Home | Go Previous Page | |
30 Month Performance Data for the HIPAA-Funded Projects |
30 Month Performance Data for the HIPAA-Funded
Projects
JULY, 1997 - DECEMBER, 1999
George Grob
Deputy Inspector General for Evaluation and Inspections
30-Month Performance Data for the HIPAA-Funded Projects (OEI-02-97-00525)
Edwin Walker, Director
Office of Program Operations and Development
Administration on Aging
At the request of the Administration on Aging, we have continued to collect performance data for the 18 Health Insurance Portability and Accountability Act (HIPAA)-Funded Projects. The attachment presents cumulative performance data for the first 30 months of the projects. Please note that these data are self-reported and we have not verified their accuracy.
The HIPAA-Funded Projects have so far trained a total of 22,214 trainers. These trainers have gone on to educate a total of 45,287 beneficiaries, family members, caregivers, and others in their sessions. They have also educated 9,222 aging network staff and volunteers about health care fraud, waste, and abuse. An additional 482,683 people were reached through forums and other public information presentations. As a result of these efforts, the projects reported receiving 12,104 complaints, 7 percent of which resulted in some action.
The projects identified a total of $138,419 for Medicare recoupment. Of particular note, the New York project identified another $26.4 million to be recouped primarily in Medicaid funds. This was due to Medicaid/Medicare computer matches that identified double billings.
We will continue to monitor these projects and provide you with 36-month performance data.
Activity |
AZ |
CA |
CO |
FL |
GA |
IL |
LA |
MA |
MO |
NJ |
NY |
OH |
OR |
PA |
TN |
TX |
VA |
WA |
TOTAL |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
A. Trainers |
|||||||||||||||||||
# of training sessions conducted for network agency staff, volunteers, and others |
68 |
49 |
27 |
15 |
33 |
23 |
28 |
19 |
34 |
0 |
359 |
16 |
11 |
10 |
3 |
223 |
6 |
80 |
1,004 |
# of network agency staff, including volunteers, trained |
910 |
1,254 |
46 |
264 |
1,137 |
787 |
255 |
469 |
1,426 |
0 |
3,525 |
916 |
539 |
352 |
95 |
2,828 |
145 |
421 |
15,369 |
# of other staff and volunteers trained |
583 |
149 |
212 |
40 |
0 |
100 |
329 |
0 |
0 |
0 |
3,957 |
8 |
400 |
0 |
20 |
1,047 |
0 |
DK |
6,845 |
Total # trainers trained |
1,493 |
1,403 |
258 |
304 |
1,137 |
887 |
584 |
469 |
1,426 |
0 |
7,482 |
924 |
939 |
352 |
115 |
3,875 |
145 |
421 |
22,214 |
B. Public information |
|||||||||||||||||||
# of media events conducted |
14 |
69 |
2 |
85 |
8 |
18 |
10 |
9 |
2 |
0 |
118 |
1 |
12 |
8 |
4 |
614 |
10 |
119 |
1,103 |
# of forums and other public information presentations conducted |
135 |
56 |
27 |
117 |
5 |
21 |
16 |
8 |
14 |
20 |
492 |
56 |
2 |
15 |
91 |
619 |
111 |
482 |
2,287 |
# of persons attending these forums and other public information presentations |
8,184 |
938 |
133,000 |
6,924 |
679 |
466 |
689 |
1,220 |
7,671 |
2,410 |
235,070 |
9,530 |
184 |
436 |
5,572 |
13,752 |
18,641 |
37,317 |
482,683 |
C. Trainer Activities |
|||||||||||||||||||
# of trainers currently promoting awareness and reporting of health care fraud and abuse |
104 |
6 |
46 |
8 |
9 |
85 |
55 |
469 |
70 |
0 |
2,069 |
30 |
323 |
352 |
63 |
312 |
145 |
DK |
4,146 |
# of education and training sessions conducted by trainers for network agency or for other staff and volunteers |
134 |
25 |
311 |
2 |
9 |
11 |
21 |
80 |
0 |
0 |
0 |
DK |
485 |
6 |
18 |
7 |
DK |
DK |
1,109 |
# of network agency and other staff and volunteers attending these sessions |
472 |
606 |
460 |
11 |
286 |
604 |
351 |
2,780 |
0 |
0 |
0 |
DK |
1,213 |
576 |
1,761 |
102 |
DK |
DK |
9,222 |
# of sessions conducted by trainers for beneficiaries, family members, care givers, and others |
102 |
781 |
36 |
85 |
10 |
93 |
274 |
125 |
12 |
0 |
1,321 |
DK |
1,130 |
46 |
0 |
64 |
DK |
DK |
4,079 |
# of beneficiaries, family members, care givers, and others attending these sessions |
4,420 |
1,625 |
1,075 |
8,711 |
302 |
2,916 |
2,709 |
2,350 |
578 |
0 |
15,916 |
DK |
1,695 |
1,975 |
0 |
1,015 |
DK |
DK |
45,287 |
Activity |
AZ |
CA |
CO |
FL |
GA |
IL |
LA |
MA |
MO |
NJ |
NY |
OH |
OR |
PA |
TN |
TX |
VA |
WA |
TOTAL |
D. Health care fraud and abuse complaint receipt and referral activity |
|||||||||||||||||||
# of complaints received attributable to the project |
78 |
7,247 |
0 |
822 |
23 |
15 |
14 |
3,004 |
DK |
32 |
157 |
32 |
15 |
DK |
0 |
448 |
144 |
73 |
12,104 |
# of complaints referred for follow-up |
41 |
5,440 |
0 |
18 |
17 |
15 |
11 |
2 |
DK |
10 |
45 |
1 |
14 |
DK |
0 |
100 |
110 |
13 |
5,837 |
# of complaints that resulted in some action |
8 |
761 |
0 |
DK |
DK |
4 |
6 |
DK |
DK |
7 |
33 |
DK |
9 |
DK |
0 |
35 |
DK |
3 |
866 |
Medicare $ recouped attributable to the project |
115,000 |
DK |
0 |
DK |
DK |
7,551 |
1,501 |
DK |
DK |
3,602 |
3,008 |
DK |
DK |
DK |
0 |
6,357 |
DK |
1,400 |
138,419 |
Other $ recouped attributable to the project |
0 |
DK |
0 |
DK |
DK |
0 |
0 |
DK |
DK |
0 |
26,400,000 |
DK |
DK |
DK |
0 |
DK |
DK |
22,000 |
26,422,000 |
Total $ recouped attributable to the project |
115,000 |
DK |
0 |
DK |
DK |
7,551 |
1,501 |
DK |
DK |
3,602 |
26,403,008 |
DK |
DK |
DK |
0 |
6,357 |
DK |
23,400 |
26,560,419 |
Please note the following:
--Unlike previous reports, New York is included in the total.
--New York has always been a Senior Medicare Patrol Project grantee.
--The projects in AZ, OR, and VA are now also Senior Medicare Patrol Project grantees.
--The projects in LA, NJ, and OR were incorporated at a later date and are reporting 24-month data.