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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. Shopping for health care makes "cents" for consumers: estimates of the potential financial benefits to consumers as they shop for elective medical care

Author(s):
Barrette, Eric, author
Publication:
Washington, D.C., : Health Care Cost Institute, February 2015
Subject(s):
Choice Behavior
Community Participation
Delivery of Health Care -- economics
Fees, Medical -- trends
Health Care Costs -- trends
Delivery of Health Care -- statistics & numerical data
Fees, Medical -- statistics & numerical data
Financing, Personal -- statistics & numerical data
Forecasting
Health Benefit Plans, Employee -- statistics & numerical data
Health Care Costs -- statistics & numerical data
Information Services
Insurance Claim Review
Insurance Coverage
Quality of Health Care
Humans
United States

5. Key findings from Children's Health Spending: 2009-2012

Author(s):
Frost, Amanda, author
Hiers, Scott, author
Herrera, Carolina-Nicole, author
Publication:
Washington, D.C., : Health Care Cost Institute, February 2014
Subject(s):
Child Health Services -- economics
Health Expenditures -- trends
Adolescent
Child
Child, Preschool
Forecasting
Health Benefit Plans, Employee
Infant
Infant, Newborn
Insurance Claim Review
Insurance Coverage
Female
Humans
Male
United States

6. Best practices in specialty provider recruitment and retention: challenges and solutions

Publication:
[New York, N.Y.] : Commonwealth Fund, [2005]
Subject(s):
Health Manpower
Interprofessional Relations
Personnel Selection -- organization & administration
Personnel Turnover
Specialization
Communication
Contract Services
Economics, Medical
Insurance Claim Review
Managed Care Programs -- organization & administration
Medicaid -- organization & administration
Organizational Case Studies
Referral and Consultation
Reimbursement Mechanisms
New York
Oregon
Rhode Island
United States
Washington

7. 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.

8. 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.)

9. How medical claims simplification can impede delivery of child developmental services

Publication:
[New York, N.Y.] : Commonwealth Fund, [2005]
Subject(s):
Child Health Services -- organization & administration
Delivery of Health Care -- organization & administration
Insurance Claim Review
Child
Infant
Insurance Coverage
Insurance, Health, Reimbursement
International Classification of Diseases -- economics
United States
United States.

10. Quarterly update on the Preventing Wrong-Site Surgery Project

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2008
Subject(s):
Insurance Claim Review
Liability, Legal
Medical Errors -- economics
Medical Errors -- legislation & jurisprudence
Medical Errors -- prevention & control
Safety Management -- methods
Surgical Procedures, Operative -- adverse effects
Surgical Procedures, Operative -- statistics & numerical data
Humans
Pennsylvania
United States