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Medicare: Early Evidence of Compliance Program Effectiveness Is Inconclusive

HEHS-99-59 Published: Apr 15, 1999. Publicly Released: Apr 15, 1999.
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Highlights

Pursuant to a congressional request, GAO reviewed the compliance programs established by health care providers to reduce improper payments by Medicare, focusing on the: (1) prevalence of compliance programs among hospitals and other Medicare providers; (2) costs involved with compliance programs; and (3) effectiveness of the programs, to the extent that could be measured.

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Health Care
Administrative costsFraudHealth care programsHealth insuranceHospitalsInstitution accreditationInternal controlsMedical expense claimsMedicareOverpayments