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 2001-06-11 monographic deposited born digital 19 p. GA 1.13:GAO-01-802R https://www.govinfo.gov/app/details/GAOREPORTS-GAO-01-802R P0b002ee18038eb3d f:d01802r DGPO 2010-08-12 2011-03-28 GAOREPORTS-GAO-01-802R machine generated eng fdlp REPORT GAOREPORTS-GAO-01-802R GAO-01-802R Fraud Program abuses Health care programs Health insurance Internal controls Proposed legislation Reporting requirements Overpayments Medicare Program Medicare Trust Fund Correspondence A01197

Medicare is highly vulnerable to fraud, waste, and abuse. The enforcement of program payment rules, however, has raised concerns that these safeguards may have imposed too great a burden on health care providers. The proposed Medicare Education and Regulatory Fairness Act would seek to address some of these concerns by providing expedited procedures for provider appeals, new options for providers to use in repaying Medicare overpayments, protections for providers who voluntarily return overpayments or ask for a review of their claims, and new requirements for provider education. This report reviews how this proposed legislation would affect Medicare policies and procedures in (1) provider education and participation; (2) medical reviews, audits, and appeals; (3) recovery of overpayments; and (4) related legal issues. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-01-802R/html/GAOREPORTS-GAO-01-802R.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-01-802R/pdf/GAOREPORTS-GAO-01-802R.pdf GAO-01-802R https://www.govinfo.gov/app/details/GAOREPORTS-GAO-01-802R Correspondence GAO-01-802R; Regulatory Issues for Medicare Providers; Fraud Program abuses Health care programs Health insurance Internal controls Proposed legislation Reporting requirements Overpayments Medicare Program Medicare Trust Fund Title 31 Section 3731 31 U.S.C. 3731