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Medicare: HCFA's Use of Anti-Fraud-and-Abuse Funding and Authorities

机译：医疗保险：HCFa使用反欺诈和滥用资金和当局

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Health Insurance Portability and Accountability Act of 1996 (HIPAA), the Congressprovided important new resources and tools to fight health care fraud, abuse, and inappropriate payments. These new resources include increased funding for anti-fraud-and-abuse activities for the HHS OIG and the Health Care Financing Administration (HCFA), as well as for the Department of Justice and the Federal Bureau of Investigation. HIPAA also established the Medicare Integrity Program, which ensures increasing funding for HCFA's Medicare program safeguard efforts and authorizes the hiring of specialized anti-fraud contractors. The Congress also mandated that we periodically report on such aspects of the Medicare Trust Fund as the Comptroller General considers appropriate. Although HIPAA required us to report beginning on January 1, 2000, the Balanced Budget Act of 1997 advanced the initial reporting data to June 1, 1998. To address this requirements, we have assessed Health Care Financing Administration (HCFA's) progress in implementing the Medicare Integrity Program. Specifically, we are providing information on (1) what additional resources and authorities the Congress provided to HCFA through the Medicare Integrity Program, (2) how HCFA has made use of these resources and authorities to improve the protection of Medicare funds, and (3) how HCFA plans to use these authorities and resources in the future.

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年度 1998
页码 1-20
总页数 20
原文格式 PDF
正文语种 eng
中图分类工业技术;
关键词
Medicare; Fraud; Abuse; Funding; Resources; Authorities; Congress; Protection;

机译：医疗保险，欺诈，滥用，资金，资源，当局;大会;保护;

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专利

1. HCFA approves Medicare coverage of PET scans. [J] . Cave L Journal of the National Cancer Institute . 2001,第3期

机译：HCFA批准Medicare对PET扫描的承保范围。
2. Post-acute markets face Medicare, HCFA changes. [J] . Dougherty M Journal of AHIMA . 2000,第3期

机译：后急性市场面临Medicare，HCFA变化。
3. HCFA expands Medicare coverage of PET (news) [J] . Kotz D The Journal of Nuclear Medicine . 1999,第5期

机译：HCFA扩大了Medicare对PET的覆盖范围（新闻）
4. Time series forecasting of medicare fund expenditures based on historical data#x2014;Taking Dalian as an example [C] . Gang Qu, Cui Shengnan, Jiafu Tang Chinese Control and Decision Conference . 2014

机译：基于历史数据的医疗保险基金支出时间序列预测-以大连为例
5. Using Systems Dynamics Modeling to Demonstrate the Impact of Medicare Out of Pocket Cost Increases on Medicare Recipient Well-Being. [D] . Spence, Sean. 2017

机译：使用系统动力学建模来证明医疗保险的即时费用增加对医疗保险接收者幸福感的影响。
6. The results of a major demonstration and evaluation program undertaken by HCFA in 1989: the Medicare Alzheimers Disease Demonstration and Evaluation Program (MADDE). [O] . T F Williams 1999

机译：HCFA在1989年实施的一项主要示范和评估计划的结果：医疗保险阿尔茨海默氏病示范与评估计划（MADDE）。
7. Clinical performance measures: The changing status of peritoneal dialysis11Note: The Centers for Medicare and Medicaid Services (CMS), formerly the Health Care Financing Administration (HCFA) ESRD Core Indicators Study, supplied the data described in this report. The interpretation and reporting of these data are the responsibility of the authors and are not an official policy or interpretation of the Centers for Medicare and Medicaid Services. [O] . Flanigan Michael J., Rocco Michael V., Prowant Barbara, 2001

机译：临床表现指标：腹膜透析状态的变化11注：医疗保险和医疗补助服务中心（CMS），以前是医疗保健筹资管理局（HCFA）的ESRD核心指标研究，提供了本报告中描述的数据。这些数据的解释和报告是作者的责任，而不是Medicare和Medicaid Services中心的官方政策或解释。

Medicare: HCFA's Use of Anti-Fraud-and-Abuse Funding and Authorities

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