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NCJ Number: 48024 Add to Shopping cart Find in a Library
Title: MEDICARE-MEDICAID ANTIFRAUD AND ABUSE AMENDMENTS - JOINT HEARING BEFORE THE HOUSE SUBCOMMITTEE ON HEALTH AND THE SUBCOMMITTEE ON HEALTH AND THE ENVIRONMENT, 95TH CONGRESS, 1ST SESSION ON H.R. 3, MARCH 3, 7, 1977
Author(s): ANON
Corporate Author: US Congress
House Cmtte on Ways and Means
United States of America
Date Published: 1977
Page Count: 507
Sponsoring Agency: National Institute of Justice/
Rockville, MD 20849
US Congress
Washington, DC 20510
Publication Number: SERIAL 95-7
Sale Source: National Institute of Justice/
NCJRS paper reproduction
Box 6000, Dept F
Rockville, MD 20849
United States of America

US Congress
House Cmtte on Ways and Means
Washington, DC 20510
United States of America
Document: PDF
Type: Legislative/Regulatory Material
Language: English
Country: United States of America
Annotation: A JOINT HEARING BEFORE TWO HOUSE SUBCOMMITTEES WAS HELD IN MARCH 1977 TO CONSIDER A BILL THAT WOULD STRENGTHEN THE CAPABILITY OF GOVERNMENT TO DETECT AND PROSECUTE FRAUD IN THE MEDICARE AND MEDICAID PROGRAMS.
Abstract: THE BILL (H.R. 3) IS NOT INTENDED TO ELIMINATE EVERY FRAUDULENT OR ABUSIVE PRACTICE; RATHER, IT IS VIEWED AS AN INITIAL RESPONSE BY THE CONGRESS THAT FRAUDULENT PRACTICES SHOULD STOP. INCREASED ATTENTION IS BEING FOCUSED ON PROBLEMS OF FRAUD AND ABUSE IN ALL FEDERAL HEALTH FINANCING PROGRAMS, BUT THE MEDICARE AND MEDICAID PROGRAMS ARE EMPHASIZED. TESTIMONY PERTAINING TO SPECIFIC PROVISIONS OF THE BILL AND OTHER PROPOSALS ON ELIMINATING FRAUDULENT PRACTICES IS PRESENTED. SPECIFIC CONSIDERATION IS GIVEN TO THE FOLLOWING FACTORS: THE IMPORTANCE OF IMPROVED LEGISLATION AT ALL LEVELS OF GOVERNMENT; COST CONTAINMENT; SERVICE IMPROVEMENT; THE USE OF EXISTING AUTHORITIES OR THE CREATION OF NEW AUTHORITIES TO CURB FRAUD AND ABUSE; DHEW EXPENDITURES AND PROGRAM ACTIVITIES; THE POSSIBILITY OF IMPOSING A CRIMINAL PENALTY FOR CERTAIN PRACTICES; BILLING AND FINANCIAL MANAGEMENT PROCEDURES; AND THE ROLE OF INNOVATIVE HEALTH SYSTEM ORGANIZATIONAL ARRANGEMENTS (PROFESSIONAL STANDARDS REVIEW ORGANIZATIONS, HEALTH MAINTENANCE ORGANIZATIONS, AND NATIONAL HEALTH INSURANCE) IN THE MEDICARE AND MEDICAID PROGRAM. PRESENTATIONS WERE MADE AT THE JOINT HEARING BY GOVERNMENT OFFICIALS, INSURANCE COMPANY REPRESENTATIVES, PROFESSIONAL ASSOCIATION REPRESENTATIVES, AND CONSUMER GROUPS. MATERIAL NOT CONTAINED IN FORMAL PRESENTATIONS WAS SUBMITTED FOR THE RECORD.
Index Term(s): Federal programs; Fraud; Legislation; Medical and dental services
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http://www.ncjrs.gov/App/publications/abstract.aspx?ID=48024

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