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• Figure 1: Health Care Transaction Flow from Health Care Providers to Payers

  • Uploaded by: U.S. Government Accountability Office
  • License: United States Government Work
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  • 2,783 views
  • Date uploaded: 2015-02-27
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, internationalclassificationofdiseases, gao15255, aha, americanhospitalassociation, ahima, americanhealthinformationmanagementassociation, icd, cdc, centersfordiseasecontrolandprevention, cms, centersformedicaremedicaidservicescptcurrentproceduralterminology, ffs, feeforservice, hedis, healthcareeffectivenessdataandinformationset, hhs, departmentofhealthandhumanservices, hipaa, healthinsuranceportabilityandaccountabilityactof1996, mac, medicareadministrativecontractor, mln, medicarelearningnetwork, msdrg, medicareseveritydiagnosisrelatedgroup, rec, regionalextensioncenter, wedi, workgroupforelectronicdatainterchange
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• Figure 3: Percentage Change from 2012 to 2014 in Number of Beneficiaries Receiving Competitive Bidding Program (CBP) Round 2 Durable Medical Equipment (DME) Items and in Number of Items Received

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  • License: United States Government Work
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  • 2,648 views
  • Date uploaded: 2016-10-31
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao16570, medicare, cbp, competitivebiddingprogram, cms, centersformedicaremedicaidservices, cpap, continuouspositiveairwaypressure, dme, durablemedicalequipment, ffs, feeforservice, hcpcs, healthcarecommonprocedurecodingsystem, hhs, departmentofhealthandhumanservices, mippa, medicareimprovementsforpatientsandprovidersactof2008, mma, medicareprescriptiondrugimprovementandmodernizationactof2003, npwt, negativepressurewoundtherapy
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• Figure 1: Percentage of New Part B Drugs Approved by the Food and Drug Administration, 2006-2013, by Condition Approved to Treat

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  • License: United States Government Work
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  • 2,508 views
  • Date uploaded: 2015-12-10
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao1612, medicarepartb, asp, averagesalesprice, awp, averagewholesaleprice, bla, biologicslicenseapplication, cms, centersformedicaremedicaidservices, dme, durablemedicalequipment, fda, foodanddrugadministration, fdca, fooddrugandcosmeticact, ffs, feeforservice, hhs, departmentofhealthandhumanservices, ind, investigationalnewdrug, nda, newdrugapplication, ndc, nationaldrugcode, nme, newmolecularentity, noc, nototherwiseclassified, wac, wholesaleacquisitioncost, vaccines
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• Figure 1: Prospective Payment System (PPS)-Exempt Cancer Hospitals (PCH), Location and Effective Date

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  • License: United States Government Work
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  • 2,311 views
  • Date uploaded: 2015-04-27
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15199, medicare, apc, ambulatorypaymentclassification, cbsa, corebasedstatisticalarea, ccc, comprehensivecancercenter, cms, centersformedicaremedicaidservices, ffs, feeforservice, hcris, healthcarecostreportinformationsystem, hhs, departmentofhealthandhumanservices, msdrg, medicareseveritydiagnosisrelatedgroup, pch, prospectivepaymentsystemexemptcancerhospital, pcr, paymenttocostratio, pps, prospectivepaymentsystem
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• Figure 1: States with Current or Planned Managed Long-Term Services and Supports (MLTSS) Programs, October 2016

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  • License: United States Government Work
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  • 2,222 views
  • Date uploaded: 2017-02-28
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao17145, medicaidmanagedcare, cms, centersformedicaremedicaidservices, eqr, externalqualityreview, ffs, feeforservice, hhs, departmentofhealthandhumanservices, mco, managedcareorganization, mltss, managedlongtermservicesandsupports, oig, officeofinspectorgeneral
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• Figure 1: TRICARE and Medicare Outlays and Estimated Improper Payments, Fiscal Year 2013

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  • License: United States Government Work
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  • 2,194 views
  • Date uploaded: 2015-02-27
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, improperpayments, identitytheftandtaxfraud, gao15269, afr, agencyfinancialreport, cert, comprehensiveerrorratetesting, cms, centersformedicaremedicaidservices, dha, defensehealthagency, dme, durablemedicalequipment, dod, departmentofdefense, ffs, feeforservice, hhs, departmentofhealthandhumanservices, ipia, improperpaymentsinformationactof2002, mac, medicareadministrativecontractor, mcsc, managedcaresupportcontracts, oig, officeofinspectorgeneral, omb, officeofmanagementandbudget, tpcc, tricarepurchasedcarecontractors
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• Figure 1: Potential Improper-Payment Indicators Related to Medicaid Claims for Prescription Medication for Four Selected States during Fiscal Year 2011

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  • License: United States Government Work
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  • 2,054 views
  • Date uploaded: 2015-09-15
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15390, medicaid, 2013cmsdursummary, medicaiddrugutilizationreviewstatecomparisonannualreport, ahca, floridaagencyforhealthcareadministration, ahcccs, arizonahealthcarecostcontainmentsystem, cms, centersformedicaremedicaidservices, dmahs, stateofnewjerseydepartmentofhumanservicesdivisionofmedicalassistanceandhealthservices, dmf, deathmasterfile, dur, drugutilizationreview, ffs, feeforservice, gsa, generalservicesadministration, hhs, departmentofhealthandhumanservices, hiv, humanimmunodeficiencyvirus, mco, managedcareorganization, mmis, medicaidmanagementinformationsystem, msis, medicaidstatisticalinformationsystem, oig, officeofinspectorgeneral, sam, systemforawardmanagement, ssa, socialsecurityadministration, ssn, socialsecuritynumber, tmsis, transformedmedicaidstatisticalinformationsystem
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• Figure 1: Medicare Expenditures on and Administrations of Part B Drugs, by Payment Methodology (2014)

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  • License: United States Government Work
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  • 1 favorite
  • 1,967 views
  • Date uploaded: 2016-09-01
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao16594, medicarepartb, amp, averagemanufacturerprice, asp, averagesalesprice, awp, averagewholesaleprice, cms, centersformedicaremedicaidservices, dme, durablemedicalequipment, esrd, endstagerenaldisease, fda, foodanddrugadministration, ffs, feeforservice, hcpcs, healthcarecommonprocedurecodingsystem, hhs, departmentofhealthandhumanservices, hopd, hospitaloutpatientdepartment, mma, medicareprescriptiondrugimprovementandmodernizationactof2003, ndc, nationaldrugcode, oig, officeofinspectorgeneral
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• Figure 2: Aggregate Share of Medicare Fee-for-Service Beneficiary Admissions Listing a Cancer Diagnosis, by Hospital Type, Calendar Year 2012

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  • License: United States Government Work
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  • 1,924 views
  • Date uploaded: 2015-04-27
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15199, medicare, apc, ambulatorypaymentclassification, cbsa, corebasedstatisticalarea, ccc, comprehensivecancercenter, cms, centersformedicaremedicaidservices, ffs, feeforservice, hcris, healthcarecostreportinformationsystem, hhs, departmentofhealthandhumanservices, msdrg, medicareseveritydiagnosisrelatedgroup, pch, prospectivepaymentsystemexemptcancerhospital, pcr, paymenttocostratio, pps, prospectivepaymentsystem
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• Figure 1: Percentage of Unsupported Diagnoses within Medicare Advantage (MA) Contracts by the Centers for Medicare & Medicaid Services (CMS) Coding Intensity, 2007 Risk Adjustment Data Validation (RADV) Audits

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  • License: United States Government Work
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  • 1,644 views
  • Date uploaded: 2016-05-17
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao1676, medicareadvantage, aha, americanhospitalassociation, ahip, americashealthinsuranceplans, ama, americanmedicalassociation, cdat, centraldataabstractiontool, cms, centersformedicaremedicaidservices, esmd, electronicsubmissionofmedicaldocumentation, ffs, feeforservice, hcc, hierarchicalconditioncategory, hhs, departmentofhealthandhumanservices, ipia, improperpaymentsinformationactof2002, ma, mac, medicareadministrativecontractor, rac, recoveryauditcontractor, radv, riskadjustmentdatavalidation
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• Figure 3: Estimated Percentage of Low-Income, Uninsured Adults with Behavioral Health Conditions Based on 2008 to 2013 Data, Highest and Lowest Five States

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  • License: United States Government Work
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  • 1,555 views
  • Date uploaded: 2015-08-21
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15449, behavioralhealth, bha, behavioralhealthagency, cms, centersformedicaremedicaidservices, ffs, feeforservice, fpl, federalpovertylevel, hhs, departmentofhealthandhumanservices, mco, managedcareorganization, ppaca, patientprotectionandaffordablecareact, samhsa, substanceabuseandmentalhealthservicesadministration
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• Medicaid Managed Care Payments for Evaluation and Management Services Relative to Medicaid Fee-for-Service in Selected States

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  • License: United States Government Work
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  • 1,425 views
  • Date taken: 2014-07-18 11:29:57
  • Date uploaded: 2014-07-18
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, health, healthcare, medicaid, medicaidfeeforservice, ffs, evaluationandmanagementservices, emservices, officevisits, emergencycare, healthcareandeducationreconciliationactof2010, hcera, medicaidfsspayments, privateinsurance
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• Figure 1: Office of Personnel Management (OPM)'s Funding Received and Anticipated for the Trust Funds Modernization Program, Excluding Operations and Maintenance Costs, as of July 2021

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  • License: United States Government Work
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  • 1,270 views
  • Date uploaded: 2022-03-02
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao22104206, it, informationtechnology, arc, administrativeresourcecenter, cfo, chieffinancialofficer, cio, chiefinformationofficer, cmmi, capabilitymaturitymodelintegration, esc, executivesteeringcommittee, ffs, trustfundsfederalfinancialsystem, ffsr, federalfinancialsystemreplacement, gsa, generalservicesadministration, m3, modernizationandmigrationmanagement, napa, nationalacademyofpublicadministration, nist, nationalinstituteofstandardsandtechnology, ocio, officeofthechiefinformationofficer, omb, officeofmanagementandbudget, opm, officeofpersonnelmanagement, rtm, requirementstraceabilitymatrix, tfm, trustfundsmodernization, treasury, departmentofthetreasury, uscert, unitedstatescomputeremergencyreadinessteam, wbs, workbreakdownstructure
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