Waste and Inequity: A Call for Improved Management of Medicare's Private Insurance Contractors : Hearing Before the Subcommittee on Regulation, Business Opportunities, and Technology of the Committee on Small Business, House of Representatives, One Hundred Third Congress, Second Session, Washington, DC, December 19, 1994, Volume 4U.S. Government Printing Office, 1995 - 147 pages |
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1,000 services allowed 74 services Accounting Office APPENDIX III APPENDIX ARCHER billing practices Calif carrier denial rates Carriers Differed Chairman WYDEN chest x-ray chiropractic claims processing Code Description Colonoscopy coronary coverage policies develop diagnostic screen doctors DOWDAL durable medical equipment echocardiography established patient example Financing Administration fiscal intermediaries HCFA's Health Care Financing HEDRICK highest denial rates HMO's home health identify Illinois incomplete claims issue low denial rates mammography MBDF medical necessity denial medical policies medical practice medical services medically unnecessary Medicare beneficiaries Medicare carriers Medicare claims Medicare coverage Medicare HMO Medicare patients Medicare pays Medicare program medigap national coverage standards noncovered North Carolina number of services outpatient visit payment physician prepayment screens problem procedures prostate specific antigen Radiologic exam Rates for Medical seniors services denied Sharma six carriers Southern California Subcommittee on Regulation support the need Total Transamerica variation in denial VLADECK Wisconsin