Improper Payments Agency Information Systems and Other InfrastructureTopics on This Page:
Instructions:
a. Describe whether the agency has the information systems and other infrastructure it needs to reduce improper payments to the levels the agency has targeted.
b. If the agency does not have such systems and infrastructure, describe the resources the agency requested in its most recent budget submission to Congress to obtain the necessary information systems and infrastructure.
HHS has the information systems and other infrastructure needed to reduce improper Medicare FFS payments to the levels that HHS has targeted. HHS has several systems that contain information that allows it to identify developing and continuing aberrant billing patterns based upon a comparison of local payment rates with state and national rates.All the systems, both at the contractor level and at the central HHS level, are tied together by a high-speed secure network that allows rapid transmission of large data sets between systems. Transmissions are made nightly and include all claims processed during the preceding day. No other systems or infrastructure are needed at this time. The information systems and other infrastructure that would be valuable to HHS in reducing improper payments will not be known until implementation is complete and results are available. The information systems and other infrastructure that would be valuable to HHS in reducing improper payments will not be known until implementation is complete and results are available. The information systems and other infrastructure that would be valuable to HHS in reducing improper payments will not be known until full implementation is complete and results are available.
The information systems and other infrastructure that would be valuable to HHS in reducing improper payments will not be known until full implementation is complete and results are available. The information systems and other infrastructure that would be valuable to HHS in reducing improper payments will not be known until the methodology has been fully implemented and results are available. HHS has the information systems and other infrastructure needed to reduce improper Foster Care payments to the levels that HHS has targeted. HHS uses the Adoption and Foster Care Analysis and Reporting System for the regulatory reviews. Utilizing this existing source of data reduces the burden on states to draw their own samples,promotes uniformity in sample selection, and employs the database in a practical and beneficial manner. No other systems or infrastructure are needed at this time. HHS has the information systems and infrastructure needed to reduce improper Head Start payments to the levels that HHS has targeted. HHS has two systems in place that identify grantees that are not complying with Head Start’s income eligibility requirements. All review reports are processed centrally by HHS as part of Head Start monitoring.Both systems allow HHS to identify grantees that fail to comply with income eligibility requirements. No other systems or infrastructure are needed at this time. The information systems and other infrastructure that would be valuable to HHS in reducing improper payments will not be known until full implementation is complete and results are available.
Date of Report: November 15, 2007
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