H.R. 2480, Inspector General for Medicare and Medicaid Fraud Act of 1995; H.R. 3224, the Health Care Fraud and Abuse Prevention Act of 1996; and H.R. 1850, Health Fraud and Abuse Act of 1995: Joint Hearing Before the Subcommittee on Human Resources and Intergovernmental Relations and the Subcommittee on Government Management, Information, and Technology of the Committee on Government Reform and Oversight, House of Representatives, One Hundred Fourth Congress, Second Session, on H.R. 2480 ... on H.R. 3224 ... and H.R. 1850 ... May 2, 1996 |
Other editions - View all
Common terms and phrases
Abuse Control Unit abuse in violation Administration agency amount benefit program bill blood glucose monitors Chairman CONGRESS THE LIBRARY Control Account criminal DME company DOHERTY durable medical equipment end the following Expenses Subaccount fee schedule FOREMAN fraud and abuse fraudulent going grossly excessive HCFA HCFA's Health and Human health care benefit health care fraud health care offense Hearing by Subcommittee HIDA HME services home infusion therapy home medical equipment home oxygen HORN Human Resources Human Services industry infusion therapy inherent reasonableness Inspector investigations issue JACK QUINN legislation LIBRARY OF CONGRESS lymphedema pumps MANGANO Medicaid programs Medicare and Medicaid Medicare beneficiaries Medicare payments million paragraph patients payers percent procedures QUINN RARY rates Reform and Oversight Resources and Intergovernmental RESS Secretary Section 303 SHAYS Social Security Act Subcommittee on Human subsection suppliers testimony Thank title 18 United States Code waste
Popular passages
Page 92 - BEFORE THE COMMITTEE ON GOVERNMENT REFORM AND OVERSIGHT SUBCOMMITTEE ON GOVERNMENT MANAGEMENT, INFORMATION AND TECHNOLOGY US HOUSE OF REPRESENTATIVES MARCH 1,1999 Mr.
Page 156 - The charges do not reflect changing technology, increased facility with that technology, or reductions in acquisition or production costs.
Page 119 - OIG also generated savings, fines, restitutions, penalties, and receivables of over $8 billion. This represents $80 in savings for each Federal dollar invested in our office, or $6.4 million in savings per OIG employee. THE MEDICARE PROGRAM The Medicare program is administered by the Health Care Financing Administration (HCFA).
Page 176 - HME companies which provide quality, costeffective HME services and rehabilitation/assistive technology to patients in their homes. According to physician prescription, HME providers furnish an extremely wide array of HME and related services to patients in their home, ranging from more "traditional...
Page 111 - Towns. Mr. TOWNS. Thank you very much, Mr. Chairman. Let me begin by...
Page 128 - ... One beneficiary was charged $5,290 for tape over a 6-month period, almost $5,000 of which appears excessive. Medicare paid for, but the beneficiary probably did not receive, 66,000 feet or 12.5 miles of one-inch tape. • Another beneficiary was charged with $11,880 in hydrogel wound filler, $11,533 of which may be unnecessary. This beneficiary's record showed payments for 120 units of one-ounce hydrogel wound filler each month for 6 consecutive months, or over 5 gallons. We also assessed the...
Page 144 - The prevailing charges for a service in a particular locality are significantly in excess of or below prevailing charges in other comparable localities, taking into account the relative costs of furnishing the services in the different localities.
Page 119 - Department of Health and Human Services. I am pleased to be here today to discuss issues relating to fraud and abuse in the Medicare program.
Page 156 - The prevailing charges for a service under this part are substantially higher or lower than the payments made for the service by other purchasers in the same locality, "(iii) In applying subparagraph (A), the Secretary may compare — "(I) the charges and resource costs for related procedures...
Page 47 - Such attendance of witnesses and the production of any such records may be required from any place in any State or in any Territory or other place subject to the jurisdiction of the United States at any designated place of hearing.