Author: Katherine M. Iritani
Publisher: DIANE Publishing
Keywords: hospital, care, costs, warranted, uncompensated, offset, ongoing, federal, oversight, payments, medicaid
Number of Pages: 53
Published: 2010-10
ISBN-10: 143792736X
ISBN-13: 9781437927368

In addition to standard Medicaid payments, hospitals receive supplemental payments for uncompensated costs of care provided to uninsured and Medicaid patients. These supplemental payments are referred to as disproportionate share hospital (DSH) payments. In FY 2006, DSH payments totaled about $17 billion and non-DSH supplemental payments exceeded $6 billion. Hospitals' DSH payments are limited to their uncompensated care costs, that is, their costs for covered care less Medicaid and other payments. This report examined: (1) how state DSH payments in 2006 compared to DSH payment limits; and (2)

Author: Kay L. Daly
Publisher: DIANE Publishing
Keywords: improper, payments, reducing, testimony, estimating, congressional, challenges, progress, made, remain
Number of Pages: 24
Published: 2010-02
ISBN-10: 1437916821
ISBN-13: 9781437916829

Improper payments are a long-standing, widespread, and significant problem in the fed. gov¿t. The Improper Payments Info. Act of 2002 (IPIA) has increased visibility over improper payments by requiring exec. branch agency heads to identify programs and activities susceptible to significant improper payments, estimate amounts improperly paid, and report on the amounts of improper payments and their actions to reduce them. This testimony addresses: (1) progress made in agencies' implementation of IPIA for FY 2008; and (2) several major challenges that continue to hinder full reporting of IPIA i

Author: Kathleen M. King
Publisher: DIANE Publishing
Keywords: medicare, anesthesia, services, differences, private, physician, payments, payment
Number of Pages: 272
Published: 2008-10
ISBN-10: 1428987541
ISBN-13: 9781428987548

In 2005 Medicare paid over $1.4 billion for anesthesia services (AS). These services are provided by anesthesia practitioners (AP), such as anesthesiologists and certified registered nurse anesthetists. A study found that Medicare payments for AS are lower than private payments. This difference may create regional discrepancies in the supply of AP. This report examines: the extent to which Medicare payments for AS were lower than private payments across Medicare payment localities; whether the supply of AP across Medicare payment localities was related to the differences between Medicare and p

Author: James C. Cosgrove
Publisher: DIANE Publishing
Keywords: spent, supplemental, payments, dollars, billions, cms, needs, information, medicaid
Number of Pages: 83
Published: 2009-02
ISBN-10: 1437907628
ISBN-13: 9781437907629

The financing of the $299 billion Medicaid program is shared between the fed. govżt. and states. States pay qualified providers for covered Medicaid services and receive fed. matching funds for expenditures authorized in their state Medicaid plans. In addition to these standard Medicaid payments, most states make supplemental payments to certain providers, which are also matched by fed. funds. This report provides info. about Medicaid supplemental payments and examines: (1) what info. states report about supplemental payments on Medicaid expenditure reports; and (2) in selected states, how mu

Author: Michael F. Mangano
Publisher: DIANE Publishing
Keywords: service, payments, fee, medicare, fiscal, year, improper
Number of Pages: 19
Published: 2008-08
ISBN-10: 143790324X
ISBN-13: 9781437903249

The objective of this review by the Dept. of Health and Human Services (HHS) Office of Inspector General was to estimate the extent of FY 2000 fee-for-service Medicare payments that did not comply with Medicare laws and regulations. Based on HHS¿s statistical sample, HHS estimates that improper Medicare benefit payments made during FY 2000 totaled $11.9 billion, or about 6.8% of the $173.6 billion in processed fee-for-service payments reported by the Health Care Financing Admin. (HCFA). As in past years, these improper payments could range from inadvertent mistakes to outright fraud and abuse

Author: Kay Daly
Publisher: DIANE Publishing
Keywords: fraud, abuse, challenges, remain, potential, measuring, improper, payments, enhancements, promise, medicare
Number of Pages: 54
Published: 2001-04-01
ISBN-10: 0756708966
ISBN-13: 9780756708962

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 inap

Author: Massimo Cirasino
Publisher: World Bank Publications
Keywords: latin, america, caribbean, systems, settlement, payments, securities, reforming
Number of Pages: 300
Published: 2007
ISBN-10: 0821366351
ISBN-13: 9780821366356

Payments and securities settlement systems are considered critical for the safe and effective functioning of a financial system. In Latin America and the Caribbean, efforts to raise the awareness of the importance of modernizing national payments systems were formalized through the 1999 Western Hemisphere Payments and Securities Clearance and Settlement Initiative (WHI).'Reforming Payments and Securities Settlement Systems in Latin America and the Caribbean' extracts the main lessons and experiences of the WHI, describing trends in payments and securities settlement systems worldwide and asses