Claims (1 - 10 of 44 items) in Custom Date Range
Federal Employees' Compensation Act: Case Examples Illustrate Vulnerabilities That Could Result in Improper Payments or Overlapping Benefits
GAO-13-386: Published: Apr 3, 2013. Publicly Released: May 3, 2013.
GAO found examples of improper payments and indicators of potential fraud in the Federal Employees' Compensation Act (FECA) program, which could be attributed, in part, to oversight and data-access issues. GAO found examples of claimants' receiving overlapping FECA and unemployment insurance (UI) benefits, which may be allowable under certain circumstances, but could also be erroneous. GAO also fo...
Civil Rights: Additional Actions in Pigford II Claims Process Could Reduce Risk of Improper Determinations
GAO-13-69R: Published: Dec 7, 2012. Publicly Released: Dec 7, 2012.
The parties charged with carrying out the terms of the Pigford II settlement agreement have created numerous internal control measures designed to balance various interests including accuracy, efficiency, and cost. Many of these measures serve to identify and deny fraudulent or otherwise invalid claims. For example, the parties conduct iterative reviews of each claim and identify potential fraud c...
Medicare Recovery Audit Contracting: Lessons Learned to Address Improper Payments and Improve Contractor Coordination and Oversight
GAO-10-864T: Published: Jul 15, 2010. Publicly Released: Jul 15, 2010.
This testimony discusses preventing and addressing government payment errors in the Medicare program. Medicare, which provides health insurance for those aged 65 and older and certain disabled persons, is susceptible to improper payments due to its size and complexity. Because the Medicare program has paid billions of dollars in error each year, the Centers for Medicare & Medicaid Services (CMS)--...
Medicare Fraud, Waste, and Abuse: Challenges and Strategies for Preventing Improper Payments
GAO-10-844T: Published: Jun 15, 2010. Publicly Released: Jun 15, 2010.
GAO has designated Medicare as a high-risk program since 1990, in part because the program's size and complexity make it vulnerable to fraud, waste, and abuse. Fraud represents intentional acts of deception with knowledge that the action or representation could result in an inappropriate gain, while abuse represents actions inconsistent with acceptable business or medical practices. Waste, which i...
Medicare Recovery Audit Contracting: Weaknesses Remain in Addressing Vulnerabilities to Improper Payments, Although Improvements Made to Contractor Oversight
GAO-10-143: Published: Mar 31, 2010. Publicly Released: Mar 31, 2010.
The Centers for Medicare & Medicaid Services (CMS) conducted a mandated 3-year project from March 2005 through March 2008 to demonstrate the use of recovery audit contractors (RAC) in identifying Medicare improper payments and recouping overpayments. CMS implemented a mandated national RAC program, which began in March 2009. GAO was asked to examine specific issues that arose during the demonstrat...
Medicare: Improvements Needed to Address Improper Payments in Home Health
GAO-09-185: Published: Feb 27, 2009. Publicly Released: Mar 13, 2009.
Medicare spending on home health totaled $12.9 billion in 2006, up 44 percent 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. The Centers for Medicare & Medicaid Services (CMS), the agency that administers Medicare, is responsible for minimizing improper payments made on beh...
Vehicle Donations: Selected Charities Reported Mixed Experiences after Changes in Vehicle Donation Rules
GAO-08-367: Published: Feb 15, 2008. Publicly Released: Mar 17, 2008.
In 2003, GAO found that many taxpayers' estimates of the value of their vehicles, claimed as tax deductions, were in excess of the charities' subsequent sales of the vehicles. Subsequently, effective January 1, 2005, the rules related to the amount taxpayers can claim as a deduction on their tax returns for vehicles donated to charities changed. Under the new rules, in many cases the amount taxpay...
Medicare: Improvements Needed to Address Improper Payments for Medical Equipment and Supplies
GAO-07-59: Published: Jan 31, 2007. Publicly Released: Mar 6, 2007.
The Centers for Medicare & Medicaid Services (CMS)--the agency that administers Medicare--estimated that the program made about $700 million in improper payments for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) from April 1, 2005, through March 31, 2006. To protect Medicare from improper DMEPOS payments, CMS relies on three Program Safeguard Contractors (PSC), and four...
National Park Service: Agency Should Recover Costs of Validity Examinations for Mining Claims
RCED-00-265: Published: Sep 19, 2000. Publicly Released: Oct 19, 2000.
Pursuant to a congressional request, GAO provided information on the federal costs of conducting validity examinations at three California Desert parks, focusing on whether: (1) data are available on the National Park Service's costs of conducting validity examinations at these parks since 1994; and (2) the Park Service recovers the costs of such examinations from claimants.GAO noted that: (1) the...