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The Resource Medicare Home Health Services: A Difficult Program to Control

Medicare Home Health Services: A Difficult Program to Control

Contributor
Summary
A GAO review at 37 home health agencies revealed that 27 percent of the visits reviewed that were made to a sample of beneficiaries were not covered under the Medicare program or their coverage status was questionable. Claims processing systems generally failed to detect the noncovered care and GAO attributed this to the lack of information on which to base an informed judgment. Determining whether beneficiaries were homebound was difficult. GAO found the homebound criteria to contain key undefined terms requiring the use of one's own judgment. Finally, GAO found that the use of aide services to assist beneficiaries with personal care could be substantially reduced because either the beneficiary or family and friends often could and would have provided the care required. (Author)
Language
eng
Work
Publication
Extent
67 pages
Note
Report to the Honorable Pete V. Domenici, United States Senate
Instance
Label
Medicare Home Health Services: A Difficult Program to Control
Title
Medicare Home Health Services: A Difficult Program to Control
Contributor
Subject
Language
eng
Summary
A GAO review at 37 home health agencies revealed that 27 percent of the visits reviewed that were made to a sample of beneficiaries were not covered under the Medicare program or their coverage status was questionable. Claims processing systems generally failed to detect the noncovered care and GAO attributed this to the lack of information on which to base an informed judgment. Determining whether beneficiaries were homebound was difficult. GAO found the homebound criteria to contain key undefined terms requiring the use of one's own judgment. Finally, GAO found that the use of aide services to assist beneficiaries with personal care could be substantially reduced because either the beneficiary or family and friends often could and would have provided the care required. (Author)
Cataloging source
DTICE
Index
no index present
Literary form
non fiction
http://library.link/vocab/relatedWorkOrContributorName
GENERAL ACCOUNTING OFFICE WASHINGTON DC HUMAN RESOURCES DIV
http://library.link/vocab/subjectName
  • Medical services
  • Public health
  • Social welfare
  • Requirements
  • Accounting
  • Qualifications
  • Therapy
  • Patients
  • Medical personnel
  • Benefits
  • Nursing
  • Government and Political Science
  • Medicine and Medical Research
Label
Medicare Home Health Services: A Difficult Program to Control
Instantiates
Publication
Note
Report to the Honorable Pete V. Domenici, United States Senate
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Extent
67 pages
Form of item
online
Governing access note
APPROVED FOR PUBLIC RELEASE
Media category
computer
Media MARC source
rdamedia
Media type code
c
Note
Hein Online
System control number
  • (OCoLC)227518456
  • (OCoLC)ocn227518456
Label
Medicare Home Health Services: A Difficult Program to Control
Publication
Note
Report to the Honorable Pete V. Domenici, United States Senate
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Extent
67 pages
Form of item
online
Governing access note
APPROVED FOR PUBLIC RELEASE
Media category
computer
Media MARC source
rdamedia
Media type code
c
Note
Hein Online
System control number
  • (OCoLC)227518456
  • (OCoLC)ocn227518456

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