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Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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PubMed1988

Hearings by administrative law judges of certain Medicare claims--HCFA, SSA. General notice.

This notice is to advise the public that the Social Security Administration's Office of Hearings and Appeals (SSA, OHA) has recently been given temporary jurisdiction over Medicare Part B, Supplementary Medical Insurance, Administrative Law Judge (ALJ) hearings. Medicare Part A, Hospital Insurance, ALJ hearings and Medicare entitlement matters continue under SSA, OHA's jurisdiction.

Centers for Medicare and Medicaid Services, U.S.↗
PubMed1988

McCarthyism and HCFA.

Explore the source record for details and available documents.

Centers for Medicare and Medicaid Services, U.S.↗
PubMedDate not supplied

DRG-based cost management at Norwest Corporation.

A large financial holding company, Norwest has been studying employee health benefit utilization, provider performance and more by comparing actual experience to projected norms using a DRG-based methodology. The Hewitt Associates Consultant who works with the Company explains how this process has revealed new facts crucial to health cost management planning.

Cost Control↗
PubMedDate not supplied

Medical consultant key to dealing effectively with insurance fraud and abuse.

An unexpected, but everpresent, by-product of the development of the health care insurance industry is the tendency of those using the industry's services to "game" the system. While fraud and abuse in the claiming of insurance benefits are not the only or the most significant cause of steeply rising health care costs, they certainly contribute to the problem. Payers are advised to maintain a sharp eye for potential fraud and abuse and to observe some simple rules for detecting and eliminating them.

Consultants↗