did not deliberately set the HMO reimbursement rate too high.
Texas and Michigan have refused to follow the federal mandate, and the HCFA
has notified them that they are out of compliance with federal regulations.
For this reason, HCFA
mounted a massive outreach effort to inform older Americans of the availability of the SLMB benefit and to encourage those eligible to enroll.
However, outpatient procedures are coded using the HCFA
Common Procedure Coding System (HCPCS).
is also holding educational conferences throughout the country.
He maintains that HCFA
is "considering a multiple winners approach and that the final winning bid will always be higher than the lowest bid.
The critical EDI deadline is that after July 1, 1996, HCFA
will only accept claims submitted in one of three electronic formats: the ASC #837, UB-92 flat file and HCFA
-1500 NSF (national standard format).
very wrong about the Clinton administration's treatment of health care providers and DeParle's role as his political appointee at HCFA
determined that 34 of the county's 43 medical clinics are too far from the Ventura County Medical Center in Ventura to be considered hospital-based.
A representative of the American Chiropractic Association (ACA) attending the meeting commended HCFA
for recognizing the need to make this reversal.
Several HMOs had asked the HCFA
to allow them to either increase the cost to consumers through co-payments and deductibles or reduce benefits.
The article emphasizes how HCFA
has incorporated a beneficiary-centered focus and social marketing techniques in its consumer information activities.