Beneficiary complaints, provider numbers and carrier shopping: Medicare contractor operations.
The number of Medicare claims processed annually will double in the next 10 years, making it imperative that contractors review claims accurately and ensure that payments are made only for medically necessary, high-quality care. Effective identification and prosecution of fraud and abuse in the Medicare program will depend on a cooperative effort between Medicare contractors, the Health Care Financing Administration, and the Office of Inspector General.
Kusserow
R P
RP
Department of Health and Human Services, Washington, DC.
D014487:Centers for Medicare and Medicaid Services, U.S.; D003284:Contract Services / Q000331:legislation & jurisprudence*; D005607:Fraud / Q000331:legislation & jurisprudence*; D007343:Insurance Carriers / Q000331:legislation & jurisprudence*; D006278:Medicare / Q000458:organization & administration*; D017060:Patient Satisfaction / Q000331:legislation & jurisprudence; D014481:United States