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• Figure 1: Health Care Transaction Flow from Health Care Providers to Payers

  • Uploaded by: U.S. Government Accountability Office
  • License: United States Government Work
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  • 2,783 views
  • Date uploaded: 2015-02-27
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, internationalclassificationofdiseases, gao15255, aha, americanhospitalassociation, ahima, americanhealthinformationmanagementassociation, icd, cdc, centersfordiseasecontrolandprevention, cms, centersformedicaremedicaidservicescptcurrentproceduralterminology, ffs, feeforservice, hedis, healthcareeffectivenessdataandinformationset, hhs, departmentofhealthandhumanservices, hipaa, healthinsuranceportabilityandaccountabilityactof1996, mac, medicareadministrativecontractor, mln, medicarelearningnetwork, msdrg, medicareseveritydiagnosisrelatedgroup, rec, regionalextensioncenter, wedi, workgroupforelectronicdatainterchange
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• Figure 1: Percentage of Unsupported Diagnoses within Medicare Advantage (MA) Contracts by the Centers for Medicare & Medicaid Services (CMS) Coding Intensity, 2007 Risk Adjustment Data Validation (RADV) Audits

  • Uploaded by: U.S. Government Accountability Office
  • License: United States Government Work
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  • Date uploaded: 2016-05-17
  • Tags: gao, governmentaccountabilityoffice, usgovernmentaccountabilityoffice, usgao, unitedstatesgovernmentaccountabilityoffice, government, congress, watchdog, oversight, governmentwatchdog, gao1676, medicareadvantage, aha, americanhospitalassociation, ahip, americashealthinsuranceplans, ama, americanmedicalassociation, cdat, centraldataabstractiontool, cms, centersformedicaremedicaidservices, esmd, electronicsubmissionofmedicaldocumentation, ffs, feeforservice, hcc, hierarchicalconditioncategory, hhs, departmentofhealthandhumanservices, ipia, improperpaymentsinformationactof2002, ma, mac, medicareadministrativecontractor, rac, recoveryauditcontractor, radv, riskadjustmentdatavalidation
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