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• Figure 1: Provider Enrollment, Prepayment Review, and Post-payment Review of Medicaid Claims Data

  • Uploaded by: U.S. Government Accountability Office
  • License: United States Government Work
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  • 2,178 views
  • Date uploaded: 2015-03-10
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15207, medicaidinformationtechnology, cms, centersformedicaremedicaidservices, hhs, departmentofhealthandhumanservices, it, informationtechnology, mmis, medicaidmanagementinformationsystem, ncci, nationalcorrectcodinginitiative, pecos, providerenrollmentchainandownershipsystem, ppaca, patientprotectionandaffordablecareact, surs, surveillanceandutilizationreviewsubsystem
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• Figure 1: State Reported Cumulative Spending of 90/10 Funds by Quarter, Fiscal Years 2011 through 2014

  • Uploaded by: U.S. Government Accountability Office
  • License: United States Government Work
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  • 2,058 views
  • Date uploaded: 2014-12-17
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15169, medicaid, apd, advanceplanningdocuments, calt, collaborativeapplicationlifecycletool, chip, childrenshealthinsuranceprogram, cms, centersformedicaremedicaidservices, hhs, departmentofhealthandhumanservices, ffe, federallyfacilitatedexchange, ffp, federalfinancialparticipation, fpl, federalpovertylevel, it, informationtechnology, magi, modifiedadjustedgrossincome, mec, minimumessentialcoverage, mmis, medicaidmanagementinformationsystem, ppaca, patientprotectionandaffordablecareact
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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

  • Uploaded by: U.S. Government Accountability Office
  • 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 4: Federal-State Medicaid Partnership Framework

  • Uploaded by: U.S. Government Accountability Office
  • License: United States Government Work
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  • 1,875 views
  • Date uploaded: 2015-09-01
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao15677, medicaid, epop, employmenttopopulationratio, cbo, congressionalbudgetoffice, chip, statechildrenshealthinsuranceprogram, cms, centersformedicaremedicaidservices, dsh, disproportionatesharehospital, epsdt, earlyandperiodicscreeningdiagnosticandtreatment, fmap, federalmedicalassistancepercentage, fpl, federalpovertylevel, hcera, healthcareandeducationreconciliationactof2010, hhs, departmentofhealthandhumanservices, it, informationtechnology, ltss, longtermservicesandsupports, macpac, medicaidandchippaymentandaccesscommission, mco, managedcareorganization, mmis, medicaidmanagementinformationsystem, msis, medicaidstatisticalinformationsystem, tmsis, transformedmedicaidstatisticalinformationsystem, oig, officeofinspectorgeneral, pecos, providerenrollmentchainandownershipsystem, ppaca, patientprotectionandaffordablecareact, upl, upperpaymentlimit
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