Warren M E, Jackson K E, Veiel E L
Bureau of Program Operations, HCFA, Baltimore, MD 21207, USA.
Health Care Financ Rev. 1994 Winter;16(2):191-9.
This article provides an overview of the Medicare Transaction System (MTS), a Health Care Financing Administration (HCFA)-wide initiative to be implemented starting in 1997 which will develop a national, standard, integrated, government-owned, contractor-operated Medicare claims processing system that will meet the challenges confronting Medicare over the next 2 decades. The authors discuss MTS goals and objectives, major features, how it will work, standardization efforts being undertaken in support of the initiative, contracting efforts involved, and project status.
本文概述了医疗保险交易系统(MTS),这是一项由医疗保健财务管理局(HCFA)发起的全机构范围内的计划,将于1997年开始实施。该计划将开发一个全国性的、标准化的、集成的、政府所有、承包商运营的医疗保险理赔处理系统,以应对医疗保险在未来20年所面临的挑战。作者讨论了MTS的目标、主要特征、运作方式、为支持该计划所进行的标准化工作、涉及的承包工作以及项目进展情况。