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1. CMS did not detect some inappropriate claims for durable medical equipment in nursing facilities

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, June 2018
Subject(s):
Durable Medical Equipment -- economics
Insurance, Health, Reimbursement
Medicare -- economics
Skilled Nursing Facilities
Home Care Services -- economics
Insurance Claim Review
Insurance Coverage
Medicaid -- economics
Nursing Homes
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

3. Beyond fair hearings: how five states help Medicaid managed care beneficiaries resolve disputes with health plans

Author(s):
Stevens, Beth, author
Archibald, Nancy, author
Foster, Leslie, 1968-, author
Publication:
Washington, D.C. : Office of Disability, Aging and Long-Term Care Policy, Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services, [2001]
Subject(s):
Managed Care Programs -- organization & administration
Medicaid
Dissent and Disputes
Insurance Claim Review
United States

4. VA disability benefits: additional planning would enhance efforts to improve the timeliness of appeals decisions : report to Congressional addressees

Publication:
Washington, D.C. : U.S. Government Accountability Office, 2017
Subject(s):
Health Manpower
Insurance Claim Review
Veterans Disability Claims
Workload
Disabled Persons
Personnel Staffing and Scheduling
Veterans
Humans
United States
United States. Department of Veterans Affairs.

5. Medicare provider education: oversight of efforts to reduce improper billing needs improvement : report to the Chairman, Committee on Finance, U.S. Senate

Publication:
Washington, D.C. : U.S. Government Accountability Office, March 2017
Subject(s):
Accounts Payable and Receivable
Fraud -- prevention & control
Insurance Claim Review
Medicare -- economics
Contract Services
Insurance, Health, Reimbursement
Humans
United States
United States. Department of Health and Human Services
Centers for Medicare & Medicaid Services (U.S.)

6. Gulf War illness: improvements needed for VA to better understand, process, and communicate decisions on claims : report to Congressional requesters

Publication:
Washington, D.C. : U.S. Government Accountability Office, June 2017
Subject(s):
Disability Evaluation
Persian Gulf Syndrome
Veterans
Veterans Disability Claims
Veterans Health
Insurance Claim Review
Humans
United States
United States. Department of Veterans Affairs.

7. Gulf War illness: additional actions needed to improve VA's claims process : testimony before the Subcommittees on Oversight and Investigations and Disability Assistance and Memorial Affairs, Committee on Veterans' Affairs, House of Representatives

Publication:
Washington, D.C. : U.S. Government Accountability Office, July 13, 2017
Subject(s):
Disability Evaluation
Insurance Claim Review
Persian Gulf Syndrome
Veterans Disability Claims
Veterans Health
Humans
United States
United States. Department of Veterans Affairs.

8. Medicare Advantage program integrity: CMS's efforts to ensure proper payments and identify and recover improper payments : testimony before the Subcommittee on Oversight, Committee on Ways and Means, House of Representatives

Publication:
Washington, D.C. : U.S. Government Accountability Office, July 19, 2017
Subject(s):
Financial Audit
Fraud -- prevention & control
Insurance, Health, Reimbursement
Medicare Part C -- economics
Fee-for-Service Plans -- economics
Insurance Claim Review
Humans
United States
Centers for Medicare & Medicaid Services (U.S.)

9. SSA's Compassionate Allowance Initiative: improvements needed to make expedited processing of disability claims more consistent and accurate : report to the Chairman, Subcommittee on Social Security, Committee on Ways and Means, House of Representatives

Publication:
Washington, D.C. : U.S. Government Accountability Office, August 2017
Subject(s):
Disability Evaluation
Eligibility Determination
Insurance Claim Review
Social Security
Humans
United States
United States. Social Security Administration.

10. Medicare: CMS Fraud Prevention System uses claims analysis to address fraud : report to Congressional requesters

Publication:
Washington, D.C. : U.S. Government Accountability Office, August 2017
Subject(s):
Fraud -- prevention & control
Insurance Claim Review
Medicare
Public-Private Sector Partnerships
Contract Services
Data Interpretation, Statistical
Information Dissemination
Insurance, Health, Reimbursement
Humans
United States
Centers for Medicare & Medicaid Services (U.S.)