TITLE

GAO blasts CMS for fraud-fighting tool delay

AUTHOR(S)
Carlson, Joe
PUB. DATE
July 2011
SOURCE
Modern Healthcare;7/18/2011, Vol. 41 Issue 29, p12
SOURCE TYPE
Trade Publication
DOC. TYPE
Article
ABSTRACT
The article focuses on the delay experienced by Centers for Medicare & Medicaid Services in incorporating Medicaid claims in its fraud-fighting tools. The system is expected to save 21 billion U.S. dollars over 10 years and its project cost has reached 161 million U.S. dollars. General Accounting Office managing director of information technology Joel Willemssen said that the efforts in integrating Medicaid claims are like what happened in the Medicare Transaction System that happened in the 1990s.
ACCESSION #
63230147

 

Related Articles

  • Fraud Prevention's ROI. Levine, David // Governing;May2013, Vol. 26 Issue 8, p22 

    The article focuses on medicaid fraud. It mentions about the policies introduced by the U.S. Centers for Medicare and Medicaid Services to eliminate fraud and discusses the "Medi-Cal Payment Error Study." It reports that fraud prevention had 445 million U.S. dollars positive impact on...

  • MMSEA Section 111 brings headaches for RMs.  // Healthcare Risk Management;Apr2010, Vol. 32 Issue 4, p43 

    The article offers information on the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) Section 111 rule established by the Centers for Medicare & Medicaid Services (CMS) which requires self-insured health care providers to report the data elements on the Responsible Reporting Entity...

  • Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment; Ambulatory Surgical Center Payment; Hospital Value-Based Purchasing Program; Physician Self- Referral; and Patient Notification Requirements in Provider Agreements; Corrections. Cannistra, Jennifer // Federal Register (National Archives & Records Service, Office of;4/24/2012, Vol. 77 Issue 79, p24409 

    The corrections to the final rule issued by the U.S. Centers for Medicare and Medicaid Services related to the amendments in the regulations of the Medicare and Medicaid programs that were published in November 30, 2011 issue of the journal is presented.

  • Off-trail in Oregon. Robeznieks, Andis // Modern Healthcare;5/7/2012, Vol. 42 Issue 19, p6 

    The article reports that Oregon lawmakers have created a system that will transform the state's Medicaid program, including reducing the healthcare costs. The program will create a system in which competing providers and payers form coordinate care organizations (CCO). Some of the unique...

  • CMS Launches New Tool to Combat Medical Fraud. Cowles, Carey; Krengel, Wally // O&P Business News;9/15/2011, Vol. 20 Issue 11, p4 

    The article reports on the move of the Department of Health and Human Services Centers for Medicare & Medicaid Services (CMS) to use an innovative predictive modeling technology to fight Medicare fraud in the U.S.

  • CMS to require provider re-validation for Medicare.  // Medical Device Daily;8/30/2011, Vol. 15 Issue 165, p9 

    The article reports that the U.S. Centers for Medicare & Medicaid Services (CMS) has asked providers that registered with the agency before March 25, 2011 to re-register again until March 23,2013 to prevent fraud.

  • CMS puts surveyors on alert for those 'gaming' system. Berklan, James M. // McKnight's Long-Term Care News;Oct2013, Vol. 34 Issue 10, p12 

    The article reports the steps taken by the U.S. Centers for Medicare & Medicaid Services (CMS) to close a loophole regarding the Medicare certification which involves deficiencies and ownership and mentions that the CMS has instructed surveyors on September 6, 2013 to monitor such deficiencies.

  • Closing a popular loophole. Lovern, Ed // Modern Healthcare;9/3/2001, Vol. 31 Issue 36, p16 

    Reports on the plan of the United States (U.S.) Centers for Medicare and Medicaid Services to issue a measure that will reduce Medicaid's upper payment limit on services provided by public hospitals and nursing homes. Information on the loophole in the Medicaid payment policy; Details on...

  • Don't play games with GME. Raske, Kenneth // Modern Healthcare;6/11/2007, Vol. 37 Issue 24, p20 

    The article presents the author's comment on the proposed regulation by the U.S. Centers for Medicare & Medicaid Services (CMS) that would eliminate federal Medicaid matching payments for the costs of graduate medical education. The author opines that the regulation would compromise the ability...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics