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Diane Publishing Books
Medicare Program Integrity: Contractors Reported Generating Savings, but CMS Could Improve Its Oversight
Kathleen M. King (au)
GAO has designated Medicare as a high-risk program, in part because its size and complexity make it particularly vulnerable to fraud. To help detect and prevent potential Medicare fraud, the Centers for Medicare & Medicaid Services (CMS) -- the agency within the Department of Health and Human Services (HHS) that administers the Medicare program -- contracts with Zone Program Integrity Contractors (ZPICs). These contractors are to identify potential fraud, investigate it thoroughly and in a timely manner, and take swift action, such as working to revoke suspect providersäó» Medicare billing privileges and referring potentially fraudulent providers to law enforcement. This report examined (1) ZPIC contract costs and how ZPICs use those funds, (2) the results of ZPICsäó» work, and (3) the results of CMSäó»s evaluations of ZPICsäó» performance and aspects of CMSäó»s evaluation practices. Tables and figures. This is a print on demand report.
Calendars & Constellations of the Ancient World
Gates of the Alamo
Live Now, Age Later: Proven Ways to Slow Down the Clock
Behavior & Learning of Animal Babies
Mammoth Book of Cats: A Collection of Stories, Verse & Prose
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