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The administrative agency responible for establishing rules for medicare claims processing is called the?
Wiki User
∙ 12y ago
centers for Medicare &medicaid services (CMS)
Wiki User
∙ 12y ago
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Who handles the day-to-day operation of the Medicare program for the CMS?
MACs (Medicare Administrative Contractors)
Who are the individuals that do the paperwork for Medicare and are usually insurance companies that have bid for a contract with CMS to handle the Medicare program for a specific area?
The MAC's (Medicare Administrative Contractors) do the paperwork for Medicare.
A(n) (Blank) (three words), usually an insurance co., handles the daily operations for Medicare, including paper work, claims, and payments.?
Medicare Administrative Contractors
Is Aetna Medicare primary over Medicare?
The answer depends on what type of Aetna Medicare Plan you have. If you have an Aetna Medicare Supplemental Plan, then Original Medicare pays first and the Aetna plan pays secondary If you have an Aetna Medicare Advantage HMO Plan, then the Aetna plan will always be primary as Medicare has assigned the benefits over to Aetna for processing and administration.
What is the administrative branch within the department of health and human services that is responsible for medicare and medicaid services?
cms
What specific benefits are reduced or limited on Medicare as a result of the Affordable Care Act?
The PPACA makes signficant changes to Medicaid (the program for the poor), but mostly administrative changes to Medicare (the program for the elderly). Medicare is a separately administered program from most of the PPACA system, and the only really significant changes to Medicare that were included in were administrative (covering the method of payments, and amounts), and the eventual elimination of the Part D "donut hole" coverage problem. See the link below for a summary list of all the changes that the PPACA made to Medicare. Note that almost none concern available services/benefits.
What has the author CAR Dennis written?
C.A.R Dennis has written: 'Medicare data' -- subject(s): Medical care, Environmental health, Data processing
From what is a Medicare Set Aside allotted?
A Medicare Set Aside (MSA) arrangement is an administrative and funding mechanism used in certain categories of settlements to set aside money for future medical expenses that would otherwise be covered by Medicare. Unless otherwise documented and approved, the amount of a MSA is calculated based upon the specific claimant‰Ûªs life expectancy
What type of software is Pecos?
"Pecos" is Government software which facilitates administrative tasks related to the "Medicare" system. Only licensed practitioners and delegated officials may obtain a login for this site.
Is Medicare an HMO?
No, Medicare is a Fee For Service Program, but doctors must contract with Medicare to treat Medicare patients
Where do you report Medicare fraud?
If you suspect Medicare fraud contact Medicare at 1-800-MEDICARE or visit their website at www.medicare.gov.
Do you have to have Medicare Part B if you have a medicare supplemental plan?
Yes; by definition, Medicare supplemental insurance "supplements" Medicare A & B.
