Medicare Contractors PDF Download
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Author: United States. General Accounting Office
Publisher:
ISBN:
Category : Medicare
Languages : en
Pages : 52
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Book Description
Author: United States. General Accounting Office
Publisher:
ISBN:
Category : Medicare
Languages : en
Pages : 52
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Book Description
Author:
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 168
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Book Description
Author: United States Government Accountability Office
Publisher: Createspace Independent Publishing Platform
ISBN: 9781977943125
Category :
Languages : en
Pages : 44
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Book Description
The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) required CMS to select claims administrative contractors through a competitive process and to do so in accordance with the FAR. In fiscal year 2013, MACs processed almost 1.2 billion claims totaling more than $363 billion in Medicare payments. GAO was asked to assess CMS's implementation of contracting reform and examine whether CMS could do more to increase MACs' effectiveness. This report evaluates (1) differences in responsibilities among MACs and the costs associated with these responsibilities, including any changes since the implementation of contracting reform; (2) lessons learned, if any, since CMS implemented contracting reform that could be used to increase MAC efficiency and effectiveness; and (3) alternative contracting approaches that CMS could use to enhance contractor performance. To do this work, GAO reviewed the FAR and CMS documents-including contracting documentation and MAC cost reports-and interviewed officials from CMS and selected MACs. GAO also reviewed the FAR to identify alternative contracting approaches.
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. General Accounting Office
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 104
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Book Description
Author: United States. General Accounting Office
Publisher:
ISBN:
Category : Fraud
Languages : en
Pages : 84
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Book Description
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: United States. Congress. Senate. Committee on Appropriations. Subcommittee on Departments of Labor, Health and Human Services, Education, and Related Agencies
Publisher:
ISBN:
Category : Health insurance
Languages : en
Pages : 180
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Book Description
Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations
Publisher:
ISBN:
Category : Fraud investigation
Languages : en
Pages : 124
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Book Description
Author: United States. General Accounting Office
Publisher:
ISBN:
Category : Medical claims processing industry
Languages : en
Pages : 242
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Book Description
