United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office Accounting and Information Management Division author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 1998-04-15 monographic deposited born digital 24 p. GA 1.13:AIMD-98-91 https://www.govinfo.gov/app/details/GAOREPORTS-AIMD-98-91 P0b002ee180382c28 f:ai98091 DGPO 2010-08-12 2011-03-24 GAOREPORTS-AIMD-98-91 machine generated eng fdlp REPORT GAOREPORTS-AIMD-98-91 AIMD-98-91 Health care costs Health care programs Medical expense claims Claims processing Commercial products Health insurance cost control Management information systems Medicare Program Civilian Health and Medical Program of the Department of Veterans Affairs Civilian Health and Medical Program of the Uniformed Services DOD TRICARE Program Physicians Current Procedural Terminology System CHAMPUS Letter Report AIMD More than three years after GAO recommended that Medicare acquire commercial software to detect inappropriate billings--which could save hundreds of millions of dollars each year--the Health Care Financing Administration (HCFA) has tested the software and plans to install it. Incorrect billings, fraudulent and otherwise, cost Medicare about $1.7 billion in improper payments in 1997. This report analyzes HCFA's progress in testing and acquiring a commercial system for identifying inappropriate Medicare bills, the consequences of HCFA's initial management decisions, and its current plans for immediate implementation. GAO summarized this report in testimony before Congress; see: Medicare Billing: Commercial System Will Allow HCFA to Save Money, Combat Fraud and Abuse, by Joel C. Willemssen, Director of Civil Agencies Information Systems Issues, before the Subcommittee on Oversight and Investigations, House Committee on Commerce. GAO/T-AIMD-98-166, May 19 (12 pages). https://www.govinfo.gov/content/pkg/GAOREPORTS-AIMD-98-91/html/GAOREPORTS-AIMD-98-91.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-AIMD-98-91/pdf/GAOREPORTS-AIMD-98-91.pdf GAO/AIMD-98-91 https://www.govinfo.gov/app/details/GAOREPORTS-AIMD-98-91 Letter Report GAO/AIMD-98-91; Medicare Billing: Commercial System Could Save Hundreds of; Health care costs Health care programs Medical expense claims Claims processing Commercial products Health insurance cost control Management information systems Medicare Program Civilian Health and Medical Program of the Department of Veterans Affairs Civilian Health and Medical Program of the Uniformed Services DOD TRICARE Program Physicians Current Procedural Terminology System CHAMPUS