NCJ Number
68143
Date Published
1979
Length
241 pages
Annotation
THESE PROCEEDINGS REPRESENT AN EXCHANGE OF INFORMATION ON WAYS TO IMPROVE EFFICIENCY AND INTEGRITY IN DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE (DHEW) PROGRAMS, WHILE CONTINUING AND ENHANCING THE PROGRAMS' ENDS.
Abstract
OPENING REMARKS FOCUS ON THE CONTINUING REQUIREMENT FOR HUMAN SERVICE SYSTEMS THAT AIM AT ERADICATING AND PREVENTING HUMAN NEED, BUT WHICH CAN BE HELD ACCOUNTABLE FOR FRAUD AND ABUSE. WORKSHOPS AND DISCUSSION GROUPS REPORT ON STEPS THAT HAVE BEEN IMPLEMENTED TOWARD CONTROLLING FRAUD AND ABUSE IN HUMAN SERVICE SYSTEMS, PARTICULARLY FOR HEALTH CARE DELIVERY, INCOME ASSISTANCE, AND STUDENT FINANCIAL ASSISTANCE. SPECIAL ATTENTION IS GIVEN TO TECHNIQUES FOR ELIMINATING FRAUD AND ABUSE IN MEDICARE AND MEDICAID PROGRAMS, WITH MICHIGAN STATE'S PROGRAM DESCRIBED AS ONE THAT IS SUCCEEDING. THE ROLE OF ACCOUNTING SYSTEMS AND INTERNAL AUDITING IS EXPLORED, ALONG WITH THE ROLES OF FEDERAL, STATE AND LOCAL PROSECUTORS AND INVESTIGATORS IN PROSECUTING FRAUD AND ABUSE PARTICIPANTS. THE USE OF THE COMPUTER AS ITS OWN AUDITOR, CONTROLLER, AND MONITOR IS STUDIED, WITH OUTLINES OF STEPS TOWARD INCREASED SOPHISTICATION IN COMPUTER CONTROL OF COMPUTER CRIME, SUGGESTIONS FOR IMPROVED MANAGEMENT OF COMPUTER USE, AND RECOMMENDATIONS FOR BETTER SYSTEMS DESIGNS AND BETTER TRAINING FOR MANAGERIAL STAFF. ACTIONS THAT HEW HAS TAKEN CONTROL FOR ABUSE AND FRAUD ARE DETAILED. CONSIDERATION IS GIVEN TO ISSUES REGARDING ACCESS TO INFORMATION AND INDIVIDUALS' AND ORGANIZATIONS' RIGHTS TO PRIVACY. APPENDIXES PROVIDE A DIRECTORY OF CONFERENCE ATTENDEES, NAMES OF SESSION ORGANIZERS, AND THE STAFF OF THE CONFERENCE. SUMMARIES OF DISCUSSSIONS, PANELS, AND QUESTIONS-AND-ANSWER PERIODS ARE ALSO PROVIDED. (MHP)