Preventing Abusive Medicare Billing
HEHS-95-260R: Published: Sep 5, 1995. Publicly Released: Sep 5, 1995.
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Pursuant to a congressional request, GAO discussed its recommendations for preventing abusive Medicare billing and whether the recommendations can be implemented legislatively. GAO noted that: (1) Medicare law could be amended to require the Department of Health and Human Services (HHS) to establish the requirements recommended, as well as establish a higher limit on the amount that Medicare will recognize as reasonable for therapy services; (2) expense claim limits could be set at the amount established under Medicare's part B fee schedules for therapy services; (3) establishing an upper limit would partially define billable units of service, since the procedure codes for occupational and speech therapy do not define the amount of time the codes cover; and (5) proposals have been made to require nursing homes to bill for the services provided to their residents, whether payment is sought from part A or part B fee schedules.
Dec 10, 2018
Indian Health Service:
Spending Levels and Characteristics of IHS and Three Other Federal Health Care ProgramsGAO-19-74R: Published: Dec 10, 2018. Publicly Released: Dec 10, 2018.
Nov 30, 2018
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Medicare Laboratory Tests:
Implementation of New Rates May Lead to Billions in Excess PaymentsGAO-19-67: Published: Nov 30, 2018. Publicly Released: Nov 30, 2018. -
Orphan Drugs:
FDA Could Improve Designation Review Consistency; Rare Disease Drug Development Challenges ContinueGAO-19-83: Published: Nov 30, 2018. Publicly Released: Nov 30, 2018.
Nov 27, 2018
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Defense Health Care:
Additional Assessments Needed to Better Ensure an Efficient Total WorkforceGAO-19-102: Published: Nov 27, 2018. Publicly Released: Nov 27, 2018.
Nov 19, 2018
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Medicaid Managed Care:
Additional CMS Actions Needed to Help Ensure Data ReliabilityGAO-19-10: Published: Oct 19, 2018. Publicly Released: Nov 19, 2018.
Nov 13, 2018
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Mental Health:
Leading Practices for State Programs to Certify Peer Support SpecialistsGAO-19-41: Published: Nov 13, 2018. Publicly Released: Nov 13, 2018.
Oct 30, 2018
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Defense Health Care:
DOD Should Demonstrate How Its Plan to Transfer the Administration of Military Treatment Facilities Will Improve EfficiencyGAO-19-53: Published: Oct 30, 2018. Publicly Released: Oct 30, 2018.
Oct 23, 2018
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Opioid Crisis:
Status of Public Health Emergency AuthoritiesGAO-18-685R: Published: Sep 26, 2018. Publicly Released: Oct 23, 2018.
Oct 15, 2018
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Medicaid:
Access to Health Care for Low-Income Adults in States with and without Expanded EligibilityGAO-18-607: Published: Sep 13, 2018. Publicly Released: Oct 15, 2018.
Oct 1, 2018
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Medicaid Home- and Community-Based Services:
Selected States' Program Structures and Challenges Providing ServicesGAO-18-628: Published: Aug 30, 2018. Publicly Released: Oct 1, 2018.
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