decisionhealth Newsletters, Part B News - 1999 Issue 6 (June)
Billing woes, successes mark Medicare FFS and FEHBP
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Article Overview
This article reviews reported provider experiences with Medicare fee-for-service and the Federal Employee Health Benefit Program, focusing on billing, payment, and administrative hassles. It also touches on policy discussion in Congress about premium support approaches and how those ideas relate to the FEHBP model. The piece is aimed at readers interested in reimbursement administration, payer relations, and federal health policy.
Why This Topic Matters
It helps providers, billing staff, and policy readers understand how payer administration and payment processing are perceived in practice, and why these experiences are part of larger debates about Medicare reform.
What You Will Learn
- How providers describe billing and reimbursement experiences across two federal health coverage arrangements
- What types of administrative issues are commonly reported in payer interactions
- How the FEHBP model is being discussed in relation to Medicare policy
- Why provider experiences can differ between specialty and rural practices
Who Should Read This
- Medical billing and coding professionals
- Practice administrators
- Revenue cycle staff
- Healthcare policy readers
- Physician group managers
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