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Department of Health and Human Services, Executive (21 - 27 of 27 items)
Board and Care: Insufficient Assurances That Residents' Needs Are Identified and Met
HRD-89-50: Published: Feb 10, 1989. Publicly Released: Mar 10, 1989.
In response to a congressional request, GAO reviewed board and care facilities for elderly and disabled adults, focusing on: (1) industry size; (2) the characteristics and needs of residents; (3) states' regulation and monitoring of facilities; and (4) the Department of Health and Human Services' (HHS) role in overseeing facilities.GAO found that: (1) although a 1987 survey showed that there were...
Social Security: Improved Telephone Accessibility Would Better Serve the Public
HRD-86-85: Published: Aug 29, 1986. Publicly Released: Aug 29, 1986.
GAO reported the results of a nationwide test of the Social Security Administration's (SSA) telephone accessibility to the public and provided information on SSA standards and telephone reporting activities.GAO noted that SSA: (1) maintains 34 teleservice centers to answer telephone calls in major metropolitan areas or entire states; (2) maintains 20 miniteleservice centers, 12 statewide centers,...
Comments on HCFA Regional Office Report on New Jersey's Diagnostic Related Group Prospective Reimbursement Experiment
HRD-83-63: Published: Jun 15, 1983. Publicly Released: Jul 12, 1983.
GAO was asked to review a report by the Health Care Financing Administration's (HCFA) New York Regional Office on New Jersey's Diagnostic Related Group hospital prospective payment experiment and to assess the relevance of its findings and recommendations to the administration's proposed Medicare hospital prospective payment system.GAO found that the administration's proposed bill was very general...
Prospective Payment Systems for Nursing Home Care
120522: Feb 4, 1983
In 1982, Congress mandated that the Department of Health and Human Services develop legislative proposals to provide for reimbursing skilled nursing facilities prospectively under Medicare. GAO believes that the State Medicaid systems for prospective reimbursement should be examined when developing the Federal Medicare system. Under the prospective reimbursement system developed in Texas, the per...
Audit of Medicaid Costs Reported by Autumn Hills Convalescent Centers, Inc., Houston, TX
HRD-83-9: Published: Oct 14, 1982. Publicly Released: Nov 9, 1982.
Pursuant to a congressional request, GAO examined unallowable and questionable central office costs of a chain of nursing homes participating in the Medicaid program in Texas and focused on the costs reported by one home about which there have been allegations of poor patient care.Although GAO questioned about 18 percent of the central office costs for 1980 and a Texas Department of Human Resource...
More Action Needed To Reduce Beneficiary Underpayments
HRD-81-126: Published: Sep 3, 1981. Publicly Released: Oct 1, 1981.
GAO assessed the procedures for reviewing unassigned Medicare claims where significant portions were disallowed for payment. The assessment was undertaken to determine how the safeguards established by Medicare carriers to identify potential underpayments associated with reasonable charge reductions were being applied. This assessment was performed as follow-on work to an earlier report addressing...
Reasonable Charge Reductions Under Part B of Medicare
HRD-81-12: Published: Oct 22, 1980. Publicly Released: Oct 22, 1980.
GAO examined whether Medicare beneficiaries are being properly reimbursed for doctors' bills under the Medicare program. Part B of the Medicare Program, which primarily covers the cost of physician services, is paying an increasingly smaller portion of the elderly's total cost for physician services. On the average, the charges submitted by doctors are reduced by about 20 percent by the program, b...