Tuesday, June 9, 2015

HHS Not Doing Enough To Reduce Improper Payments

Dianne De La Mare


The US Department of Health and Human Services (HHS), Office of Inspector General (OIG) has released a report, US Department of Health and Human Services Met Many Requirements of the Improper Payments Information Act of 2002 But Did Not Fully Comply for FY 2014, that indicates that HHS “still has a ways to go” to crack down on improper payments in Medicare. 

The report, which examined whether HHS was in full compliance with the Improper Payments Information Act (IPIA), states that although the agency met many IPIA requirements, it failed to: 

1) perform risk assessments of payments to employees and charge card payments; 
2) publish improper payment estimates; 
3) publish CAPs; 
4) meet improper payment reduction targets for programs where it reported reduction targets in FY 2013; and 
5) report Medicare fee-for-service improper payment rates in one program below 10 percent in FY 2014.

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