By Bankrupting America
On July 21, The Government Accountability Office (GAO) announced the systems Centers for Medicare Medicaid Services (CMS) uses to detect fraud and abuse might not be working properly. According to the report, “Two of CMS’s procedures appear to be working to screen for providers and suppliers listed as deceased or excluded from participating in federal programs or health care– related programs. However, GAO identified the following weaknesses in the other two procedures: CMS’s verification of provider practice location and physician licensure status.” Today’s Top 5 Things To Know will take a closer look at the report.
- In Total, Medicare Paid $554.2 Billion For Health Care And Health Care-Related Services During Fiscal Year 2014. According to the GAO, “Medicare is the federally financed health-insurance program for persons age 65 or over, certain individuals with disabilities, and individuals with end-stage renal disease.1 In fiscal year 2014, Medicare paid $554.2 billion for health care and health care–related services.”
- CMS Estimated That Roughly $59.9 Billion, Or 10.8 Percent Was Paid Out Improperly Leading To Medicare Being Classified As A “High-Error” Program. The GAO reported, “According to the Centers for Medicare Medicaid Services (CMS)—the agency within the Department of Health and Human