Medicare: Control Over Fraud and Abuse Remains Elusive
T-HEHS-97-165
Published: Jun 26, 1997. Publicly Released: Jun 26, 1997.
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Highlights
GAO discussed the problem of fraud and abuse in the Medicare program, focusing on: (1) the anti-fraud-and-abuse tools available to Medicare; (2) the extent to which and how effectively they are used by the Health Care Financing Administration (HCFA); and (3) recent legislative activity aimed at improving program safeguards.
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Topics
Claims processingFraudHealth care programsHealth maintenance organizationsInternal controlsMedical expense claimsMedical information systemsMedicareProgram abusesProposed legislation