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HRD-78-158 1 (1979-01-09)

handle is hein.gao/gaobaaylg0001 and id is 1 raw text is: 



BY THE COMPTROLLER GENERAL



Report To The Congress


OF THE UNITED STATES


Problems In Auditing Medicaid

Nursing Home Chains






Headquarters for nursing home chains engage
in financial transactions with their affiliates.
The nursing homes put in claims for the costs
of such transactions on their cost reports--the
basis on which the States reimburse them for
care provided to Medicaid patients. Some of
these claims are unallowable and result in the
homes being overpaid.

The Secretary of HEW should direct the
Administrator of the Health Care Financing
Administration to


-provide for the exchange of head-
quarters audit results among all affec-
ted Medicare intermediaries and State
Medicaid agencies and

-.establish procedures to designate a
single Medicare intermediary or State
Medicaid agency as having audit respon-
sibility for each nursing home chain
headquarters.


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108331


     HRD-78-158
JANUARY 9, 1979

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