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Beneficiary satisfaction with 1996 Medicare handbook
| Beneficiary satisfaction with 1996 Medicare handbook |
| Pubbl/distr/stampa | [Washington, D.C.] : , : Department of Health and Human Services, Office of Inspector General, , 1997 |
| Descrizione fisica | 1 online resource (22 unnumbered pages) : illustrations |
| Soggetto topico |
Medicare beneficiaries
Medicare - Evaluation Consumer satisfaction - United States Health surveys - United States |
| Soggetto genere / forma | Handbooks and manuals. |
| Formato | Materiale a stampa  |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Record Nr. | UNINA-9910707108503321 |
| [Washington, D.C.] : , : Department of Health and Human Services, Office of Inspector General, , 1997 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Facilitating access to Medicare Part D drug claims data [[electronic resource] /] / Elizabeth Hargrave ; Jack Hoadley
| Facilitating access to Medicare Part D drug claims data [[electronic resource] /] / Elizabeth Hargrave ; Jack Hoadley |
| Autore | Hargrave Elizabeth |
| Pubbl/distr/stampa | Washington, DC : , : MedPAC, , 2008 |
| Descrizione fisica | ii unnumbered pages, v, 24 pages : digital, PDF file |
| Altri autori (Persone) | HoadleyJack |
| Collana | [MedPAC contract research series] |
| Soggetto topico |
Medicare - Evaluation
Drug utilization - United States - Evaluation Medical records - Access control - United States |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Record Nr. | UNINA-9910696402703321 |
Hargrave Elizabeth
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| Washington, DC : , : MedPAC, , 2008 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Los Angeles County suppliers' compliance with Medicare standards : results from unannounced visits
| Los Angeles County suppliers' compliance with Medicare standards : results from unannounced visits |
| Pubbl/distr/stampa | [Washington, D.C.] : , : Department of Health and Human Services, Office of Inspector General, , 2008 |
| Descrizione fisica | 1 online resource (iv, 30 pages) : illustrations |
| Soggetto topico |
Medicare - California - Los Angeles County - Evaluation
Medicare - Evaluation |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Altri titoli varianti | Angeles County suppliers' compliance with Medicare standards |
| Record Nr. | UNINA-9910707777403321 |
| [Washington, D.C.] : , : Department of Health and Human Services, Office of Inspector General, , 2008 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Medicaid managed care : use of srveys as a beneficiary protection tool
| Medicaid managed care : use of srveys as a beneficiary protection tool |
| Pubbl/distr/stampa | [Washington, D.C.] : , : Department of Health and Human Services, Office of Inspector General, , 1997 |
| Descrizione fisica | 1 online resource (36 unnumbered pages) |
| Soggetto topico |
Medicare - Evaluation
Medical care surveys - United States - Evaluation Managed care plans (Medical care) - United States - Evaluation Health maintenance organizations - United States - Evaluation |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Altri titoli varianti | Medicaid managed care |
| Record Nr. | UNINA-9910707108203321 |
| [Washington, D.C.] : , : Department of Health and Human Services, Office of Inspector General, , 1997 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Medicare Laboratory Payment Policy [[electronic resource]] : Now and in the Future
| Medicare Laboratory Payment Policy [[electronic resource]] : Now and in the Future |
| Autore | Dianne Miller Wolman |
| Pubbl/distr/stampa | Washington, DC, USA, : National Academies Press, 2000 |
| Descrizione fisica | 1 online resource (261 p.) |
| Soggetto topico |
MEDICAL
Medicaid & Medicare Medical care, Cost of - United States Medicare - Evaluation Pathological laboratories - United States - Prospective payment Medicare Prospective Payment System Clinical Laboratory Techniques Insurance, Health Medical Assistance Reimbursement Mechanisms Investigative Techniques Legislation as Topic Public Assistance Insurance, Health, Reimbursement Insurance Social Control, Formal Health Care Economics and Organizations Financing, Organized Financing, Government Economics Health Care Medical Care Plans Public Health Health & Biological Sciences |
| ISBN |
0-309-18361-8
1-280-18522-8 9786610185221 0-309-56498-0 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Record Nr. | UNINA-9910778608703321 |
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Dianne Miller Wolman
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| Washington, DC, USA, : National Academies Press, 2000 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Medicare Laboratory Payment Policy : Now and in the Future
| Medicare Laboratory Payment Policy : Now and in the Future |
| Autore | Dianne Miller Wolman |
| Edizione | [1st ed.] |
| Pubbl/distr/stampa | Washington, DC, USA, : National Academies Press, 2000 |
| Descrizione fisica | 1 online resource (261 p.) |
| Soggetto topico |
MEDICAL
Medicaid & Medicare Medical care, Cost of - United States Medicare - Evaluation Pathological laboratories - United States - Prospective payment Medicare Prospective Payment System Clinical Laboratory Techniques Insurance, Health Medical Assistance Reimbursement Mechanisms Investigative Techniques Legislation as Topic Public Assistance Insurance, Health, Reimbursement Insurance Social Control, Formal Health Care Economics and Organizations Financing, Organized Financing, Government Economics Health Care Medical Care Plans Public Health Health & Biological Sciences |
| ISBN |
0-309-18361-8
1-280-18522-8 9786610185221 0-309-56498-0 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Medicare Laboratory Payment Policy -- Copyright -- REVIEWERS -- Preface -- Acknowledgments -- Contents -- Summary -- INTRODUCTION -- THE LABORATORY INDUSTRY -- THE CURRENT MEDICARE PAYMENT SYSTEM -- GOALS FOR A PAYMENT SYSTEM -- ASSESSMENT OF THE CURRENT MEDICARE PAYMENT SYSTEM -- RECOMMENDATIONS -- CONCLUSION -- REFERENCES -- 1 Introduction -- ORIGINS OF THIS STUDY -- STATEMENT OF TASK -- THE IOM STUDY PROCESS -- GOALS FOR A PAYMENT SYSTEM -- CLINICAL LABORATORY SERVICES COVERED BY MEDICARE -- THE MEDICARE PROGRAM -- What Types of Laboratory Services Are Included in the Medicare Laboratory Fee Schedule? -- ORGANIZATION OF THE REPORT -- REFERENCES -- 2 Background and Environmental Trends -- BACKGROUND ON THE CLINICAL LABORATORY INDUSTRY -- Sites of Service -- Geographic Distribution -- Size and Distribution of the Market -- Trends in Expenditures for Laboratory Services -- Financial Strength of the Laboratory Industry -- MEDICARE PART B CLINICAL LABORATORY TRENDS -- Medicare Part B Spending -- ENVIRONMENTAL TRENDS -- Regulatory Trends -- Clinical Laboratory Improvement Amendments of 1988 -- Test Complexity and Laboratory Certification -- CLIA's Impact on the Laboratory Industry -- CLIA's Impact on Quality -- Occupational Safety and Health Administration -- MINIMIZING FRAUD, WASTE, AND ABUSE -- Stark Amendments -- OIG Investigations -- Medical Necessity Review -- PAYMENT TRENDS -- Medicare Shift to Prospective Payment Systems -- Growth of Managed Care -- RESPONSE FROM THE INDUSTRY TO ENVIRONMENTAL TRENDS -- Market Consolidation and Network Development -- Growth of Hospital-Based Laboratory Outreach Programs -- SUMMARY -- REFERENCES -- 3 Technology Trends in the Clinical Laboratory Industry -- AUTOMATION -- Preanalytic Stage -- Analytic Stage -- Postanalytic Stage -- INFORMATION TECHNOLOGY -- LABORATORY MEASUREMENT AND TESTING TECHNOLOGY.
Esoteric Tests -- Genetic Testing -- Pharmacogenomics -- Nanotechnology -- TECHNOLOGY'S EFFECT ON SITE OF SERVICE -- Point-of-Care Testing -- Home Testing -- EFFECT ON CLINICAL LABORATORY STAFF REQUIREMENTS -- SUMMARY -- REFERENCES -- 4 Description of the Current Medicare Payment System and Its Historical Roots -- INTRODUCTION -- THE FDA APPROVAL PROCESS -- CODING POLICY -- Coding Updates -- Panel Codes -- Codes for New Technology -- Ambiguities in Code Use -- CLAIMS PROCESSING -- MEDICARE COVERAGE POLICY -- National Coverage Decisions -- Local Medical Review Policy -- Claims Denials -- Advanced Beneficiary Notice -- Negotiated Rulemaking -- MEDICARE PAYMENT POLICY -- Early History of the Payment System -- DEVELOPMENT OF THE CURRENT SYSTEM -- ELEMENTS OF A PAYMENT SYSTEM -- Type of Payment -- Unit of Payment -- Basis of Payment -- Level of Payment -- Panel Tests -- Congressionally Set Test Payment Levels -- Fee Level for New Technology -- Updating Payments -- Adjustments -- Geographic Adjustment -- Sole Community Hospital Adjustment -- Base-Fee Adjustment -- Inherent Reasonableness -- Cost Sharing -- EFFECT OF LABORATORY SPENDING ON PHYSICIAN PAYMENT -- CONCLUSION -- REFERENCES -- 5 The Current System: How Well Does It Work? -- BENEFICIARY ACCESS -- FLEXIBILITY -- TRANSPARENCY -- VALUE -- ADMINISTRATIVE SIMPLICITY AND EFFICIENCY -- OTHER ISSUES OF CONCERN -- Improving the Quality and Appropriate Use of Laboratory Services -- Coding Process for Outpatient Laboratory Tests -- Fraud, Waste, and Abuse -- CONCLUSION -- REFERENCES -- 6 Alternative Payment Methodologies -- INTRODUCTION -- ELEMENTS OF A PAYMENT SYSTEM -- Type of Payment -- Definition -- Discussion -- Comparative Assessment -- Unit of Payment -- Definition -- Discussion -- Comparative Assessment -- Basis of Payment -- Definition -- Discussion -- Level of Payment -- Definition -- Discussion. OTHER ISSUES IN PAYMENT SYSTEMS -- Updating Payments -- Adjustments -- Cost Sharing -- MAKING IMPROVEMENTS A REALITY -- Designing Payment Policies -- Implementing New Payment Policies -- CONCLUSION -- REFERENCES -- 7 Recommendations -- INTRODUCTION -- CONCLUSION -- REFERENCES -- Acronyms and Glossary -- ACRONYMS -- GLOSSARY -- APPENDIX A Acknowledgments -- APPENDIX B Medicare Clinical Laboratory Payments: The National Limitation Amount and Its Relationship to Payment Amounts -- APPENDIX C Study of Fees and Payment System Characteristics for Clinical Laboratory Services -- EXECUTIVE SUMMARY -- Study Methodology -- Study Findings -- STUDY OBJECTIVES AND DESCRIPTION OF STUDY METHODOLOGY -- Background and Study Objectives -- Payment Rate Determination Methodology -- Selection of Payers -- Selection of Clinical Laboratory Services -- Additional Information Included in the Survey -- CLINICAL LABORATORY PAYMENT RATES -- Introduction -- Clinical Laboratory Fee Data -- Clinical Laboratory Capitation Data -- Comparison of Fees -- CHARACTERISTICS OF LABORATORY SERVICE PAYMENT SYSTEMS -- Survey Approach -- Laboratory Payment System Characteristics -- REFERENCES -- EXHIBIT C.1: SURVEY INSTRUMENT FOR STUDY OF PAYMENT RATES FOR LABORATORY SERVICES -- Section I. Background and General Description of Laboratory Payment Methodologies -- Section II. Fee-for-Service Plans -- Section III. Capitated Plans -- Section IV. Additional Comments -- APPENDIX D Annual Volume of Laboratory Tests by Laboratory Type and Waived-Nonwaived Test Status, 1996-1998, 1999-Early 2000 -- APPENDIX E 1998 Medicare Carrier Denial Rates -- APPENDIX F Committee Biographies. |
| Record Nr. | UNINA-9910810847203321 |
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Dianne Miller Wolman
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| Washington, DC, USA, : National Academies Press, 2000 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Medicare risk HMO performance indicators
| Medicare risk HMO performance indicators |
| Pubbl/distr/stampa | [Washington, D.C.] : , : Department of Health and Human Services, Office of Inspector General, , 1995 |
| Descrizione fisica | 1 online resource (46 unnumbered pages) : illustrations |
| Soggetto topico |
Medicare - Evaluation
Health maintenance organizations - United States - Evaluation Managed care plans (Medical care) - United States - Evaluation Consumer satisfaction - United States Health surveys - United States |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Altri titoli varianti | Medicare risk Health Maintenance Organizations performance indicators |
| Record Nr. | UNINA-9910707398503321 |
| [Washington, D.C.] : , : Department of Health and Human Services, Office of Inspector General, , 1995 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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Medicare, CMS should evaluate providing coverage for disposable medical devices that could substitute for durable medical equipment : report to congressional committees
| Medicare, CMS should evaluate providing coverage for disposable medical devices that could substitute for durable medical equipment : report to congressional committees |
| Pubbl/distr/stampa | [Washington, D.C.] : , : United States Government Accountability Office, , 2017 |
| Descrizione fisica | 1 online resource (ii, 34 pages) : color illustrations |
| Soggetto topico |
Disposable medical devices - United States
Medical supplies - United States Medicare - Evaluation |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Altri titoli varianti | Medicare, CMS should evaluate providing coverage for disposable medical devices that could substitute for durable medical equipment |
| Record Nr. | UNINA-9910706165603321 |
| [Washington, D.C.] : , : United States Government Accountability Office, , 2017 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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South Florida suppliers' compliance with Medicare standards : results from unannounced visits
| South Florida suppliers' compliance with Medicare standards : results from unannounced visits |
| Pubbl/distr/stampa | [Washington, D.C.] : , : Department of Health and Human Services, Office of Inspector General, , 2007 |
| Descrizione fisica | 1 online resource (iv, 22 pages) |
| Soggetto topico |
Medicare - Florida - Evaluation
Medicare - Evaluation |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Altri titoli varianti | South Florida suppliers' compliance with Medicare standards |
| Record Nr. | UNINA-9910707777903321 |
| [Washington, D.C.] : , : Department of Health and Human Services, Office of Inspector General, , 2007 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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