United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 2001-03-30 monographic deposited born digital 19 p. GA 1.13:GAO-01-506 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-01-506 P0b002ee180379aee f:d01506 DGPO 2010-08-12 2011-03-23 GAOREPORTS-GAO-01-506 machine generated eng fdlp REPORT GAOREPORTS-GAO-01-506 GAO-01-506 Internal controls Fraud Medical expense claims Health insurance Program abuses Investigations by federal agencies DOJ Prospective Payment System Transfer Initiative DOJ Pneumonia Upcoding Initiative Medicare Program Medicare Prospective Payment System Other Written Product A00729 The Department of Justice (DOJ) issued guidance on the fair and responsible use of the False Claims Act in civil health care matters in June 1998. This report is part of GAO's evaluation of DOJ's efforts to ensure compliance with the guidance and focuses on the application of the guidance in two recent DOJ initiatives-the Prospective Payment System (PPS) Transfer and Pneumonia Upcoding Project. GAO found that DOJ has taken steps to further strengthen its oversight of compliance with its False Claims Act guidance. These steps include (1) reviewing each U.S. Attorneys Office's compliance with the guidance as part of the periodic evaluation of all U.S. Attorneys' Offices, (2) requiring all U.S. Attorneys' Offices involved in civil health care fraud control to certify their compliance with the guidance, (3) forming working groups to coordinate national initiatives, and (4) maintaining ongoing contacts with participating U.S. Attorneys' Offices to help ensure that they are complying with the guidance. GAO also found that DOJ is implementing the PPS Transfer and Pneumonia Upcoding projects in a manner consistent with the guidance. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-01-506/html/GAOREPORTS-GAO-01-506.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-01-506/pdf/GAOREPORTS-GAO-01-506.pdf GAO-01-506 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-01-506 Other Written Product GAO-01-506; Medicare Fraud and Abuse: DOJ Has Improved Oversight of False Claims Act Guidance; Internal controls Fraud Medical expense claims Health insurance Program abuses Investigations by federal agencies DOJ Prospective Payment System Transfer Initiative DOJ Pneumonia Upcoding Initiative Medicare Program Medicare Prospective Payment System Public Law 105-277 Public Law 106-113