Medicare Home Health Services: A Difficult Program to Control

Resource Information

The work Medicare Home Health Services: A Difficult Program to Control represents a distinct intellectual or artistic creation found in Boston University Libraries. This resource is a combination of several types including: Work, Language Material, Books.

Label

Medicare Home Health Services: A Difficult Program to Control

Contributor

• GENERAL ACCOUNTING OFFICE WASHINGTON DC HUMAN RESOURCES DIV

Subject

• Accounting
• Benefits
• Government and Political Science
• Medical personnel
• Medical services
• Medicine and Medical Research
• Nursing
• Patients
• Public health
• Qualifications
• Requirements
• Social welfare
• Therapy

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