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Accession Number
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PB2013-100128
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Title
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South Carolina State Medicaid Fraud Control Unit: 2011 Onsite Review.
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Publication Date
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Oct 2012
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Media Count
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32p
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Personal Author
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N/A
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Abstract
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The Office of Inspector General (OIG) oversees all Medicaid Fraud Control Units (MFCU or Unit) with respect to Federal grant compliance. As part of this oversight, OIG reviews all Units. These reviews assess Unit performance in accordance with the 12 MFCU performance standards and monitor Unit compliance with Federal grant requirements. We based our review on an analysis of data from seven sources: (1) a review of documentation, policies, and procedures related to the Units operations, staffing, and caseload; (2) a review of financial documentation; (3) structured interviews with key stakeholders; (4) a survey of Unit staff; (5) structured interviews with the Units management; (6) an onsite review of case files; and (7) an onsite review of Unit operations.
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Keywords
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Abuse
Federal health programs
Fraud
Grants
Investigations
Medicaid
Neglect
Office of Inspector General(OIG)
Patients
South Carolina
State agencies
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Source Agency
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Department of Health and Human Services, Washington, DC
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NTIS Subject Category
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44B - Agency Administrative & Financial Management
43C - Human Resources
70F - Public Administration & Government
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Corporate Author
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Department of Health and Human Services, Washington, DC. Office of the Inspector General.
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Document Type
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Technical report
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Title Note
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N/A
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NTIS Issue Number
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1303
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Contract Number
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N/A
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