Claims processing (1 - 10 of 258 items)
Medicare: Potential Uses of Electronically Readable Cards for Beneficiaries and Providers
GAO-15-319: Published: Mar 25, 2015. Publicly Released: Apr 24, 2015.
Medicaid Information Technology: CMS Supports Use of Program Integrity Systems but Should Require States to Determine Effectiveness
GAO-15-207: Published: Jan 30, 2015. Publicly Released: Mar 2, 2015.
Improper Payments: TRICARE Measurement and Reduction Efforts Could Benefit from Adopting Medical Record Reviews
GAO-15-269: Published: Feb 18, 2015. Publicly Released: Feb 18, 2015.
International Classification of Diseases: CMS's Efforts to Prepare for the New Version of the Disease and Procedure Codes
GAO-15-255: Published: Jan 28, 2015. Publicly Released: Feb 6, 2015.
SSA Disability Benefits: Enhanced Policies and Management Focus Needed to Address Potential Physician-Assisted Fraud
GAO-15-19: Published: Nov 10, 2014. Publicly Released: Dec 10, 2014.
Vaccine Injury Compensation: Most Claims Took Multiple Years and Many Were Settled through Negotiation
GAO-15-142: Published: Nov 21, 2014. Publicly Released: Nov 21, 2014.
Compounded Drugs: Payment Practices Vary across Public Programs and Private Insurers, and Medicare Part B Policy Should Be Clarified
GAO-15-85: Published: Oct 10, 2014. Publicly Released: Nov 10, 2014.
Compounded Drugs: TRICARE's Payment Practices Should Be More Consistent with Regulations
GAO-15-64: Published: Oct 2, 2014. Publicly Released: Oct 2, 2014.
Medicare Program Integrity: Increased Oversight and Guidance Could Improve Effectiveness and Efficiency of Postpayment Claims Reviews
GAO-14-474: Published: Jul 18, 2014. Publicly Released: Aug 13, 2014.
VA Health Care: Further Action Needed to Address Weaknesses in Management and Oversight of Non-VA Medical Care
GAO-14-696T: Published: Jun 18, 2014. Publicly Released: Jun 18, 2014.