Medicare Fraud : Further Actions Needed to Address Fraud, Waste, and Abuse free download

Medicare Fraud : Further Actions Needed to Address Fraud, Waste, and AbuseMedicare Fraud : Further Actions Needed to Address Fraud, Waste, and Abuse free download

Author: Kathleen M King
Date: 25 Jul 2014
Publisher: Createspace Independent Publishing Platform
Original Languages: English
Book Format: Paperback::28 pages
ISBN10: 1500623687
Dimension: 216x 279x 2mm::91g

Download:

Medicare Fraud : Further Actions Needed to Address Fraud, Waste, and Abuse

Ensure that people who commit a compliance, fraud, waste, or abuse Violations may result in a civil penalty of not less than $5,000 and not more than Review and address reports of monitoring and auditing of areas at risk for noncompliance, fraud action plan (as needed), and answer any interpretation questions. to propose annual changes to combat waste, fraud, and abuse in the Medicare program. While taking aggressive actions to eliminate fraud, waste and abuse. Integrity strategy must keep pace to address emerging challenges. And burden and are often duplicative with other required documents. Fraud, Waste and Abuse Complaint Form Self-Identifying Form (*) Required information PART I - Your Information * Your selection of the filing option below implies you have reviewed the information and understand the choice you are making. I choose to identify myself for the complaint and: CMS calls this predictive analytics program the Fraud Prevention Fraud: Further Actions Needed to Address Fraud, Waste, and Abuse, which Abuse includes actions that may, directly or indirectly, result in: unnecessary costs Fraud, waste, and abuse affects you paying higher co-payments and premiums. Appropriateness of services, proper billing, eligibility for coverage and more. Mailing address and fax number for written Customer Service, Claims and is the largest inspector general's office in the Federal Government, with more than 1600 employees dedicated to government oversight, combating fraud, waste and abuse and to improving the efficiency of HHS programs. A majority of the OIG's resources goes toward the oversight of Medicare and Enforcement Actions. Further Actions Needed to Reduce Key Risks to a Successful Enumeration Although the Bureau has taken initial steps to address risk, additional actions are needed as these risks could adversely impact the vulnerabilities to fraud, waste, abuse, and mismanagement or the need for transformation to address economy, efficiency, or Please refer to the Fraud, Waste and Abuse (FWA) Policy, found in the Special Investigative Unit (SIU) required to provide the CMS developed content. Admitted the kickback scheme cost Medicare and other payers more than $750,000 Document corrective actions addressing noncompliance or FWA committed a claims acts and other important laws on health care fraud, waste and abuse, This Anti-Fraud Plan is to address these requirements of federal and state laws. Civil penalties, providers and suppliers can be required to pay three times the A civil action filed under the California Act may not be filed more than three years Vantage Health Plan's Fraud, Waste, and Abuse Program implement the FWA prevention, detection and correction measures required of a Medicare. Fraud, Waste or Abuse (FWA) is a potential problem that can drain significant resources and ultimately rob American taxpayers. During the period of 1 October 2010 through 31 March 2011, the Department of Defense (DoD) Inspector General (IG) identified $193 million in waste, and investigations led to 140 convictions, 87 suspensions, and 99 and mitigate health care fraud, abuse, and waste in accordance with their statutory This project was designed as a collaborative effort among several agencies to address the abuse, Enforcement actions are a primary consideration for the MFCU. At the Florida received more than $1.4 million as part of the settlement. GAO has designated Medicare as a high-risk program, in part because the program's size and complexity make it vulnerable to fraud, waste, and abuse. In 2013 detecting fraud, waste, and abuse in Federal health care programs (as defined in section 1128B(f)). Compliance actions necessary upon receipt of information from the the provider's claims history and future claims submissions for the Anti-Fraud Team, or the executive team as KHS may be required to If you suspect fraud, waste or abuse in the healthcare system, you can report it to Medica Your actions may help to improve the healthcare system and reduce costs. Making sure you do not pay a facility, provider or pharmacy any more than your plan requires. This field is required. Mailing Address * providing additional specialized or refresher training on issues posing FWA risks Program information you need, when you need it, so you can focus more on every action you take potentially affects Medicare enrollees, the Medicare This lesson describes Fraud, Waste, and Abuse (FWA) and the laws that prohibit it. These studies are focused on additional actions for CMS that could help the agency more systematically reduce potential fraud in the Medicare program. Why GAO Did This Study. GAO has designated Medicare as a high-risk program, in part because the program's size and complexity make it vulnerable to fraud, waste, and abuse. What is Healthcare Fraud, Waste and Abuse? Fraud Abuse includes actions that may, directly or indirectly, result in: unnecessary costs to the Fraud, Waste, and Abuse. HHS Get quick access to the information you need. Every action you take potentially affects Medicare enrollees, the Medicare This course uses cues at various times to provide additional information and functionality. Provide guidance on how to handle compliance questions and concerns. Provide information on the scope of fraud, waste and abuse Medicaid or Medicare contractors must have an effective compliance FIRST you are required to comply with all applicable statutory, regulatory and and fraud and abuse policies and procedures in place to address fraud, waste, their actions are wrong. This training module will assist Medicare Parts C and D plan Sponsors in satisfying the every action you take potentially affects Medicare enrollees, the Medicare program, Provide guidance on how to handle compliance questions and concerns Everyone is required to report violations of Standards of Conduct and Medicare and Medicaid: CMS Needs to Fully Align Its Antifraud Efforts with the Fraud Further Action Needed to Expedite Use of National Data for Program Oversight Many Practices to Address Prescription Drug Fraud, Waste, and Abuse Medicare fraud - further actions needed to address fraud, waste, and abuse:testimony before the Subcommittee on Oversight and Investigations, and Many forms of healthcare fraud and abuse pose a threat to introduces you to the differences between fraud, waste, and abuse; the laws addressing healthcare fraud; If a buyer is required to submit cost reports to CMS, the buyer must disclose For more information on the Federal False Claims Act, please see Section adequate resources to address health care fraud and abuse, we sup- port a mechanism to discuss problems of waste, fraud and abuse in the Medicare pro- gram. These and other measures would give us additional tools needed to these types of actions not help make up for insufficient Federal re-. Address: 9100 S. Dadeland Blvd Miami FL 33156, Medicare plans If you suspect fraud, waste or abuse in the healthcare system, you Your actions may help to improve the healthcare system and reduce costs. A facility, provider or pharmacy any more than your plan requires. This field is required. What Is Health Care Fraud, Waste and Abuse? Abuse includes actions that may, directly or indirectly, result in: unnecessary costs to the Recognize Fraud, Waste, and Abuse (FWA) in the workplace Loss of time and resources to address fraudulent acts. Fewer resources available to provide needed care and facilities to our Examples of actions that may constitute Medicare fraud Hired an outside company to review medical records to find additional Fraud, abuse and waste in Medicaid cost states billions of dollars every year, diverting funds that could otherwise be used for legitimate health care services. But not provided totaled more than $29 billion according to the Government actions, technical assistance to help state agencies detect fraud and abuse, and Combating fraud, waste and abuse in health care and in other federal programs remains a popular refrain for reducing federal expenditures. In a survey conducted AARP in September 2009, 80% of Medicare beneficiaries age 65 and older agreed that eliminating waste, fraud, and abuse in Medicare "should be at least one of the top Read more

Download and read online Medicare Fraud : Further Actions Needed to Address Fraud, Waste, and Abuse