Does this mean that Medicare has outsourced part of it's administration and that the insurance company will be handling appeals, audits, and more for Medicare instead of being handled internally? If I am reading this correctly, this is what appears to be an outsourcing contract...to handle business normally handled in house...BD
Health insurer WellPoint Inc. announced Monday that its National Government Services subsidiary was selected by the Centers for Medicare & Medicaid Services to administer the Medicare Administrative Contract for an area that includes New York and Connecticut.
Under the new contract, the WellPoint unit will perform key administrative functions for Medicare's contracts with hospitals, skilled nursing complexes and physicians, including appeals, audit and reimbursement, claims processing, medical review and coverage determinations.
WellPoint wins multimillion-dollar Medicare contract - Business First of Louisville:
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