Medicare:
Allegations Against ABC Home Health Care
OSI-95-17: Published: Jul 19, 1995. Publicly Released: Jul 19, 1995.
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Pursuant to a congressional request, GAO investigated specific allegations regarding a home health care firm's participation in the Medicare home health care program, focusing on whether its employees: (1) altered or forged medical records to ensure continued home visits; (2) made more visits to patients than necessary; and (3) charged Medicare for costs unrelated to patient care.
GAO found that: (1) some local office managers directed current and former employees to alter patient records so that it appeared that the patients continued to need home health visits, and to continue visiting patients that no longer qualified for Medicare home health care; (2) the firm charged Medicare for the cost of acquiring other home health agencies by paying home health owners a small sum up front, and paying the balance as a salary under employment agreements; and (3) some managers directed their employees to market the home health care firm and its services with the intent of charging Medicare for these unallowable costs.
Nov 13, 2018
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.
Sep 28, 2018
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Rural Hospital Closures:
Number and Characteristics of Affected Hospitals and Contributing FactorsGAO-18-634: Published: Aug 29, 2018. Publicly Released: Sep 28, 2018.
Sep 17, 2018
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Defense Health Care:
Expanded Use of Quality Measures Could Enhance Oversight of Provider PerformanceGAO-18-574: Published: Sep 17, 2018. Publicly Released: Sep 17, 2018.
Sep 13, 2018
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Indian Health Service:
Considerations Related to Providing Advance Appropriation AuthorityGAO-18-652: Published: Sep 13, 2018. Publicly Released: Sep 13, 2018.
Sep 10, 2018
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Medicare Advantage:
Benefits and Challenges of Payment Adjustments Based on Beneficiaries' Ability to Perform Daily TasksGAO-18-588: Published: Sep 10, 2018. Publicly Released: Sep 10, 2018.
Sep 6, 2018
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Nursing Home Quality:
Continued Improvements Needed in CMS's Data and OversightGAO-18-694T: Published: Sep 6, 2018. Publicly Released: Sep 6, 2018.
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