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GAO-09-838R 1 (2009-07-20)

handle is hein.gao/gaobaanoq0001 and id is 1 raw text is: 

   I
   GA 0
T I   IAccountability * Integrity * Reliability
United States Government Accountability Office
Washington, DC 20548



         July 20, 2009

         The Honorable Thomas R. Carper
         Chairman
         The Honorable John McCain
         Ranking Member
         Subcommittee on Federal Financial Management, Government Information, Federal
         Services, and International Security
         Committee on Homeland Security and Governmental Affairs
         United States Senate

         The Honorable Tom Coburn, M.D.
         United States Senate

         Subject: Improper Payments: Responses to Posthearing Questions Related to
         Eliminating Waste and Fraud in Medicare and Medicaid


         On April 22, 2009, we testified' before your subcommittee at a hearing entitled,
         Eliminating Waste and Fraud in Medicare and Medicaid. At that hearing, we
         discussed federal agencies' progress in estimating and reducing improper payments,
         as well as existing challenges for federal agencies to fully meet the requirements of
         the Improper Payments Information Act of 2002 (IPIA).2 Further, our testimony
         provided an overview of implementation of IPIA with respect to the Medicare and
         Medicaid programs by the Centers for Medicare and Medicaid Services (CMS), a
         component of the Department of Health and Human Services (HHS).

         This letter responds to a May 29, 2009, request for responses to questions for the
         record related to our April 22, 2009, testimony. Our responses are based on work
         associated with previously issued GAO reports (see Related GAO Products at the end
         of this correspondence), data included in HHS's fiscal year 2008 annual financial
         report (AFR), and data reported for fiscal year 2008 by CMS. We conducted our work
         from May 2009 to July 2009 in accordance with all sections of GAO's Quality
         Assurance Framework that are relevant to our objectives. The framework requires
         that we plan and perform the engagement to obtain sufficient and appropriate
         evidence to meet our stated objectives and to discuss any limitations in our work. We

         'GAO, Improper Payments: Progress Made but Challenges Remain in Estimating and Reducing
         Improper Payments, GAO-O9-628T (Washington, D.C.: Apr. 22, 2009).
         2Pub. L. No. 107-300, 116 Stat. 2350 (Nov. 26, 2002).


GAO-09-838R Posthearing Questions

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