Medicare (81 - 90 of 108 items)
Use of a Separate Carrier To Process Medicare Claims for Railroad Retirement Beneficiaries
HRD-84-54: Published: Sep 26, 1984. Publicly Released: Oct 25, 1984.
Pursuant to a congressional request, GAO updated the findings and conclusions of a previous report which recommended that the Medicare claims for physicians' and other medical services applicable to beneficiaries of the Railroad Retirement Board be processed by the same contractors that process such claims for most other Medicare beneficiaries.GAO noted that, although its recommendation concerning...
Inadequate Controls Over Medicare Payments for Once-in-a-Lifetime Physician Procedures
HRD-84-23: Published: Feb 13, 1984. Publicly Released: Feb 13, 1984.
GAO evaluated the controls that Medicare carriers have over payments for once-in-a-lifetime physician procedures. The Health Care Financing Administration (HCFA) promulgates program regulations and defines such procedures as certain types of surgical operations and initial service visits.GAO found that there is a fairly widespread lack of compliance with the HCFA requirement to control payments fo...
Improving Medicare and Medicaid Systems To Control Payments for Unnecessary Physicians' Services
HRD-83-16: Published: Feb 8, 1983. Publicly Released: Feb 8, 1983.
GAO reviewed the Medicare and Medicaid programs to assess the mechanisms that paying agents under these programs are using to identify and prevent reimbursement to physicians and suppliers for medically unnecessary services and to recoup payments made for such services. The objectives of the review were to: (1) assess and compare the costs and benefits of the prepayment and postpayment utilization...
Medicare Payments for Services of Supervisory and Teaching Physicians at Jackson Memorial Hospital
B-164031(4): Published: Nov 13, 1970. Publicly Released: Nov 12, 1982.
No summary is currently available...
Review of Medicare Payments for Services of Salaried Supervisory and Teaching Physicians at Herman Kiefer Hospital
B-164031(4): Published: Aug 21, 1970. Publicly Released: Nov 12, 1982.
No summary is currently available...
Preliminary Findings on Patient Characteristics and State Medicaid Expenditures for Nursing Home Care
IPE-82-4: Published: Jul 15, 1982. Publicly Released: Jul 16, 1982.
In response to a congressional request, GAO presented preliminary findings on State nursing home expenditures and the characteristics of patients in nursing homes. Congress is reviewing proposed changes in the inspection and certification procedures for nursing homes.Current inspection and certification procedures are designed to insure that nursing homes with Medicaid and Medicare residents meet...
Availability of Nurse-Midwife Services Under Federal Health Care Programs
HRD-82-79: Published: Jun 4, 1982. Publicly Released: Jun 4, 1982.
In response to a congressional request, GAO reviewed the availability of the services of nurse-midwives under various Federal health care programs.GAO provided detailed information obtained in discussions with agency officials on the availability and use of nurse-midwives in these programs. Officials in each agency which GAO contacted generally supported the use of nurse-midwives. However, there i...
Information on Health Development Corporation
HRD-81-114: Published: Jun 26, 1981. Publicly Released: May 24, 1982.
GAO was asked for information relating to the Health Development Corporation (HDC). The objectives of the review were to determine whether community and migrant health centers were complying with certain legislative requirements and to assess the Department of Health and Human Services' (HHS) management and administrative practices relating to community and migrant health center programs.Because o...
Need To Recover Medicare Part B Duplicate Payments in Illinois
HRD-82-67: Published: Apr 30, 1982. Publicly Released: Apr 30, 1982.
As part of a GAO review of Medicare contracting to identify specific cases of duplicate payments and to help facilitate the recovery of these overpayments, GAO developed a computer program which identified a substantial number of actual and potential duplicate payments made by an Illinois carrier.Of the line items which GAO reviewed, 57 percent represented duplicate payments with allowed amounts t...
Data Used by HCFA in Preparing Its Proposal for the End Stage Renal Disease Program
117799: Mar 15, 1982
Medicare coverage is provided to persons suffering from kidney failure who are insured under the Social Security Act or are dependents of an insured person. The End Stage Renal Disease (ESRD) Program, which provides this coverage, is generally considered effective in protecting beneficiaries from the catastrophic costs associated with caring for a person with renal failure. However, large and rapi...