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 2006-09-06 monographic deposited born digital 51 p. GA 1.13:GAO-06-813 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-06-813 P0b002ee18037b15a f:d06813 DGPO 2010-08-12 2011-05-04 GAOREPORTS-GAO-06-813 machine generated eng fdlp REPORT GAOREPORTS-GAO-06-813 GAO-06-813 Budget obligations Claims settlement Contract oversight Fraud Funds management Health care programs Medical expense claims Medicare Program abuses Program evaluation Program management Medicare Integrity Program Other Written Product A60329 Since 1990, GAO has considered Medicare at high risk for fraud, waste, abuse, and mismanagement. The Medicare Integrity Program (MIP) provides funds to the Centers for Medicare & Medicaid Services (CMS--the agency that administers Medicare--to safeguard over $300 billion in program payments made on behalf of its beneficiaries. CMS conducts five program integrity activities: audits; medical reviews of claims; determinations of whether Medicare or other insurance sources have primary responsibility for payment, called secondary payer; benefit integrity to address potential fraud cases; and provider education. In this report, GAO determined (1) the amount of MIP funds that CMS has allocated to the five program integrity activities over time, (2) the approach that CMS uses to allocate MIP funds, and (3) how major changes in the Medicare program may affect MIP funding allocations. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-06-813/html/GAOREPORTS-GAO-06-813.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-06-813/pdf/GAOREPORTS-GAO-06-813.pdf GAO-06-813 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-06-813 Other Written Product GAO-06-813; Medicare Integrity Program: Agency Approach for Allocating Funds Should Be Revised; Budget obligations Claims settlement Contract oversight Fraud Funds management Health care programs Medical expense claims Medicare Program abuses Program evaluation Program management Medicare Integrity Program Volume 97 Page 65 97 Stat. 65 Volume 104 Page 1388 104 Stat. 1388 Volume 110 Page 1992 Volume 110 Page 1996-98 110 Stat. 1992 110 Stat. 1996-98 Volume 111 Page 251 111 Stat. 251 Volume 117 Page 2066 Volume 117 Page 2100 117 Stat. 2066 117 Stat. 2100 Volume 120 Page 4 Volume 120 Page 48 120 Stat. 4 120 Stat. 48 Public Law 98-21 Public Law 105-33