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Medicare Contractors: Further Improvement Needed in Headquarters and Regional Office Oversight

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Report Type Reports and Testimonies
Report Date March 23, 2000
Report No. HEHS-00-46
Subject
Summary:

In overseeing Medicare claims administration contractors, the Health Care Financing Administration (HCFA) is not able to ensure effective accountability without a formal process for evaluating regional office performance. To do this, it would need to set expectations and develop standards for assessing regional offices' oversight performance, provide them with constructive feedback, and make comparative performance information available to HCFA's Administrator. It would also need to decide how to deal with regions whose performance is less than satisfactory. GAO recommends that HCFA use a consistently applied risk assessment methodology to help ensure that agency resources are used effectively and that it consolidate its review information and keep it up to date. HCFA should also identify and share best oversight practices among all reviewers.

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