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Accession Number PB2013-103205
Title Medicaid Integrity Program: CMS Should Take Steps to Eliminate Duplication and Improve Efficiency.
Publication Date Nov 2012
Media Count 51p
Personal Author N/A
Abstract Medicaid has the second-highest estimated improper payments of any federal program that reports such data. The Deficit Reduction Act of 2005 created the Medicaid Integrity Program to oversee and support state program integrity activities. CMS, the federal agency within HHS that oversees Medicaid, established the MIG to implement this new program. This report assesses (1) the MIG's use of two types of contractors to review and audit state Medicaid claims, (2) the MIG's implementation of other oversight and support activities, and (3) CMS and state reporting on the results of their program integrity activities. GAO analyzed MIG data on its contractors' audits, training program for state officials, comprehensive state reviews, and state assessments; analyzed reports that summarized the monetary returns from MIG and state program integrity activities; and interviewed MIG officials, contractors, and state program integrity officials.
Keywords Audits
Data analysis
Defici Reduction Act of 2005
Federal program
Medicaid
Medicaid Integrity Program
Payments
State claims data

 
Source Agency General Accounting Office
NTIS Subject Category 44K - Health Services
92C - Social Concerns
70B - Management Practice
Corporate Author Government Accountability Office, Washington, DC.
Document Type Technical report
Title Note N/A
NTIS Issue Number 1306
Contract Number N/A

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