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Start Over Formats Text ✖Remove constraint Formats: Text Collections Health Policy and Services Research ✖Remove constraint Collections: Health Policy and Services Research Subjects Financial Audit ✖Remove constraint Subjects: Financial Audit Languages English ✖Remove constraint Languages: English

1. Enhancements needed in the tracking and collection of Medicare overpayments identified by ZPICS and PSCS

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, September 2017
Subject(s):
Financial Audit
Insurance, Health, Reimbursement
Medicare -- economics
Contract Services
Durable Medical Equipment -- economics
Home Care Services -- economics
Hospice Care -- economics
Information Dissemination
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

2. Medicare Advantage appeal outcomes and audit findings raise concerns about service and payment denials

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, September 2018
Subject(s):
Health Services Accessibility
Insurance Claim Review -- statistics & numerical data
Insurance Coverage
Insurance, Health, Reimbursement
Medicare Part C
Financial Audit
Insurance Claim Review -- economics
Managed Care Programs
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

3. Medicaid program integrity: CMS should build on current oversight efforts by further enhancing collaboration with states : report to the Chairman, Committee on Finance, U.S. Senate

Publication:
Washington, D.C. : U.S. Government Accountability Office, March 2017
Subject(s):
Financial Audit
Fraud -- prevention & control
Insurance, Health, Reimbursement
Medicaid -- economics
Program Evaluation
Contract Services
Managed Care Programs
State Government
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

4. Program integrity after the enactment of health reform

Publication:
Washington, D.C. : American Hospital Association, [2011]
Subject(s):
Fraud -- prevention & control
Health Care Reform -- organization & administration
Hospitals -- ethics
Insurance Claim Review -- statistics & numerical data
Insurance Claim Review -- trends
Medicaid -- ethics
Medicare -- ethics
Contract Services
Disclosure
Economics, Hospital
Fee-for-Service Plans -- ethics
Financial Audit
Forecasting
Government Regulation
Interinstitutional Relations
Humans
United States
United States.
Centers for Medicare & Medicaid Services (U.S.)

5. Medicare Advantage program integrity: CMS's efforts to ensure proper payments and identify and recover improper payments : testimony before the Subcommittee on Oversight, Committee on Ways and Means, House of Representatives

Publication:
Washington, D.C. : U.S. Government Accountability Office, July 19, 2017
Subject(s):
Financial Audit
Fraud -- prevention & control
Insurance, Health, Reimbursement
Medicare Part C -- economics
Fee-for-Service Plans -- economics
Insurance Claim Review
Humans
United States
Centers for Medicare & Medicaid Services (U.S.)

6. Recognizing destabilization in the individual health insurance market

Publication:
[Washington, D.C.] : AcademyHealth, [2010]
Subject(s):
Deductibles and Coinsurance -- economics
Financing, Personal
Insurance, Health -- economics
Insurance, Health -- trends
Marketing of Health Services -- economics
Private Sector -- economics
Deductibles and Coinsurance -- legislation & jurisprudence
Financial Audit
Forecasting
Government Regulation
Health Care Reform -- economics
Health Care Reform -- legislation & jurisprudence
Insurance, Health -- legislation & jurisprudence
Marketing of Health Services -- legislation & jurisprudence
Rate Setting and Review -- methods
Humans
United States

9. Medicare could save millions if it implements an expanded hospital transfer payment policy for early discharges to post acute care

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, October 2023
Subject(s):
Financial Audit
Government Regulation
Medicare Part A -- economics
Medicare Part A -- organization & administration
Patient Transfer -- economics
Subacute Care -- economics
United States

10. South Dakota MMIS and E&E system security controls were partially effective and improvements are needed

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, October 2023
Subject(s):
Computer Security -- legislation & jurisprudence
Financial Audit
Government Regulation
Health Information Systems -- legislation & jurisprudence
Medicaid -- organization & administration
South Dakota