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HRD-85-25 1 (1985-01-10)

handle is hein.gao/gaobabewv0001 and id is 1 raw text is: 




BY THE US GENERAL ACCOUNTING OFF CE



Report To The Secretary Of Health And

Human Services







Opportunities To Reduce Medicare Payments For

Prosthetic Lenses While Enhancing Nationwide

Uniformity Of Benefits


Inadequate guidance to Medicare's claims processing
contractors has resulted in unnecessary expenditures
for prosthetic lenses and related professional
services used after the removal of cataracts and
inequitable benefits for Medicare beneficiaries.

GAO estimates that improved guidance by the
Department of Health and Human Services could
have resulted in a reduction in Medicare allowed
charges of at least $7.4 million during 1982 in
areas served under 7 of the program's 49 claims
processing contracts. Significantly greater amounts
could have been saved nationally and more equitable
administration of benefits would have resulted.

GAO recommends that the Department develop
and implement guidance to improve controls over
payments for prosthetic lenses and related pro-
fessional services.









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                                                            GAO/HRD-85-25
                                                            JANUARY 10. 1985

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