Abstract
The performance of the Washington State Medicaid agency in processing Medicaid claims was compared with that of hospital providers for one year. We found that the in-hospital processing time was approximately twice that of the Medicaid processing agency. In-agency processing time was found to be significantly related to the size and disposition of a claim, while in-hospital processing time showed a significant relation to hospital dependence on Medicaid reimbursement, the amount of the claim not allowed reimbursement by the Medicaid agency, hospital expense per admission, and the question whether the claim was submitted by the university hospitals. We concluded that lengthy turnaround time for Medicaid reimbursement of hospitals in Washington State was primarily related to hospital speed in submitting claims.
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Selected References
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- Hsiao W. Public versus private administration of health insurance: a study in relative economic efficiency. Inquiry. 1978 Dec;15(4):379–387. [PubMed] [Google Scholar]
- Kane R., Dean M., Solomon M. An evaluation of rural health care research. Eval Q. 1979 May;3(2):139–189. doi: 10.1177/0193841x7900300201. [DOI] [PubMed] [Google Scholar]
- Tseng K. C. Administrative costs of Medicare contractors: Blue Cross plans versus commercial intermediaries. Inquiry. 1978 Dec;15(4):371–378. [PubMed] [Google Scholar]