Medicare program on GAO's high-risk list.Medicare is still considered a high-risk program for fraud and abuse because of the fiscal challenges caused by its design, rising healthcare costs, and the arrival of the baby boomer generation. This is according to a report published in January by the Government Accountability Office The Government Accountability Office (GAO) is the audit, evaluation, and investigative arm of the United States Congress, and thus an agency in the Legislative Branch of the United States Government. (GAO), which acknowledged that CMS (1) See content management system and color management system. (2) (Conversational Monitor System) Software that provides interactive communications for IBM's VM operating system. has attempted to fix some issues, but also stated that more work is needed to increase the program's efficiency, integrity, and effectiveness. The Medicare program's size has led to improper payment and mismanagement mis·man·age tr.v. mis·man·aged, mis·man·ag·ing, mis·man·ag·es To manage badly or carelessly. mis·man  age·ment n. , the GAO stated. Although CMS has taken steps to improve
its payment system, the GAO found that some suppliers, such as those for
durable medical equipment Durable medical equipment is a term of art used to describe certain Medicare benefits, that is, whether Medicare may pay for the item. The item is defined by Title XVIII the Social Security Act: |
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