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HRD-78-32 1 (1978-02-07)

handle is hein.gao/gaobaawol0001 and id is 1 raw text is: LM104831 COMPTROLLER GENERAL OF THE UNM D'. STATES WA5IfltNGTON. D.C. 0548 FEB 0 7 1978 B-164031(4) RESTRICTED - NOt to be released outslde the General Accomttog Cifise except on the basis of specific approvz! by the 011tci€ of Congreor.aal Reattens, The Honorable L. H. Fountain Chairman, Subcommittee on Intergovernmental Relations and Human Resources Committee on Government Operations House of Representatives Dear Mr. Chairman: In response to your letter of March 24, 1977, concerning the listing of physicians and group practices receiving over $100,000 in Medicare payments, we have reviewed the events leading up to and following the release of the listing by the Department of Health, Education, and Welfare. This listing was released on March 14i 1977, and because of the considerable concern expressed about errors in the listing, you asked for our comments. We contacted headquarters and regional office officials of the Health Care Financing Administration's Medicare Bureau (formerly Social Security Administration's Bureau of Health Insurance) to determine how the list was developed, what errors were made and why, what action has been taken to correct the errors, and what plans there are for future listings. We also contacted officials at several of the private insurance companies (called carriers) involved in producing and verifying much of the information. Our-review has-shown that ertcr% were caused primarily by the inaccurate and incomplete data the Bureau used in preparing the list. The list was prepared within an unnec- e~sarily tight time limit, and the Bureau made many errors in verifying its accuracy. PREPARATION-OF-THE-LISTING -- On March 1,'1977, Bureau officials were advised of the intent of the Secretary of Health, Education, and Welfare to make public the names of physicians whose billings had generated $100,000 or more in Medicare payments in calendar year 1975. The names and the amounts received were originally scheduled for release on March 12, 1977, but were ultimately released on March 14. According to Department officials, the HRD-78-32

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