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Remedies

pasti about the Medicare Program Problems

MISCELLANEOUS Government Accounting Office in 10/29/80 found under-reimbursement

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This should be probib

II until patient pays them.

ited by law as in norida,

Patients' notices, "This is

This kinders appeal.

Medicare booklet should

lot a Bill" fail to explain the

explain this, and also how

basis of reasonable charge deter

assignment works.

It should

nipation and the data used to

make reference to Legal

compute the reasonable charge.

Services for help in filing

appeal.

CODING

As part of"reasonable charge" Development of coding system is

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tions and standards.

Sono doctors refuse to fill out Pt.

oodoo.

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hote: about the Medicare Prora

Problems

Remedies

office visite (3 types) and surgical Patients should ask dr. to

procedures usually miscoded.

Unless

prepare detailed, itemized

reasons for higher charges are stated bill showing any compli.

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mix willbe affected disproportionately.

In N. J. 8 regions set initially States should be on guard

have been reduced to 3, combining for such changes. Congres-
inner cities with suburbs inspite of sional representatives
different conditions in each. Result could pressure Secy and
18 lower roimbursement.

carrier to remedy inap-
propriate designation of

locality.
loto: A discussion of sone alternatives to the current basis for reimbursement appears in the
1979 Raport of Proposed Amendments to the Medicare Program by the Subcon. on Health of the Con.
a layo pand Means off the House of Representatives: I am awaiting a copy if this.

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