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1. Understanding workers' compensation medical care in California

Publication:

Oakland, Calif. : California HealthCare Foundation, c2005

Subject(s):

Health Services -- statistics & numerical data
Occupational Health -- legislation & jurisprudence
Workers' Compensation -- legislation & jurisprudence
Drug Costs -- legislation & jurisprudence
Fees and Charges -- trends
Health Care Costs
Health Care Reform
Insurance Claim Review -- economics
Outcome Assessment (Health Care)
Prescription Fees -- legislation & jurisprudence
Workers' Compensation -- economics
Workers' Compensation -- statistics & numerical data
Wounds and Injuries -- classification
Wounds and Injuries -- epidemiology
Humans
California
United States

2. Medicare Advantage appeal outcomes and audit findings raise concerns about service and payment denials

Publication:

[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, September 2018

Subject(s):

Health Services Accessibility
Insurance Claim Review -- statistics & numerical data
Insurance Coverage
Insurance, Health, Reimbursement
Medicare Part C
Financial Audit
Insurance Claim Review -- economics
Managed Care Programs
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

3. Detecting potential overbilling in Medicare reimbursement via hours worked

Author(s):

Fang, Hanming, author
Gong, Qing, author

Publication:

Philadelphia, PA : Leonard Davis Institute of Health Economics, 2016

Subject(s):

Financial Audit -- methods
Fraud -- prevention & control
Insurance, Health, Reimbursement -- economics
Medicare Part B -- economics
Insurance Claim Review -- economics
Work
Humans
United States