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Medicare Fraud and Abuse: Summary and Analysis of Reforms in the Health Insurance Portability and Accountability Act of 1996 and the Balanced Budget Act of 1997

HEHS-98-18R Published: Oct 09, 1997. Publicly Released: Oct 09, 1997.
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Highlights

Pursuant to a congressional request, GAO: (1) summarized the anti-fraud and abuse reforms enacted in the Health Insurance Portability and Accountability Act (HIPAA) and Balanced Budget Act (BBA); and (2) determined whether and how the legislation responds to GAO recommendations and those of the Department of Health and Human Services (HHS) Inspector General.

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Topics

FraudHealth care programsHealth insurance cost controlHealth maintenance organizationsInspectors generalMedicareProgram abusesBeneficiariesFraud, Waste and AbuseSanctions