Publisher's Synopsis
Excerpt from Screening Medicare Claims for Medical Necessity: Hearing Before the Subcommittee on Human Resources and Intergovernmental Relations of the Committee on Government Reform and Oversight, House of Representatives, One Hundred Fourth Congress, Second Session, February 8, 1996
Further, hcfa does not currently know which contractors use diagnostic screens and for which medical procedures. They do not know what medical necessity criteria are used in the Screens or how effective the screens are in denying claims for unnecessary services.
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