Executive Search Firm News - Health Care Contractors Meeting Demands

Health Care Contractors Meeting Demands

Fee-for-service health care contractors are meeting health care demands for Medicare providers, according to a national report providing valuable data to health care executives.

The Centers for Medicare & Medicaid Services recently announced that 85 percent of respondents in a survey of Medicare health care providers rated contractors between 4 and 6, with 6 being the highest, according to the Medicare Contractor Provider Satisfaction Survey.

The survey included more than 36,000 randomly selected providers, including physicians, suppliers, health care practitioners, hospices, federally qualified health centers, and institutional facilities that serve Medicare beneficiaries across the country.

The survey focused on the seven business functions of the provider-contractor relationship:

• Provider communications
• Provider inquiries
• Claims processing
• Appeals
• Provider enrollment
• Medical review
• Provider audit and reimbursement

“The 2007 (survey) results, when coupled with the initial 2006 results, enable CMS to begin establishing provider satisfaction performance standards for its contractors, who process more than $280 billion in Medicare claims each year,” said CMS Acting Deputy Administrator Herb Kuhn.

“In addition, for fee-for-service contractors, the survey results provide a tangible benchmark they can use to improve their processes,” Kuhn added. “Over time, this increased awareness and accountability will lead to an overall strengthening of the Medicare program.

“This finding reveals the high value providers place on responsiveness from their Medicare contractors,” Kuhn said.

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