Medicare: Shared System Conversion Led to Disruptions in Processing Maryland Claims
HEHS-94-66
Published: May 23, 1994. Publicly Released: May 23, 1994.
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Highlights
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) efforts to reduce administrative costs by promoting state Medicare contractors' use of shared system conversions, focusing on: (1) the claims processing and payment problems experienced by the Maryland Medicare contractor; and (2) other states' experiences with shared system conversions.
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Topics
Administrative costsClaims processingComputer networksContract performanceHealth care cost controlMedical expense claimsMedical information systemsMedicareState-administered programsSystems conversionsSystems management