Medicare at Risk: Emerging Fraud in Medicare Programs : Hearing Before the Permanent Subcommittee on Investigations of the Committee on Governmental Affairs, United States Senate, One Hundred Fifth Congress, First Session, June 26, 1997U.S. Government Printing Office, 1997 - 326페이지 |
도서 본문에서
96개의 결과 중 1 - 5개
6 페이지
... contractors to go in and find some of this fraud and abuse ? Can we expand the role of the IG ? The IGs have been a real success story . That is another one that was started by this Committee . As a re- sult of the expansion a few years ...
... contractors to go in and find some of this fraud and abuse ? Can we expand the role of the IG ? The IGs have been a real success story . That is another one that was started by this Committee . As a re- sult of the expansion a few years ...
16 페이지
... contractor for the District of Columbia was Inde- pendence Blue Cross . The contractor will pay that bill . If it is ... contractors to zero in on those providers that we think are most abusive , and we should do more periodic audits of ...
... contractor for the District of Columbia was Inde- pendence Blue Cross . The contractor will pay that bill . If it is ... contractors to zero in on those providers that we think are most abusive , and we should do more periodic audits of ...
31 페이지
... contractors get paid on the basis of the number of claims they process and on how quickly they process them . There is a cost per claim that I believe is under $ 1 or $ 2 for each claim they re- view . So we have to think about what is ...
... contractors get paid on the basis of the number of claims they process and on how quickly they process them . There is a cost per claim that I believe is under $ 1 or $ 2 for each claim they re- view . So we have to think about what is ...
32 페이지
... contractors do not receive the medical record that goes with that to determine whether the service was needed , how it was delivered by a physician , and so on . On the program safeguard side , the amount of money that has been given to ...
... contractors do not receive the medical record that goes with that to determine whether the service was needed , how it was delivered by a physician , and so on . On the program safeguard side , the amount of money that has been given to ...
34 페이지
... contractors processing Part B claims in 1994 , 17 of them - only 17 - could give us information identifying their medical policies and the pre - payment screens they used to ferret out obviously inaccurate claims . Of the 17 contractors ...
... contractors processing Part B claims in 1994 , 17 of them - only 17 - could give us information identifying their medical policies and the pre - payment screens they used to ferret out obviously inaccurate claims . Of the 17 contractors ...
기타 출판본 - 모두 보기
자주 나오는 단어 및 구문
accounts payable amount ARNOLD DIAZ audit benefit billed Medicare billing code Bucy carriers claims processing controls conviction corporate cost reports criminal detect disenrollment documentation dollars durable medical equipment enrolled ensure equipment and supplies estimate example False Claims Act Federal fee-for-service financial statements fraud and abuse fraudulent funding HCFA HCFA's HCPCS Health Care Financing health care fraud health care providers HIPAA home health agencies home health claims home health services hospital Human Services identified implement improper payments Inspector intermediaries investigation kickbacks laboratory legislation LYNN SHERR managed managed care MANGANO Medicaid medical necessity medical records medical review Medicare accounts Medicare and Medicaid Medicare beneficiaries Medicare claims Medicare contractors Medicare payments Medicare program Medicare's million monitoring nursing home paid patients percent physician plans problems procedures prosecution qui tam Senator COLLINS Senator GLENN Siddiqi submitted suppliers VLADECK white collar crime
인기 인용구
120 페이지 - Any person who willfully aids or assists in, or procures, counsels or advises, the preparation or presentation under, or in connection with any matter arising under, the internal revenue laws, of a false or fraudulent return, affidavit, claim, or document, shall (whether or not such falsity or fraud is with the knowledge or consent of the person authorized or required to present such return...
121 페이지 - The applicable rule is that where the same act or transaction constitutes a violation of two distinct statutory provisions, the test to be applied to determine whether there are two offenses or only one, is whether each provision requires proof of an additional fact which the other does not.
119 페이지 - ... any person who willfully attempts in any manner to evade or defeat any tax imposed by this title or the payment thereof, shall, in addition to other penalties provided by law, be guilty of a felony and, upon conviction thereof, be fined not more than $10,000, or imprisoned for not more than five years, or both, together with the costs of prosecution.
119 페이지 - Willfully makes and subscribes any return, statement, or other document, which contains or is verified by a written declaration that it is made under the penalties of perjury, and which he does not believe to be true and correct as to every material matter ; or (2) AID OR ASSISTANCE.
140 페이지 - It is more analogous to the Grand Jury, which does not depend on a case or controversy for power to get evidence but can investigate merely on suspicion that the law is being violated, or even just because it wants assurance that it is not.
119 페이지 - Whoever embezzles, steals, purloins, or knowingly converts to his use or the use of another, or without authority, sells, conveys or disposes of any record, voucher, money, or thing of value of the United States or of any department or agency thereof, or any property made or being made under contract for the United States or any department or agency thereof; or...
118 페이지 - Whoever, having devised or intending to devise any scheme or artifice to defraud, or for obtaining money or property by means of false or fraudulent pretenses, representations, or promises...
50 페이지 - Do you swear that the testimony that you are about to give to the Subcommittee will be the truth, the whole truth, and nothing but the truth, so help you, God?
118 페이지 - If two or more persons conspire either to commit any offense against the United States or to defraud the United States, or any agency thereof in any manner or for any purpose, and one or more of such persons do any act to effect the object of the conspiracy, each shall be fined not more than $10,000 or imprisoned not more than five years, or both.
118 페이지 - If the violation affects a financial institution, such person shall be fined not more than $1,000,000 or imprisoned not more than 30 years, or both.