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Medicare Provider Education : Oversight Of Efforts To Reduce Improper Billing Needs Improvement : Report To The Chairman, Committee On Finance, U.S. Senate.
Product Code:
9781548830960
ISBN13:
9781548830960
Condition:
New
$10.65
Medicare Provider Education : Oversight Of Efforts To Reduce Improper Billing Needs Improvement : Report To The Chairman, Committee On Finance, U.S. Senate.
$10.65
For fiscal year 2016, HHS reported an estimated 11 percent improper payment rate and $41.1 billion in improper payments in the Medicare fee-for-service program. To help ensure payments are made properly, CMS contracts with MACs to conduct provider education efforts. CMS cites the MACs' provider education department efforts as an important way to reduce improper payments. GAO was asked to examine MACs' provider education department efforts and the results of MACs' probe and educate reviews. This report examines (1) the focus of MACs' provider education department efforts to help reduce improper billing and CMS oversight of these efforts and (2) the extent to which CMS measured the effectiveness of the MAC probe and educate reviews. GAO reviewed and analyzed CMS and MAC documents and MAC probe and educate review data for 2013-2016; interviewed CMS and MAC officials; and assessed CMS's oversight activities against federal internal control standards.
| Author: U.s. Government Accountability Office |
| Publisher: CreateSpace Independent Publishing Platform |
| Publication Date: Jul 12, 2017 |
| Number of Pages: 36 pages |
| Language: English |
| Binding: Paperback |
| ISBN-10: 1548830968 |
| ISBN-13: 9781548830960 |
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