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Medicare Part B Beneficiary Appeals Process

HRD-85-79 Published: Jun 28, 1985. Publicly Released: Jul 29, 1985.
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Highlights

In response to a congressional request, GAO reported on claims processing and due process protections for beneficiaries under part B of the Medicare supplementary medical insurance program. GAO reported on: (1) the adequacy of the beneficiary appeals process under the due process principle of the Constitution; and (2) the extent to which the Health Care Financing Administration (HCFA) has implemented prior GAO recommendations directed at preventing underpayments to beneficiaries.

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Appeals processAppellate procedureClaims processingMedicareConstitutional rightsHealth care cost controlHealth care servicesUnderpaymentsBeneficiariesAppeals