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Health care fraud, information of most common schemes and the likely effect of smart cards : report to congressional requesters.

Author: Kathleen M King; United States. Government Accountability Office,
Publisher: [Washington, D.C.] : United States Government Accountability Office, 2016.
Edition/Format:   eBook : Document : National government publication : English
Database:WorldCat
Summary:
While there have been convictions for multimillion dollar schemes that defrauded federal health care programs, there are no reliable estimates of the magnitude of fraud within these programs or across the health care industry. In some fraud cases, individuals have billed federal health care programs or private health insurance by using a beneficiary's or provider's identification information without the  Read more...
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Details

Material Type: Document, Government publication, National government publication, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: Kathleen M King; United States. Government Accountability Office,
OCLC Number: 940569862
Notes: "January 2016."
"GAO-16-216."
Title from title screen (viewed on Apr. 22, 2016).
Description: 1 online resource (ii, 38 pages) : color illustrations
Other Titles: Information of most common schemes and the likely effect of smart cards

Abstract:

While there have been convictions for multimillion dollar schemes that defrauded federal health care programs, there are no reliable estimates of the magnitude of fraud within these programs or across the health care industry. In some fraud cases, individuals have billed federal health care programs or private health insurance by using a beneficiary's or provider's identification information without the beneficiary's or provider's knowledge. One idea to reduce the ability of individuals to commit this type of fraud is to use electronically readable card technology, such as smart cards. Proponents say that these cards could reduce fraud by verifying that the beneficiary and the provider were present at the point of care. GAO was asked to identify and categorize schemes found in health care fraud cases. This report describes (1) health care fraud schemes and their prevalence among cases resolved in 2010 and (2) the extent to which health care fraud schemes could have been affected by the use of smart card technology. GAO is not making any recommendations.

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