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Medicare: Methodology to Identify and Measure Improper Payments in the Medicare Program Does Not Include All Fraud

AIMD-00-69R Published: Feb 04, 2000. Publicly Released: Feb 04, 2000.
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Highlights

Pursuant to a congressional request, GAO provided information on the methodology used to estimate the $12.6 billion in Medicare improper payments, as reported by the Department of Health and Human Services' (HHS) Office of Inspector General (OIG) for fiscal year (FY) 1998, focusing on whether the methodology included tests to detect improper payments resulting from fraudulent and abusive schemes in the Medicare program.

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Topics

Evaluation methodsFederal agency accounting systemsFinancial statement auditsFraudHealth care programsInternal controlsMedicareOverpaymentsProgram abusesReporting requirements