Medicare Transaction System: Platform for Change
نویسندگان
چکیده
This article provides an overview of the Medicare Transaction System (MTS), a Health Care Financing Administration (HCFA)-wide initiative to be implemented starting in 1997 which will develop a national, standard, integrated, government-owned, contractor-operated Medicare claims processing system that will meet the challenges confronting Medicare over the next 2 decades. The authors discuss MTS goals and objectives, major features, how it will work, standardization efforts being undertaken in support of the initiative, contracting efforts involved, and project status.
منابع مشابه
Conclusions from a NAIVE Bayes Operator Predicting the Medicare 2011 Transaction Data Set
Introduction: The United States Federal Government operates one of the world's largest medical insurance programs, Medicare, to ensure payment for clinical services for the elderly, illegal aliens and those without the ability to pay for their care directly. The program is mired in controversy over its costs and consequences. This paper evaluates the Medicare 2011 Transaction Data Set which det...
متن کاملMedicare Program; Medicare Clinical Diagnostic Laboratory Tests Payment System. Final rule.
This final rule implements requirements of section 216 of the Protecting Access to Medicare Act of 2014 (PAMA), which significantly revises the Medicare payment system for clinical diagnostic laboratory tests. This final rule also announces an implementation date of January 1, 2018 for the private payor rate-based fee schedule required by PAMA.
متن کاملA hybrid approach for database intrusion detection at transaction and inter-transaction levels
Nowadays, information plays an important role in organizations. Sensitive information is often stored in databases. Traditional mechanisms such as encryption, access control, and authentication cannot provide a high level of confidence. Therefore, the existence of Intrusion Detection Systems in databases is necessary. In this paper, we propose an intrusion detection system for detecting attacks...
متن کاملFederal reimbursement to laboratories.
The change from a predominately fee-for-service payment environment to managed care has significantly reduced revenues for many clinical laboratories. Medicare is rapidly becoming the most favorable payor in areas with high managed-care penetration. This trend has not gone unnoticed by Congress, and congressional and regulatory initiatives are rapidly moving to reduce federal laboratory reimbur...
متن کاملTopo - Map Soil Erosion Digital Elevation Reconstruction Vegetation Change Data Rainfall Spatial Models Storm and Discharge Model Precipitation Model Vegetation Model Erosion Model Slope Analysis
This paper describes the architecture of a generic platform for building distributed systems over stand alone applications. The proposed platform integrates ideas and technology from areas such as distributed and parallel databases, transaction processing systems, and workkow management. The main contribution of this research eeort is to propose a \kernel" system providing the \essentials" for ...
متن کامل