Share
Medicare Program Integrity: greater prepayment control efforts could increase savings and better ensure proper payment: report to congressional re (in English)
U. S. Government Accountability Office
(Author)
·
Createspace Independent Publishing Platform
· Paperback
Medicare Program Integrity: greater prepayment control efforts could increase savings and better ensure proper payment: report to congressional re (in English) - Office, U. S. Government Accountability
$ 19.99
$ 24.99
You save: $ 5.00
Choose the list to add your product or create one New List
✓ Product added successfully to the Wishlist.
Go to My WishlistsIt will be shipped from our warehouse between
Wednesday, July 03 and
Thursday, July 04.
You will receive it anywhere in United States between 1 and 3 business days after shipment.
Synopsis "Medicare Program Integrity: greater prepayment control efforts could increase savings and better ensure proper payment: report to congressional re (in English)"
" CMS reported an improper payment rate of 8.6 percent ($28.8 billion) in the Medicare fee-for-service program for fiscal year 2011. To help ensure that payments are made properly, CMS uses controls called edits that are programmed into claims processing systems to compare claims data to Medicare requirements in order to approve or deny claims or flag them for further review. GAO was asked to assess the use of prepayment edits in the Medicare program and CMS's oversight of MACs, which process claims and implement some edits. This report examines the extent to which (1) CMS and its contractors employed prepayment edits, (2) CMS has designed adequate processes to determine the need for and to implement edits based on national policies, and (3) CMS provides information, oversight, and incentives to MACs to promote use of effective edits. GAO analyzed Medicare claims for consistency with selected coverage policies, reviewed CMS and contractor documents, and interviewed officials from CMS and selected contractors. "
- 0% (0)
- 0% (0)
- 0% (0)
- 0% (0)
- 0% (0)
All books in our catalog are Original.
The book is written in English.
The binding of this edition is Paperback.
✓ Producto agregado correctamente al carro, Ir a Pagar.