Contractor Oversight and Funding Need Improvement

T-HRD-92-32: Published: May 21, 1992. Publicly Released: May 21, 1992.

Additional Materials:


Office of Public Affairs
(202) 512-4800

GAO discussed the Medicare Program's efforts to make timely and accurate payments to medical providers and reduce fraud, waste, and abuse. GAO noted that: (1) Medicare contractors have considerable latitude in setting and implementing payment and safeguard policies; (2) the Health Care Financing Administration (HCFA), which administers Medicare, has tried to reduce the number of Medicare contractors and adopt uniform data processing systems; (3) HCFA provides no guidance to Medicare contractors on investigating beneficiary complaints and, as a result, many complaints are not referred to investigators or are not adequately investigated; (4) HCFA does not provide adequate guidance to contractors on recovering hospital overpayments; (5) contractors have weak controls over Medicare billings; (6) HCFA has not adequately overseen the establishment of payment methods for emerging medical technologies; and (7) budget cuts have undermined HCFA efforts to prevent Medicare fraud, waste, and abuse.

Jan 21, 2021

Jan 14, 2021

Jan 4, 2021

Dec 22, 2020

Dec 16, 2020

Dec 14, 2020

Dec 10, 2020

Looking for more? Browse all our products here