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HCFA Needs to Do More to Prevent Medicare/Medicaid Fraud and Abuse

HCFA Needs to Do More to Prevent Medicare/Medicaid Fraud and Abuse

WASHINGTON--Medicare and Medicaid are hard pressed to stay ahead of profiteers bent on cheating the system administered by the Health Care Financing Administration (HCFA).

Sarah F. Jaggar, director of health financing and policy issues for HCFA, testified before the House Subcommittee on Human Resources and Intergovernmental Relations that HCFA's fraud and abuse prevention programs are weak.

She said that Medicare and Medicaid offer strong incentives for providers to overprovide services, that HCFA has few controls to detect questionable billing practices and too few limits on the types of providers allowed to bill the federal agency, and that there is little chance that profiteers will be prosecuted or will have to repay fraudulently obtained money.

 
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