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The Medicare Integrity Program was established to strengthen CMS capacity to reduce fraud and abuse, with detection responsibilities transferred to PSCs through benefit integrity task orders. The study uses PSC workload statistics and monthly status reports, including narrative details and numerical activity measures, supported by budget allocation and oversight responsibility data.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":51,"@type":70,"position":76},"https://docshare.wps.com/template/general/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/medicares-program-safeguard-contractors-activities-to-detect-and-deter-fraud-and-abuse-executive-summary/239668/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/medicares-program-safeguard-contractors-activities-to-detect-and-deter-fraud-and-abuse-executive-summary/239668.png","ImageObject",442,249,{"name":88,"@type":89},"Valentina","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-23","2026-09-11",true,{"@type":98,"interactionType":99,"userInteractionCount":47},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What is the objective of this evaluation?","Question",{"text":108,"@type":109},"To assess three selected activities performed by program safeguard contractors in 2005 to detect and deter fraud and abuse in Medicare Parts A and B.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How did PSC responsibilities arise within the Medicare Integrity Program?",{"text":113,"@type":109},"The Medicare Integrity Program was established in 1996, and CMS transferred fraud and abuse detection responsibility for Medicare Parts A and B from carrier and fiscal intermediary fraud units to PSCs, completing the transfer in 2006.",{"name":115,"@type":106,"acceptedAnswer":116},"What data sources were used to support the findings?",{"text":117,"@type":109},"The study collected PSC workload statistics and all PSC monthly status reports for calendar year 2005, including narrative and numerical information, plus budget allocation and oversight responsibility data from CMS for each task order.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},239668,1789151712,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":50,"category_name":51,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":47,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":125,"read_time":140},13056703020460,"https://ap-avatar.wpscdn.com/avatar/be000253dac470eee5d?_k=1778207105932848923","| Department of Health and Human Services\u003Cbr>OFFICE OF INSPECTOR GENERAL\u003Cbr>MEDICARE’S PROGRAM SAFEGUARD CONTRACTORS:\u003Cbr>ACTIVITIES TO DETECT AND DETER FRAUD AND ABUSE |  |\n| --- | --- |\n| | Daniel R. Levinson Inspector General\u003Cbr>July 2007 OEI-03-06-00010 |\n\nOffice of Inspector General  \n[http://oig.hhs.gov](http://oig.hhs.gov)  \nThe mission of the Office of Inspector General (OIG), as mandated by Public Law 95-452, as amended, is to protect the integrity of the Department of Health and Human Services (HHS) programs, as well as the health and welfare of beneficiaries served by those programs. This statutory mission is carried out through a nationwide network of audits, investigations, and inspections conducted by the following operating components:  \nOffice of Audit Services  \nThe Office of Audit Services (OAS) provides all auditing services for HHS, either by conducting audits with its own audit resources or by overseeing audit work done by others. Audits examine the performance of HHS programs and/or its grantees and contractors in carrying out their respective responsibilities and are intended to provide independent assessments of HHS programs and operations. These assessments help reduce waste, abuse, and mismanagement and promote economy and efficiency throughout HHS.  \nOffice of Evaluation and Inspections  \nThe Office of Evaluation and Inspections (OEI) conducts national evaluations to provide HHS, Congress, and the public with timely, useful, and reliable information on significant issues. Specifically, these evaluations focus on preventing fraud, waste, or abuse and promoting economy, efficiency, and effectiveness in departmental programs. To promote impact, the reports also present practical recommendations for improving program operations.  \nOffice of Investigations  \nThe Office of Investigations (OI) conducts criminal, civil, and administrative investigations of allegations of wrongdoing in HHS programs or to HHS beneficiaries and of unjust enrichment by providers. The investigative efforts of OI lead to criminal convictions, administrative sanctions, or civil monetary penalties.  \nOffice of Counsel to the Inspector General  \nThe Office of Counsel to the Inspector General (OCIG) provides general legal services to OIG, rendering advice and opinions on HHS programs and operations and providing all legal support in OIG's internal operations. OCIG imposes program exclusions and civil monetary penalties on health care providers and litigates those actions within HHS. OCIG also represents OIG in the global settlement of cases arising under the Civil False Claims Act, develops and monitors corporate integrity agreements, develops compliance program guidances, renders advisory opinions on OIG sanctions to the health care community, and issues fraud alerts and other industry guidance.  \nΔ E X E C U T I V E S U M M A R Y  \nOBJECTIVE  \nTo assess three selected activities that program safeguard contractors (PSC) performed in 2005 to detect and deter fraud and abuse in Medicare Parts A and B.  \nBACKGROUND  \nThe Medicare Integrity Program was established in 1996 to strengthen the Centers for Medicare & Medicaid Services’(CMS) ability to reduce fraud and abuse in the Medicare program. In 1999, CMS began transferring the responsibility for detecting and deterring fraud and abuse in Medicare Parts A and B from carrier and fiscal intermediary fraud units to PSCs. CMS completed this transfer of responsibilities in  \n2006. CMS now awards benefit integrity task orders to PSCs to perform the work of detecting and deterring fraud and abuse. CMS has the option of renewing or terminating task orders at the end of a performance period. A typical performance period lasts 1 year. In 2005, the year of our evaluation, seven PSCs performed the work under  \n17 task orders (not including a 2-month task order that was excluded from our analysis) . In this report, the term “PSC” represents a PSC benefit integrity task order.  \nAs part of their dutie","cbCaiozKQr4U6HdQ","https://ap.wps.com/l/cbCaiozKQr4U6HdQ","pdf",864463,25,"English","# Objective\n# Background\n# Findings\n## New Part A investigations and referrals\n## New Part B investigations","[{\"question\":\"What is the objective of this evaluation?\",\"answer\":\"To assess three selected activities performed by program safeguard contractors in 2005 to detect and deter fraud and abuse in Medicare Parts A and B.\"},{\"question\":\"How did PSC responsibilities arise within the Medicare Integrity Program?\",\"answer\":\"The Medicare Integrity Program was established in 1996, and CMS transferred fraud and abuse detection responsibility for Medicare Parts A and B from carrier and fiscal intermediary fraud units to PSCs, completing the transfer in 2006.\"},{\"question\":\"What data sources were used to support the findings?\",\"answer\":\"The study collected PSC workload statistics and all PSC monthly status reports for calendar year 2005, including narrative and numerical information, plus budget allocation and oversight responsibility data from CMS for each task order.\"}]","MEDICARE’S PROGRAM SAFEGUARD CONTRACTORS: ACTIVITIES TO DETECT AND DETER FRAUD AND ABUSE - Executive Summary | PDF",9]