Lengthy Delays in Settling the Costs of Health Services
Author: United States. General Accounting Office
Publisher:
Published: 1971
Total Pages: 98
ISBN-13:
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Author: United States. General Accounting Office
Publisher:
Published: 1971
Total Pages: 98
ISBN-13:
DOWNLOAD EBOOKAuthor: United States. General Accounting Office
Publisher:
Published: 1971
Total Pages: 116
ISBN-13:
DOWNLOAD EBOOKAuthor: United States. General Accounting Office
Publisher:
Published: 1971
Total Pages: 103
ISBN-13:
DOWNLOAD EBOOKAuthor: United States. General Accounting Office
Publisher:
Published: 1971
Total Pages: 103
ISBN-13:
DOWNLOAD EBOOKAuthor: U S Government Accountability Office (G
Publisher: BiblioGov
Published: 2013-06
Total Pages: 28
ISBN-13: 9781289044695
DOWNLOAD EBOOKGAO, in its continuing effort to improve the effectiveness of the Government's collection operations reviews agency operations periodically. One such review involved part A of the Medicare program which covers in-patient hospital services, post-hospital care in skilled nursing facilities, and care in the patient's home. The Bureau of Health Insurance administers this program. The law authorizes the Secretary of Health, Education, and Welfare to contract with intermediaries to pay hospitals and institutions for beneficiaries' care. The Medicare program became effective July 1, 1966. Under Medicare reimbursement principles, intermediaries pay interim payments, not less than once a month, to providers of services for the reasonable cost of such services to beneficiaries. Providers submit cost reports to account for all costs incurred. GAO found that overpayments arise because interim payments are too high, providers fail to file cost reports, or providers bill for excessive or noncovered services to beneficiaries. Uncollectable payments are referred to GAO for possible referral to the Department of Justice for enforced collection proceedings. GAO was concerned that overpayments made during the early years of the program would be barred under the 6-year statute of limitations, resulting in possible losses of millions of dollar to the Government. GAO told the Bureau of Health Insurance that under the statute of limitation the earliest possible date should be used in determining when the right of action first accrues.
Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on Oversight
Publisher:
Published: 1976
Total Pages: 16
ISBN-13:
DOWNLOAD EBOOKAuthor: National Library of Medicine (U.S.)
Publisher:
Published: 1971
Total Pages: 1008
ISBN-13:
DOWNLOAD EBOOKFirst multi-year cumulation covers six years: 1965-70.
Author: United States. General Accounting Office
Publisher:
Published: 1972
Total Pages: 72
ISBN-13:
DOWNLOAD EBOOKAuthor: United States. General Accounting Office
Publisher:
Published: 1971
Total Pages: 904
ISBN-13:
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