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<classification authority="sudocs">GA 1.13:GAO-07-587T</classification>
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 <reportNumber>GAO-07-587T</reportNumber>
 <subject>Debt</subject>
 <subject>Debt collection</subject>
 <subject>Delinquent taxes</subject>
 <subject>Federal taxes</subject>
 <subject>Health care personnel</subject>
 <subject>Health care programs</subject>
 <subject>Internal controls</subject>
 <subject>Investigations into federal agencies</subject>
 <subject>Medicare</subject>
 <subject>Physicians</subject>
 <subject>Program abuses</subject>
 <subject>Waste, fraud, and abuse</subject>
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<titleInfo>
 <title>Medicare: Thousands of Medicare Part B Providers Abuse the Federal Tax System</title>
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<abstract>Under the Medicare program, the Department of Health and Human
Services (HHS) and its contractors paid a reported $330 billion  
in Medicare benefits in calendar year 2005. Because GAO 	 
previously identified government contractors with billions of	 
dollars in unpaid federal taxes, Congress requested that we	 
expand our work in this area to all Medicare providers. This	 
testimony addresses Medicare physicians, health professionals,	 
and suppliers for services related to senior health care, who	 
received about 20 percent of all Medicare payments. Because of	 
limitations in HHS data, GAO was asked to determine if Medicare  
Part B physicians, health professionals, and suppliers have	 
unpaid federal taxes, and if so, to (1) determine the magnitude  
of such debts; (2) identify examples of Medicare physicians and  
suppliers that have engaged in abusive, or potentially criminal  
activities; and (3) assess HHS efforts to prevent delinquent	 
taxpayers from enrolling in Medicare and levy payments to pay	 
delinquent federal taxes. To perform this work, GAO reviewed data
from HHS and the Internal Revenue Service (IRS). In addition, GAO
reviewed policies, procedures, and regulations related to	 
Medicare. GAO also performed additional investigative activities.
We plan to report on the results of our work related to other	 
Medicare providers including any needed recommendations later	 
this year.</abstract>
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<identifier type="preferred citation">GAO-07-587T</identifier>
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<note>Testimony</note>
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<subject>
 <topic>Debt</topic>
 <topic>Debt collection</topic>
 <topic>Delinquent taxes</topic>
 <topic>Federal taxes</topic>
 <topic>Health care personnel</topic>
 <topic>Health care programs</topic>
 <topic>Internal controls</topic>
 <topic>Investigations into federal agencies</topic>
 <topic>Medicare</topic>
 <topic>Physicians</topic>
 <topic>Program abuses</topic>
 <topic>Waste, fraud, and abuse</topic>
</subject>
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  <title>United States Public Law 357 (108th Congress)</title>
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 <identifier type="public law citation">Public Law 108-357</identifier>
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