Author: Publisher: DIANE Publishing
ISBN: 1428933328
Category :
Languages : en
Pages : 56
Book Description
Information technology Centers for Medicare & Medicaid Services needs to establish critical investment management capabilities : report to the Chairman, Committee on Finance, U.S. Senate.
Author: Publisher: DIANE Publishing
ISBN: 1428933328
Category :
Languages : en
Pages : 56
Book Description
Information technology
Author: United States. Government Accountability OfficePublisher:
ISBN:
Category :
Languages : en
Pages : 51
Book Description
Information technology HHS has several investment management capabilities in place, but needs to address key weaknesses : report to the Chairman, Committee on Finance, U.S. Senate.
Author: Publisher: DIANE Publishing
ISBN: 142893331X
Category :
Languages : en
Pages : 65
Book Description
Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services
Author: National Research CouncilPublisher: National Academies Press
ISBN: 0309221978
Category : Medical
Languages : en
Pages : 192
Book Description
The Centers for Medicare and Medicaid Services (CMS) is the agency in the Department of Health and Human Services responsible for providing health coverage for seniors and people with disabilities, for limited-income individuals and families, and for children-totaling almost 100 million beneficiaries. The agency's core mission was established more than four decades ago with a mandate to focus on the prompt payment of claims, which now total more than 1.2 billion annually. With CMS's mission expanding from its original focus on prompt claims payment come new requirements for the agency's information technology (IT) systems. Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services reviews CMS plans for its IT capabilities in light of these challenges and to make recommendations to CMS on how its business processes, practices, and information systems can best be developed to meet today's and tomorrow's demands. The report's recommendations and conclusions offered cluster around the following themes: (1) the need for a comprehensive strategic technology plan; (2) the application of an appropriate metamethodology to guide an iterative, incremental, and phased transition of business and information systems; (3) the criticality of IT to high-level strategic planning and its implications for CMS's internal organization and culture; and (4) the increasing importance of data and analytical efforts to stakeholders inside and outside CMS. Given the complexity of CMS's IT systems, there will be no simple solution. Although external contractors and advisory organizations will play important roles, CMS needs to assert well-informed technical and strategic leadership. The report argues that the only way for CMS to succeed in these efforts is for the agency, with its stakeholders and Congress, to recognize resolutely that action must be taken, to begin the needed cultural and organizational transformations, and to develop the appropriate internal expertise to lead the initiative with a comprehensive, incremental, iterative, and integrated approach that effectively and strategically integrates business requirements and IT capabilities.
Gao-06-12 Information Technology
Author: United States Government Accountability OfficePublisher: Createspace Independent Publishing Platform
ISBN: 9781984342119
Category :
Languages : en
Pages : 56
Book Description
GAO-06-12 Information Technology: Centers for Medicare & Medicaid Services Needs to Establish Critical Investment Management Capabilities
Report on the Activities of the Committee on Finance of the United States Senate During the ... Congress Pursuant to Rule XXVI of the Standing Rules of the United States Senate
Author: United States. Congress. Senate. Committee on FinancePublisher:
ISBN:
Category :
Languages : en
Pages : 96
Book Description
Medicare Program Integrity
Author: U.s. Government Accountability OfficePublisher:
ISBN: 9781974244263
Category :
Languages : en
Pages : 38
Book Description
"Why GAO Did This StudyAccording to the Centers for Medicare & Medicaid Services (CMS)-the agency within the Department of Health and Human Services (HHS) that administers the Medicare program-more than 1.5 million health providers and suppliers of medical equipment were enrolled in the Medicare program in 2011, and 30,000 more enroll each month. CMS has established Medicare enrollment standards and procedures intended to ensure that only qualified providers and suppliers can enroll. While most providers and suppliers pose a limited risk to the Medicare program, our previous work found persistent weaknesses in CMS's Medicare enrollment standards and procedures that increased the risk of enrolling entities intent on defrauding the program. In 2010, the Patient Protection and Affordable Care Act (PPACA) authorized CMS to implement procedures to strengthen the Medicare enrollment process.GAO was asked to review CMS's Medicare provider enrollment procedures. In this report, GAO describes (1) how CMS and its contractors use provider and supplier enrollment information to prevent improper payments and factors that may affect the usefulness of this information, and (2) the extent to which CMS has implemented new provider and supplier enrollment screening procedures since the enactment of PPACA. To do so, GAO reviewed relevant regulations and documents, and interviewed officials from CMS"
Congressional Record
Author: United States. CongressPublisher:
ISBN:
Category : Law
Languages : en
Pages : 1084
Book Description
Health Care Fraud and Abuse
Author: Aspen Health Law CenterPublisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 156
Book Description
Stepped-up efforts to ferret out health care fraud have put every provider on the alert. The HHS, DOJ, state Medicaid Fraud Control Units, even the FBI is on the case -- and providers are in the hot seat! in this timely volume, you'll learn about the types of provider activities that fall under federal fraud and abuse prohibitions as defined in the Medicaid statute and Stark legislation. And you'll discover what goes into an effective corporate compliance program. With a growing number of restrictions, it's critical to know how you can and cannot conduct business and structure your relationships -- and what the consequences will be if you don't comply.
Activities of the Committee on Homeland Security and Governmental Affairs
Author: United States. Congress. Senate. Committee on Homeland Security and Governmental AffairsPublisher:
ISBN:
Category : Constitutional law
Languages : en
Pages : 176
Book Description