Medicaid: HCFA and States Could Work Together to Better Ensure the Integrity of Providers
T-HEHS-00-159
Published: Jul 18, 2000. Publicly Released: Jul 18, 2000.
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Highlights
Pursuant to a congressional request, GAO discussed the Health Care Financing Administration's (HCFA) efforts to better ensure the integrity of providers who bill the Medicaid program, focusing on: (1) why it is important to take steps to ensure that only honest providers bill federal health care programs; (2) what Medicare is doing to strengthen its provider enrollment process; (3) what states are doing to ensure provider integrity in the Medicaid program; and (4) what additional opportunities exist to improve these efforts.
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Claims processingFraudHealth care programsHealth insuranceHealth insurance cost controlInternal controlsMedicaidProgram abusesState-administered programsMedicare