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Author: United States Government Accountability Office
Publisher: Createspace Independent Publishing Platform
ISBN: 9781982015015
Category :
Languages : en
Pages : 44
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Book Description
Medicare Administrative Contractors: CMS Should Consider Whether Alternative Approaches Could Enhance Contractor Performance
Author: United States Government Accountability Office
Publisher: Createspace Independent Publishing Platform
ISBN: 9781982015015
Category :
Languages : en
Pages : 44
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Book Description
Medicare Administrative Contractors: CMS Should Consider Whether Alternative Approaches Could Enhance Contractor Performance
Author: United States. Department of Health and Human Services. Office of Inspector General
Publisher:
ISBN:
Category : Government contractors
Languages : en
Pages : 35
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Book Description
Author: CreateSpace Independent Publishing Platform
Publisher: Createspace Independent Publishing Platform
ISBN: 9781722259778
Category :
Languages : en
Pages : 36
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Book Description
Medicare administrative contractors' performance.
Author: Kathleen M. King
Publisher: DIANE Publishing
ISBN: 1437932878
Category : Medical
Languages : en
Pages : 68
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Book Description
The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 significantly reformed contracting for payment of Medicare's $310 billion per year in fee-for-service claims. The Centers for Medicare and Medicaid Services (CMS) is transitioning claims administration to 19 new entities known as Medicare Administrative Contractors (MAC) and plans to complete the process ahead of Oct. 1, 2011, the date required by law. This report examined: (1) how CMS has implemented Medicare contracting reform; (2) how CMS assessed the performance of the MACs and what the results of its assessments have been; and (3) what CMS's costs and savings have been for Medicare contracting reform. Charts and tables.
Author: United States. Government Accountability Office
Publisher: DIANE Publishing
ISBN: 1428933603
Category : Health care reform
Languages : en
Pages : 69
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Book Description
Author: Leslie G. Aronovitz
Publisher: DIANE Publishing
ISBN: 9781422302842
Category :
Languages : en
Pages : 74
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Book Description
The Medicare Prescription Drug, Improvement, & Modernization Act of 2003 (MMA) significantly reformed contracting for the administration of claims for Part A, Medicare's hospital insurance, & Part B, which covers outpatient services such as physicians' care. The MMA required the Centers for Medicare & Medicaid Services to conduct open competition for its claims administration contracts & to transfer the work to Medicare administration contractors by Oct. 2011. This report reviewed the extent to which: (1) the plan provides an appropriate framework for implementing Medicare contracting reform; & (2) the plan's cost & savings estimates are sound enough to support decisions on implementation. Charts & tables.
Author: United States. General Accounting Office
Publisher:
ISBN:
Category : Medicare
Languages : en
Pages : 52
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Book Description
Author: United States. Government Accountability Office
Publisher:
ISBN:
Category : Medicare
Languages : en
Pages : 61
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Book Description
The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 significantly reformed contracting for payment of Medicare's $310 billion per year in fee-for-service claims. The Centers for Medicare & Medicaid Services (CMS) is transitioning claims administration to 19 new entities known as Medicare Administrative Contractors (MAC) and plans to complete the process ahead of October 1, 2011, the date required by law. In 2005, GAO reported that CMS's plan to accelerate the transition could create challenges and was based on estimated costs and savings that were uncertain. In this report GAO examined (1) how CMS has implemented Medicare contracting reform; (2) how CMS assessed the performance of the MACs and what the results of its assessments have been; and (3) what CMS's costs and savings have been for Medicare contracting reform. GAO selected a sample of 6 transitions to review from among the 10 MAC contracts awarded as of June 2008, based on factors such as geographic diversity, volume of claims workload, and transition complexity. GAO analyzed CMS documents related to the MAC transitions, including performance assessments for 3 of the 6 MACs in the sample that had results available for three types of reviews as of March 2009, and interviewed CMS officials, contractors, and provider groups.
Author: Medicaid/Medicare Management Institute
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 172
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Book Description
Author: United States. General Accounting Office
Publisher:
ISBN:
Category : Contracting out
Languages : en
Pages : 44
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Book Description
