Administration of Selected Medicare Activities in Ohio.
Abstract
This document discusses the performance of the Medicare part B claims processing contractor in Ohio and the reinstatement of Medicare eligibility to individuals whose deaths had been erroneously reported to the Social Security Administration (SSA). The GAO relied primarily on statistical information obtained from the Health Care Financing Administration (HCFA) and the Nationwide Mutual Insurance Company, which processes and pays part B claims in Ohio. GAO interviewed HCFA, Nationwide, and SSA officials. In examining reinstatements after erroneous death reports, GAO reviewed cases obtained from SSA's District Office in Columbus, Ohio. According to Nationwide officials, the following factors have, in the short term, adversely affected Nationwide's ability to process claims: (1) its conversion to a new computer system on May 1, 1984; (2) its conversion to a new medical procedure coding system on January 1, 1985; and (3) its increased claims volume in fiscal year 1985.
Document Details
- Document Type
- Technical Report
- Publication Date
- Oct 18, 1985
- Accession Number
- ADA161796
Entities
Organizations
- United States Government Accountability Office