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In setting these rates, HCFA failed to account adequately for the fact that seniors who elect to enroll in an HMO are much healthier than those who choose to stay in traditional FFS Medicare.
More than $395 million has already been collected, says the HCFA spokesman, but the states can continue to collect funds from beneficiaries "as long as it's law.
With FormWare fully operational, Captiva's PSG is now helping BCBSNC implement ClaimPack(TM), Captiva's medical claims processing application which runs on FormWare, to capture and process BCBSNC's HCFA and UB92 medical claims.
The General Accounting Office (GAO)-Congress's own audit agency-recently concluded that HCFA is the worst among all federal agencies in the use of performance measures.
I go online to check out what's new on the market or to look up new regulations on the HCFA Web site.
Durand is charged with reporting back to HCFA in 10 days on the county's integrated medical system, which provides coordinated care between the county's clinics and the hospital.
Under this contract, Averill explains, 3M will provide HCFA with recommendations for modifications to the DRG system including changes to the DRGs based on new ICD-9-CM codes.
Within HCFA, all internal computer systems are now Y2K-compliant.
For example, HCFA is determining what type of adjustments to make in the original plan to meet the Medicare competitive bidding provisions contained in the Balanced Budget Act of 1997.
If all sectors of healthcare were as efficient as HCFA, a range of potential administrative cost savings from $177 billion to $265.
As a result, HCFA determined that the CMHC owed HCFA approximately $212,000 and has withheld all payments to the CMHC.
an independent long term care information services company, analyzed the latest JCAHO accreditation files and merged them with HCFA public-use survey and certification data from surveys done between January 1998 and December 2000.
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- HCFA 1500
- HCFA Common Procedure Coding System