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<classification authority="sudocs">GA 1.13:HEHS-99-165</classification>
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 <subject>Internal controls</subject>
 <subject>Erroneous payments</subject>
 <subject>Program abuses</subject>
 <subject>Fraud</subject>
 <subject>Contract oversight</subject>
 <subject>Claims processing</subject>
 <subject>Health care programs</subject>
 <subject>Health insurance cost control</subject>
 <subject>Performance measures</subject>
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<titleInfo>
 <title>Medicare: Program Safeguard Activities Expand, but Results</title>
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<abstract>Health Care Financing Administration (HCFA) contractors perform five
main types of activity under the Medicare Integrity Program, which was
established in 1996 to safeguard Medicare from fraud, waste, and abuse.
The program has predictable, assured funding and HCFA&apos;s contractors are
better able than before to plan and implement their safeguard strategy
and efforts. HCFA has recently hired program contractors, and it is
emphasizing prepayment claims reviews to promote correct claims payment
and avoid the difficulty of seeking repayment from providers when claims
are paid in error. HCFA has taken or plans to take corrective action to
improve important areas identified by audit reports under the Chief
Financial Officers Act. It is also taking seriously its responsibilities
to improve program safeguard operations in response to recommendations
from GAO and from the Office of the Inspector General. HCFA will be
better able to measure the program&apos;s effects with more time and better
data</abstract>
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 <topic>Internal controls</topic>
 <topic>Erroneous payments</topic>
 <topic>Program abuses</topic>
 <topic>Fraud</topic>
 <topic>Contract oversight</topic>
 <topic>Claims processing</topic>
 <topic>Health care programs</topic>
 <topic>Health insurance cost control</topic>
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