TRICARE Managed Care Support Contractor Program Integrity Units Met Contract Requirements.

摘要

We are providing this report for your information and use. The DoD Office of Inspector General performed an audit of the TRICARE Managed Care Support Contractor (MCSC) Program Integrity (PI) Units. The objective of the audit was to determine whether the TRICARE Managed Care Support Contractor Program Integrity Units were developing and implementing fraud detection and prevention procedures. Specifically, we determined whether MCSC PI Units were meeting Government contractual requirements. We found that the MCSCs had dedicated PI functions that met the TRICARE Operations Manual (TOM) and Government contractual requirements for preventing and detecting fraud.