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At least 1,441 records · Page 80Linked to original sources
PubMed1993

Medicare program; criteria and standards for evaluating intermediary and carrier performance during FY 1994--HCFA. General notice with comment period.

This notice describes the criteria and standards to be used for evaluating the performance of fiscal intermediaries and carriers in the administration of the Medicare program beginning October 1, 1993. The results of these evaluations are considered whenever HCFA enters into, renews, or terminates an intermediary agreement or carrier contract or takes other contract actions (for example, assigning or reassigning providers of services to an intermediary, or designating regional or national intermediaries). This notice is published in accordance with sections 1816(f) and 1842(b)(2) of the Social Security Act. We are publishing for public comment in the Federal Register those criteria and standards against which we evaluate intermediaries and carriers.

Contract Services↗
PubMed1990

Medicare program; establishing procedures for transmitting information between Medicare carriers and Medicare supplemental insurers--HCFA. General notice.

This notice announces and describes the procedure for the automatic transfer of claims information from Medicare carriers to Medicare supplemental (Medigap) insurers when a beneficiary has assigned his or her right of payment to a participating physician or supplier. It delineates the roles of the Medicare carriers, Medigap insurers, State insurance departments, beneficiaries, physicians and suppliers, and HCFA. The procedure for the automatic transfer of claims is required by section 1842(h)(3)(B) of the Social Security Act, as added by section 4081(a) of the Omnibus Budget Reconciliation Act of 1987 and is intended to speed payment of Medicare supplemental insurance benefits to participating physicians and suppliers.

Centers for Medicare and Medicaid Services, U.S.↗
PubMed1991

Medicare, physicians and due process.

The physician's expectation of payment under the Medicare program is not a property right that the Constitution will protect. However, changes in certain aspects of the law do bode well for further scrutiny of carrier behavior.

Insurance Carriers↗
PubMed1988

Electronic health claims--1988 and beyond.

The board members of NEIC: Aetna Life and Casualty, CIGNA, EQUICOR-Equitable HCA Corp., John Hancock Mutual Life, Metropolitan Life, McDonnell Douglas Corp., and The Travelers, as well as the other owners and carrier members, are committed to electronic media claims. It is not a question of if, but when, all claims and attendant transactions will be submitted electronically. It will happen because it makes sound economic sense for the provider and for the carrier, and it will make life easier for the insured. It is no wonder EMC has become one of the hottest topics and growth areas in the healthcare information systems industry today.

Electronic Data Processing↗