 ... reason of the dollar amount denied was as follows: duplicate claim (30 percent), service not covered (14 percent), claimant ineligible (8 percent), missing information (10 percent), rebundled (6 percent), filing limit exceeded (1 percent), Medicare...  Waste and Inequity: A Call for Improved Management of Medicare's Private ... - Page 74de United States. Congress. House. Committee on Small Business. Subcommittee on Regulation, Business Opportunities, and Technology - 1995 - 147 pagesAffichage du livre entier - À propos de ce livre
 | United States. General Accounting Office - 1994 - 64 pages
...Rates for Medical Necessity Across Six Carriers, GAO/T-PEMD-94-17 (Washington, DC: March 29, 1994). PU6 another, only 5 percent of providers accounted for...checks made during claims processing (for example, denials for duplicate claim submissions or ineligible claimants), a significant portion of denials... | |
 | Eleanor Chelimsky - 1994 - 28 pages
...percent), filing limit exceeded (1 percent), Medicare secondary payer (6 percent), and other (16 percent). Services deemed not medically necessary constituted...9 percent of the dollar amount denied by carriers. With the exception of determination of medical necessity, the above reasons for denial are generally... | |
 | DIANE Publishing Company - 1995 - 64 pages
...they determine that the service was not medically necessary. In fiscal year 1993, carriers denied 1 12 million Part B claims in whole or in part (19 percent...checks made during claims processing (for example, denials for duplicate claim submissions or ineligible claimants), a significant portion of denials... | |
| |
