Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Government Accountability Office GAO

GAO Finds Uptick in Rural Hospital Closures as Inpatient Use Falls

October 9, 2018 - Sixty-four rural hospitals closed between 2013 and 2017, more than double the number of rural hospitals closures in the prior five-year period, the Government Accountability Office (GAO) recently reported. Rural hospital closures are not a new trend. Between 1985 and 1988, 140 rural hospitals closed, representing five percent of all rural hospitals in 1985. The implementation of the...


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GAO Offers Steps to Enhance Medicaid, Medicare Fraud Strategy

by Jacqueline LaPointe

CMS demonstrates a commitment to preventing and combating Medicaid and Medicare fraud, but the federal agency’s anti-fraud efforts only partially align with the Government Accountability Office’s (GAO) Framework for Managing...

VA Next Gen Healthcare Supply Chain Program Needs Work, GAO Says

by Jacqueline LaPointe

The Government Accountability Office (GAO) recently found several issues with the VA’s implementation of a next generation healthcare supply chain management program. The federal watchdog argued the implementation process failed to...

GAO Identifies VA Provider Productivity Measure Shortcomings

by Jacqueline LaPointe

The VA lacks appropriate provider productivity measures and clinical efficiency models to accurately capture medical center performance, the Government Accountability Office (GAO) recently reported. A review of the VA Central Office and...

GAO: Medicare Uncompensated Care Aid Not Based on Actual Costs

by Jacqueline LaPointe

Medicare’s uncompensated care payments to hospitals do not account for the actual healthcare costs associated with treating large proportions of Medicaid and uninsured patients, according to a recent Government Accountability Office...

Patient Scheduling Still Problematic at VA Medical Settings

by Catherine Sampson

In a perfect world, the Department of Veterans Affairs’ (VA) patient scheduling system works effectively so veterans are able to access primary care physicians easily. Unfortunately, many veterans continue to face extremely long wait...

GAO Reports Inadequate CMS Federal Exchange Coverage Control

by Jacqueline DiChiara

Insufficient and inadequate policies and procedures from the Centers for Medicare & Medicaid Services (CMS) require greater levels of federal control to maintain effectiveness, says a report from the United States Government...

Does Veterans’ Care Delivery Require Stronger Monitoring?

by Jacqueline DiChiara

The Department of Veterans Affairs (VA) via the Veterans Health Administration (VHA) spent over $58 billion last year providing care to over 6.5 million veterans, including an aging veteran population and an increasing...

GAO: CMS MA Efforts Fail to Uphold Provider Network Adequacy

by Jacqueline DiChiara

The Administrator of the Centers for Medicaid & Medicaid Services (CMS) should make adjustments to the management of Medicare Advantage (MA) networks to tackle provider availability, validate MA organizations’ (MAO) provider...

GPO Funding Structure Could Impact Medicare Costs

by Ryan Mcaskill

A lack of HHS oversight created an environment where GPO fees are unchecked and increasing Medicare Costs. A recent study by the U.S. Government Accountability Office examined five large group purchasing organizations (GPO). GPOs are...

Veterans Health Administration Mismanaging the Consult Process

by Ryan Mcaskill

A new study from the Government Accountability Office found problems with the how the VHA oversees specialty care. Last week, the Government Accountability Office (GAO) released the results of its review of the Department of Veterans...

CAGW criticizes CMS, Marilyn Tavenner for ACA expenditures

by Elizabeth Snell

Last week, Citizens Against Government Waste (CAGW) stated that the Centers for Medicare & Medicaid Services (CMS) had a “dismal record on financial accountability” and also knocked the organization for dismantling...

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