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.
Apr 13, 2018
Defense Health Care:
TRICARE Select Implementation Plan Included Mandated Elements, but Access Standards Should Be ClarifiedGAO-18-358: Published: Apr 13, 2018. Publicly Released: Apr 13, 2018.-
Medicaid:
Opportunities for Improving Program Oversight [Reissued with Revisions Apr. 13, 2018]GAO-18-444T: Published: Apr 12, 2018. Publicly Released: Apr 12, 2018.
Apr 9, 2018
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Federal Health Insurance Exchange:
CMS Needs to Ensure Complete Accurate Data on Terminations of Coverage for Nonpayment of PremiumsGAO-18-269: Published: Mar 9, 2018. Publicly Released: Apr 9, 2018.
Apr 5, 2018
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Electronic Health Information:
CMS Oversight of Medicare Beneficiary Data Security Needs ImprovementGAO-18-210: Published: Mar 6, 2018. Publicly Released: Apr 5, 2018.
Mar 29, 2018
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Defense Health Care:
TRICARE Surveys Indicate Nonenrolled Beneficiaries' Access to Care Has Generally ImprovedGAO-18-361: Published: Mar 29, 2018. Publicly Released: Mar 29, 2018. -
Physician Workforce:
HHS Needs Better Information to Comprehensively Evaluate Graduate Medical Education FundingGAO-18-240: Published: Mar 9, 2018. Publicly Released: Mar 29, 2018.
Mar 28, 2018
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Food and Drug Administration:
Information on Mifeprex Labeling Changes and Ongoing Monitoring EffortsGAO-18-292: Published: Mar 28, 2018. Publicly Released: Mar 28, 2018.
Mar 23, 2018
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Comparative Effectiveness Research:
Activities Funded by the Patient-Centered Outcomes Research Trust FundGAO-18-311: Published: Mar 23, 2018. Publicly Released: Mar 23, 2018.
Mar 19, 2018
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New Trauma Care System:
DOD Should Fully Incorporate Leading Practices into Its Planning for Effective ImplementationGAO-18-300: Published: Mar 19, 2018. Publicly Released: Mar 19, 2018.
Mar 8, 2018
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Health Care Funding:
Federal Obligations to and Expenditures by Selected Organizations Involved in Health-Related Activities, Fiscal Years 2013-2015GAO-18-204R: Published: Mar 6, 2018. Publicly Released: Mar 8, 2018.
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