Question: Why is the administration of the Medicare Part A and Part B programs being combined?
Answer : Medicare Part A and Part B claims are processed by separate contractors using different claims processing systems, with few exceptions. Having to deal with more than one contractor can increase the frustration for beneficiaries and providers and can make it difficult to get answers on coverage questions quickly. Providers also face increased expenses due to separate processing, and can have difficulty coordinating services on behalf of their patients.
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By combining the administration of Part A and Part B, Medicare will be able to deliver more efficient and effective services to beneficiaries and healthcare providers and better meet future programmatic challenges. CMS will achieve comprehensive care for beneficiaries by integrating claims processing for Medicare Part A and Part B, and creating a modernized administrative IT platform that incorporates the latest technological advances and standardization practices.
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