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NCJRS Abstract

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NCJ Number: 76447 Add to Shopping cart Find in a Library
Title: Abuse of the Medicare Home Health Program - Hearings Before the Senate Special Committee on Aging, August 28, 1979
Corporate Author: US Congress
Senate Special Cmtte on Aging
United States of America
Date Published: 1979
Page Count: 85
Sponsoring Agency: National Institute of Justice/
Rockville, MD 20849
Superintendent of Documents, GPO
Washington, DC 20402
US Congress
Washington, DC 20575
Sale Source: Superintendent of Documents, GPO
Washington, DC 20402
United States of America

National Institute of Justice/
NCJRS paper reproduction
Box 6000, Dept F
Rockville, MD 20849
United States of America
Document: PDF
Type: Legislative/Regulatory Material
Language: English
Country: United States of America
Annotation: These Senate hearings were conducted to examine the issue of abuse of the medicare home health program through fraudulent or padded charges made by some home health agencies.
Abstract: Testimony was presented by the Deputy Inspector General of the United States and the acting director of the Bureau of Quality Control of the Health Care Financing Administration (FCFA). In addition, the U.S. attorney from the southern district of Florida, the president of the Florida Association of Home Health Agencies (FAHHA), and the chairman of the Home Health Services Association (HHSA) also presented testimony. The Office of the Inspector General detailed components of Project Integrity III, a major investigative and audit initiative dealing with three classes of institutional health care providers -- moving homes, hospitals, and home health agencies. The HCFA plans to focus their review activity in Florida in two broad areas: utilization review (questioning the appropriateness of home health care being rendered and billed) and detailed audits of recent cost reports. The FAHHA outlined their efforts at the development of a code of ethics. The HHSA called for provisions for regional designation of local fiscal intermediaries as well as a single-nation intermediary of home health agencies, resulting in more uniform audit standards and reporting controls and enabling better investigations of cost reports. Appendixes contain correspondence related to the hearing, the FAHHA code of ethics, and statements submitted by the audience.
Index Term(s): Law reform; Legislation; Medicaid/Medicare fraud
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