of mechanical integrity concepts and best practices. The book recommends efficient approaches for establishing a successful MI program.
