COMMITTEE ON GOVERNMENT OPERATIONS ONE HUNDRED SECOND CONGRESS SECOND SESSION MAY 7, 1992 Printed for the use of the Committee on Government Operations 65-994 CC U.S. GOVERNMENT PRINTING OFFICE WASHINGTON: 1993 For sale by the U.S. Government Printing Office Superintendent of Documents, Congressional Sales Office, Washington, DC 20402 ISBN 0-16-040727-3 COMMITTEE ON GOVERNMENT OPERATIONS JOHN CONYERS, JR., Michigan, Chairman CARDISS COLLINS, Illinois STEPHEN L. NEAL, North Carolina ROBERT E. WISE, JR., West Virginia GERALD D. KLECZKA, Wisconsin COLLIN C. PETERSON, Minnesota JOHN W. COX, JR., Illinois FRANK HORTON, New York CHRISTOPHER SHAYS, Connecticut C. CHRISTOPHER COX, California ILEANA ROS-LEHTINEN, Florida WILLIAM H. ZELIFF, JR., New Hampshire BERNARD SANDERS, Vermont (Independent) KFx1 CONTENTS Gerson, Stuart M., Assistant Attorney General, Civil Division, U.S. De- Kolbe, Hon. Jim, a Representative in Congress from the State of Arizona. Shikles, Janet L., Director, Health Financing and Policy Issues, Human Resources Division, General Accounting Office, accompanied by Peter J. Oswald, Edwin P. Stropko, and Sibyl L. Tilson Urgenson, Laurence A., Acting Deputy Assistant Attorney General, Fraud Section, Criminal Division, U.S. Department of Justice Weiss, Hon. Ted, a Representative in Congress from the State of New Gerson, Stuart M., Assistant Attorney General, Civil Division, U.S. De- 34 Morey, Larry D., deputy inspector general for investigations, Office of Inspector General, U.S. Department of Health and Human Services: Shikles, Janet L., Director, Health Financing and Policy Issues, Human Resources Division, General Accounting Office: Prepared statement Thomas, Hon. Craig, a Representative in Congress from the State of Urgenson, Laurence A., Acting Deputy Assistant Attorney General, Fraud Section, Criminal Division, U.S. Department of Justice: Prepared state- |