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Medicare: Contractors Screen Employees but Extent of Screening Varies

HEHS-00-135R Published: Jun 30, 2000. Publicly Released: Jun 30, 2000.
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Highlights

Pursuant to a congressional request, GAO provided information on the use of employee screening measures by Medicare claims administration and program safeguard contractors, focusing on the: (1) requirements the Health Care Financing Administration (HCFA) has placed on Medicare contractors to conduct employee background checks; (2) steps Medicare contractors are taking to ensure that employees are trustworthy in handling Medicare funds and sensitive information; and (3) costs to Medicare contractors of conducting background checks or using other employee screening measures.

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Claims processingContractor personnelCost analysisCriminal background checksDrug testingFraudHealth insuranceInternal controlsMedicareProgram abusesReporting requirements