Internal Controls: Need to Strengthen Control Over Payments by Medicare Intermediaries

Abstract

This GAO report involves a study of the effectiveness of internal controls that federal managers use for assuring that payments by Medicare intermediaries are made in accordance with federal laws and are adequately safeguarded against fraud, waste, and abuse. Intermediaries are the Health Care Financing Administration's (HCFA'S) Medicare agents that pay for services provided primarily by hospitals and other institutional providers. Organizations that pay for services provided by physicians and other noninstitutional providers are called carriers. This report focuses on HCFA'S controls over intermediaries. Internal controls are an integral part of systems that managers use to guide their operations. They include an agency's organization and methods and procedures used to ensure that 1) resource use is consistent with laws, regulations, and policies; 2) resources are safeguarded against waste, loss, and misuse; and 3) reliable data are obtained, maintained, and fairly disclosed in reports.

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Document Details

Document Type
Technical Report
Publication Date
Nov 14, 1988
Accession Number
ADA201134

Entities

Organizations

  • United States Government Accountability Office

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Accounting
  • Accuracy
  • Computer Programs
  • Computers
  • Congress
  • Contractors
  • Health Care
  • Health Services
  • Hospitals
  • Intrusion Detectors
  • Law
  • Medical Personnel
  • Organizational Structure
  • Personnel Management
  • Quality Control
  • Therapy
  • United States

Fields of Study

  • Medicine

Readers

  • Defense Financial Management and Audit.
  • Medical or Health Care Field.