Medicaid (71 - 80 of 83 items)
Administration of the Early and Periodic Screening, Diagnosis, and Treatment Program
B-164031(4): Published: Mar 12, 1974. Publicly Released: Jun 30, 1983.
No summary is currently available...
Review of Medicare and Medicaid Duplicate Payments in Michigan
HRD-83-43: Published: Feb 22, 1983. Publicly Released: Feb 22, 1983.
GAO reviewed the practices and procedures of the Michigan Medicare carrier and Medicaid administrator to prevent duplicate payments to physicians with more than one provider identification number and to remove unlicensed physicians from the Medicare and Medicaid rolls.GAO found that: (1) duplicate payments of about $39,000 were made to Medicare providers with multiple-provider numbers; (2) duplica...
Information on Health Development Corporation
HRD-81-114: Published: Jun 26, 1981. Publicly Released: May 24, 1982.
GAO was asked for information relating to the Health Development Corporation (HDC). The objectives of the review were to determine whether community and migrant health centers were complying with certain legislative requirements and to assess the Department of Health and Human Services' (HHS) management and administrative practices relating to community and migrant health center programs.Because o...
Issues Involved in Amputees' Use of Artificial Limbs
HRD-81-144: Published: Sep 22, 1981. Publicly Released: Sep 22, 1981.
Three Congressmen requested that GAO study the problems which amputees encounter in adapting to prosthetic devices. The Congressmen were especially concerned that many amputees may endure years of frustration and pain because the prosthetic industry may have fallen behind the times, medical personnel may not learn proper surgical procedures, or prosthetic practitioners may not receive adequate tra...
Reimbursement for National Health Service Corps Personnel
HRD-81-90: Published: Jun 4, 1981. Publicly Released: Jun 4, 1981.
Local health clinics are responsible for reimbursing the Government for certain costs associated with health professionals assigned to them by the National Health Service Corps (NHSC). GAO examined several aspects of the reimbursement issue. Specifically, GAO looked at the Department of Health and Human Services' (HHS) calculations of the amounts that the clinics were expected to reimburse, its pr...
More Can Be Done To Achieve Greater Efficiency in Contracting for Medicare Claims Processing
HRD-79-76: Published: Jun 29, 1979. Publicly Released: Jun 29, 1979.
Most Medicare benefits are administered by the Department of Health, Education, and Welfare (HEW) through contracts with private insurance companies called intermediaries, which pay bills for services provided by health care facilities, and other contractors called carriers, which pay claims for services from doctors and suppliers. These contracts have been on a cost reimbursable basis, with neith...
HEW Progress and Problems in Establishing Professional Standards Review Organizations
HRD-78-92: Published: Sep 12, 1978. Publicly Released: Sep 12, 1978.
The Professional Standards Review Organization (PSRO) program was initiated to have local physicians establish peer groups to determine whether services to patients under the Medicare, Medicaid, and maternal and child health programs are medically necessary, provided in accordance with medical standards, and provided in an appropriate setting. Legislation provides for designating PSRO geographic a...
Information on Assignment Rates Under Medicare
HRD-78-111: Published: May 31, 1978. Publicly Released: May 31, 1978.
Under Medicare, physicians have an option on each claim to accept assignment for charges to Medicare patients. By accepting assignment, the physician agrees to accept as payment in full that amount which Medicare determines to be reasonable. In response to congressional concern over the low Medicare part B assignment rate in Connecticut, the following were reviewed: (1) historical assignment rates...
Tighter Controls Needed Over Payments for Laboratory Services Under Medicare and Medicaid
HRD-76-121: Published: Aug 4, 1976. Publicly Released: Aug 4, 1976.
No summary is currently available...