Medicare Improper Payments : While Enhancements Hold Promise for Measuring Potential Fraud and Abuse, Challenges Remain

Reviews the Health Care Fin Admin's. (HCFA) efforts to enhance the measurement of improper payments in the Medicare fee-for-service program. Identifies structural problems that exist in the Medicare claims processing system which contribute to vulnerabilities resulting in erroneous Medicare payments. Focuses on: what HCFA proposals have been designed or initiated to measure Medicare improper payments; & the status of these proposals & initiatives & how they will enhance HCFA's ability to comprehensively measure improper Medicare payments & the frequency of kickbacks, false claims, & other inappropriate provider practices. Tables.Daly, Kay is the author of 'Medicare Improper Payments : While Enhancements Hold Promise for Measuring Potential Fraud and Abuse, Challenges Remain', published 2001 under ISBN 9780756708962 and ISBN 0756708966.