Search

1. 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
United States
United States. Department of Health and Human Services
Centers for Medicare & Medicaid Services (U.S.)

2. Program integrity after the enactment of health reform

Publication:

Washington, D.C. : American Hospital Association, [2011]

Subject(s):

Fraud -- prevention & control
Health Care Reform -- organization & administration
Hospitals -- ethics
Insurance Claim Review -- statistics & numerical data
Insurance Claim Review -- trends
Medicaid -- ethics
Medicare -- ethics
United States
United States.
Centers for Medicare & Medicaid Services (U.S.)

3. Necessary versus sufficient claims data: an assessment of health care price research implications following the Gobeille v. Liberty Mutual Insurance Co Supreme Court decision

Author(s):

Barrette, Eric, author
McGraves-Lloyd, Katharine, author

Publication:

Washington, DC, : Health Care Cost Institute, July 2016

Subject(s):

Health Benefit Plans, Employee
Health Care Costs -- statistics & numerical data
Insurance Claim Review -- statistics & numerical data
Supreme Court Decisions
United States
United States.