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Other, Department of Health and Human Services, Executive (71 - 80 of 109 items)
Medicare Home Health Agencies: Overpayments Are Hard to Identify and Even Harder to Collect
HEHS/AIMD-00-132: Published: Apr 28, 2000. Publicly Released: May 24, 2000.
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) oversight of the amounts of overpayments home health agencies (HHA) owe Medicare, focusing on: (1) whether HCFA quickly identifies and collects overpayments from closed HHAs; (2) the accuracy of the overpayment amounts HCFA reported for closed Texas HHAs; and (3) whether HCFA can effectively record...
Medicare: Improper Third-Party Billing of Medicare by Behavioral Medical Systems, Inc.
OSI-00-5R: Published: Mar 30, 2000. Publicly Released: Apr 11, 2000.
Pursuant to a congressional request, GAO reviewed the operations of Behavioral Medical Systems, Inc.GAO noted that: (1) while BMS represented itself to the Medicare Program as a provider, in fact it functioned as a broker and a third-party biller; (2) GAO found a consistent pattern by which BMS caused improper Medicare claims to be submitted for services not provided by six psychiatrists; (3) of t...
Welfare Reform: State Sanction Policies and Number of Families Affected
HEHS-00-44: Published: Mar 31, 2000. Publicly Released: Apr 7, 2000.
Pursuant to a congressional request, GAO provided information on state sanctions for families under the Temporary Assistance for Needy Families (TANF) program who do not comply with the program's requirements, focusing on: (1) state sanction policies under TANF; (2) state procedures to reconcile noncompliance before imposing sanctions and state policies on families' right to appeal sanctions; (3)...
Medicare: Methodology to Identify and Measure Improper Payments in the Medicare Program Does Not Include All Fraud
AIMD-00-69R: Published: Feb 4, 2000. Publicly Released: Feb 4, 2000.
Pursuant to a congressional request, GAO provided information on the methodology used to estimate the $12.6 billion in Medicare improper payments, as reported by the Department of Health and Human Services' (HHS) Office of Inspector General (OIG) for fiscal year (FY) 1998, focusing on whether the methodology included tests to detect improper payments resulting from fraudulent and abusive schemes i...
Medicare: HCFA's Approval and Oversight of Private Accreditation Organizations
HEHS-99-197R: Published: Sep 30, 1999. Publicly Released: Oct 7, 1999.
Pursuant to a congressional request, GAO provided information on the Health Care Financing Administration's (HCFA) approval and oversight of private Medicare accreditation organizations, focusing on: (1) HCFA's criteria for approving accreditation organizations; (2) HCFA's ongoing oversight of accreditation organizations that have been granted deemed status; and (3) recent evaluations of accredita...
Skilled Nursing Facilities: Medicare Payments Need to Better Account for Nontherapy Ancillary Cost Variation
HEHS-99-185: Published: Sep 30, 1999. Publicly Released: Sep 30, 1999.
Pursuant to a congressional request, GAO provided information on the Medicare payments for skilled nursing facilities' (SNF) services under the new prospective payment system (PPS), focusing on: (1) whether the SNF payment rates incorporate the costs of nontherapy ancillary services; and (2) an analysis of the PPS design and nontherapy ancillary cost variation to assess whether payments are distri...
Food Stamp Program: States Face Reduced Federal Reimbursements for Administrative Costs
RCED/AIMD-99-231: Published: Jul 23, 1999. Publicly Released: Jul 23, 1999.
Pursuant to a legislative requirement, GAO reviewed the Department of Health and Human Services' (HHS) efforts to reduce future federal reimbursements of states' administrative costs for the Food Stamp Program, focusing on: (1) HHS' administrative cost determinations, related estimates provided by the states to HHS, and the reasons for any differences between HHS' determinations and the states' es...
Medicare: HCFA Needs to Better Protect Beneficiaries' Confidential Health Information
T-HEHS-99-172: Published: Jul 20, 1999. Publicly Released: Jul 20, 1999.
Pursuant to a congressional request, GAO discussed how the Health Care Financing Administration (HCFA) protects personally identifiable health information on Medicare beneficiaries, focusing on: (1) HCFA's need for personally identifiable health information to manage the Medicare program; (2) HCFA's policies and practices regarding disclosure of information on Medicare beneficiaries to other organ...
Medicare: Improprieties by Contractors Compromised Medicare Program Integrity
OSI-99-7: Published: Jul 14, 1999. Publicly Released: Jul 14, 1999.
Pursuant to a congressional request, GAO determined whether Medicare contractors participated in any improper or questionable practices that contributed to fraud, waste, or abuse in the Medicare federal health insurance program, focusing on: (1) recently completed cases of criminal conduct or False Claims Act violations committed by Medicare contractors; (2) the deceptive contractor activities set...
Federal Research Grants: Compensation Paid to Graduate Students at the University of California
OSI-99-8: Published: Jun 22, 1999. Publicly Released: Jul 1, 1999.
Pursuant to a congressional request, GAO investigated the use of federal research and development grant funds by the University of California system in its payments to graduate student researchers (GSR), focusing on whether: (1) the compensation paid to GSRs was in accordance with the guidelines set forth in the Office of Management and Budget's (OMB) Circular A-21; (2) foreign students were recei...