Menu Search Account

LegiStorm

Get LegiStorm App Visit Product Demo Website
» Get LegiStorm App
» Get LegiStorm Pro Free Demo

Medicare Billing: Commercial System Could Save Hundreds of Millions Annually

  Premium   Download PDF Now (24 pages)
Report Type Reports and Testimonies
Report Date April 15, 1998
Report No. AIMD-98-91
Subject
Summary:

More than three years after GAO recommended that Medicare acquire commercial software to detect inappropriate billings--which could save hundreds of millions of dollars each year--the Health Care Financing Administration (HCFA) has tested the software and plans to install it. Incorrect billings, fraudulent and otherwise, cost Medicare about $1.7 billion in improper payments in 1997. This report analyzes HCFA's progress in testing and acquiring a commercial system for identifying inappropriate Medicare bills, the consequences of HCFA's initial management decisions, and its current plans for immediate implementation. GAO summarized this report in testimony before Congress; see: Medicare Billing: Commercial System Will Allow HCFA to Save Money, Combat Fraud and Abuse, by Joel C. Willemssen, Director of Civil Agencies Information Systems Issues, before the Subcommittee on Oversight and Investigations, House Committee on Commerce. GAO/T-AIMD-98-166, May 19 (12 pages).

« Return to search Government Accountability Office reports