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Y PURPOSE To evaluate the procedures used by Medicare carriers to identify primary payment sources other than Medicare. BACKGROUND This inspection is part of an initiative to examine the effectiveness of Medicare carriers prepayment utilization review processes. Until 1980, Medicare was the primary payer of health care costs for Medicare beneficiaries except when the beneficiary is covered by a worker s compensation program or the Veterans Administration. Congress became concerned about.
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Eghp FAQ
ing to the Inspector General Act of 1978, as amended, the Inspector General's mission is to: Conduct independent and objective audits and investigations relating to DHS programs and operations. Promote economy, efficiency, and effectiveness in DHS programs and operations. Prevent and detect waste, fraud and abuse.
Since its 1976 establishment, the Office of Inspector General (OIG) has been at the forefront of the Nation's efforts to fight waste, fraud and abuse and to improving the efficiency of Medicare, Medicaid and more than 100 other Department of Health & Human Services (HHS) programs.
The scope of work for the Office of the Inspector General includes all systems, processes, operations, functions and activities of the Global Fund and of the programs it supports. The Inspector General has the authority to: Access all books and records maintained by the Global Fund.
The Office of Inspector General (OIG) is an independent organization within the Federal Trade Commission (FTC) charged with protecting the integrity of agency programs and operations.
The Office of Inspector General (OIG) for the U.S. Department of Health & Human Services has created the educational materials to assist in teaching physicians about the Federal laws designed to protect the Medicare and Medicaid programs and program beneficiaries from fraud, waste, and abuse.
We have three clear goals: Fight fraud, waste, and abuse. Promote quality, safety, and value in HHS programs and for HHS beneficiaries. Advance excellence and innovation.
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