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OIG: Redeterminations on the rise

October 4, 2013HME News Staff

WASHINGTON - Contractors processed 2.9 million redeterminations involving 3.7 million claims in 2012, a 33% increase since 2008, according to report from the Office of Inspector General (OIG). Also among the findings in the report, titled “The First Level of the Medicare Appeals Process, 2008-2012:  Volume, Outcomes, and Timeliness”: Contractors decided in favor of Part A appellants at a lower rate than Part B appellants; and 80% of redeterminations involved Part B services, although...

Appeal, Redeterminations

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