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Politics : A US National Health Care System?

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To: bentway who wrote (11066)	11/16/2009 1:13:28 PM
From: TimF	of 42652

If the government is so much more efficent at dealing with insurance, why does the government contract out claims processing to private (non-government, not necessarily "non-public corporation) companies? Do private companies magically become more efficient when working for the government? -------- Medicare Claims Processing The Medicare benefits are administered by insurance companies acting as contractors at a local jurisdiction level. Historically, Medicare contractors have been fiscal intermediaries (FIs), responsible for processing facility claims, and carriers, responsible for processing most outpatient provider claims. Medicare is in the process of transitioning FIs and carriers to Medicare Administrative Contractors (MACs). MACs will consolidate all claim processing responsibilities for facility and non-facility healthcare providers within a single contractor for a geographic region. This transition means that, as a healthcare provider, you may have experienced or may now be experiencing a change in the Medicare contractor that processes your Medicare claims. As a result, you may be working through process or coverage changes within your practice or institution. astellasreimbursement.com

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