Department of Health and Human Services 
OFFICE OF 
INSPECTOR GENERAL 
Y2K READINESS OF MEDICARE 
FEE-FOR-SERVICE PROVIDERS 
AS OF JULY 1999 
JUNE GIBBS BROWN 
Inspector General 
OCTOBER 1999 
OEI-03-98-00253  OFFICE OF INSPECTOR GENERAL 
The mission of the Office of Inspector General (OIG), as mandated by Public Law 95-452, is to 
protect the integrity of the Department of Health and Human Services programs as well as the 
health and welfare of beneficiaries served by them.  This statutory mission is carried out through a 
nationwide program of audits, investigations, inspections, sanctions, and fraud alerts.  The 
Inspector General informs the Secretary of program and management problems and recommends 
legislative, regulatory, and operational approaches to correct them. 
Office of Evaluation and Inspections 
The Office of Evaluation and Inspections (OEI) is one of several components of the Office of 
Inspector General.  It conducts short-term management and program evaluations (called 
inspections) that focus on issues of concern to the Department, the Congress, and the public.  The 
inspection reports provide findings and recommendations on the efficiency, vulnerability, and 
effectiveness of departmental programs. 
OEI's Philadelphia Regional Office prepared this report under the direction of Robert A. Vito, 
Regional Inspector General, and Linda M. Ragone, Deputy Regional Inspector General.  Principal 
OEI staff included: 
REGION  HEADQUARTERS 
David Tawes, Lead Analyst
 Elise Stein , Program Specialist

Robert Katz
 Scott Horning, Technical Support Staff

Cynthia Hansford
 Linda Moscoe, Technical Support Staff

Brian Ritchie, Technical Support Staff

Barbara Tedesco, Technical Support Staff

To obtain copies of this report, please call the Philadelphia Regional Office at (800) 531-9562. 
Reports are also available on the World Wide Web at our home page address: 
http://www.dhhs.gov/progorg/oei  EXECUTIVE  SUMMARY 
PURPOSE 
To provide information about the Year 2000 (Y2K) readiness of Medicare fee-for-service 
providers. 
BACKGROUND 
The Y2K problem impacts Medicare fee-for-service providers in several ways.  Billing 
systems, medical records systems, and biomedical devices must be evaluated for Y2K 
problems that could cause them to malfunction.  Additionally, Medicare providers must 
contact their vendors and utility suppliers to ensure that external factors will not cause 
problems that may put beneficiaries at risk.  Providers should also complete contingency 
plans in preparation for possible Y2K-related problems.  The Health Care Financing 
Administration (HCFA) has undertaken extensive outreach efforts to assist Medicare 
providers in preparing for Y2K. 
For this inspection, we sent anonymous surveys to 5000 randomly-selected Medicare 
providers representing five provider groups: acute-care hospitals, nursing facilities, home 
health agencies, durable medical equipment (DME) suppliers, and physicians.  Response 
rates ranged from a high of 56 percent for hospitals to a low of 20 percent for physicians. 
The Office of Inspector General released a report on the Y2K readiness of Medicare fee-
for-service providers in March of 1999, and a report on the Y2K readiness of Medicare 
managed-care organizations in May of 1999.  An update to the latter report will be 
released in the near future. 
Recognizing the importance of provider readiness, the United States House of 
Representatives Committee on Commerce and the Senate Special Committee on the Year 
2000 Technology Problem requested that we conduct this inspection. 
FINDINGS 
Approximately two-thirds of Medicare fee-for-service providers reported that their 
billing and medical records systems were Y2K ready 
Sixty-one to 75 percent of providers who use computerized billing and medical records 
systems reported that these systems were Y2K ready.  Almost all providers expected their 
billing and medical records systems to be fully ready by the end of 1999.  However, at 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
1 
Providers as of July 1999  least one-third of providers reported that they had not yet tested the readiness of these 
systems.  Furthermore, many providers had not tested data exchanges with vendors and 
contractors. 
Even fewer fee-for-service providers reported that their biomedical equipment 
was Y2K ready 
Less than half of providers reported that all of their biomedical equipment was Y2K ready. 
However, most providers expected their biomedical equipment to be completely ready by 
the end of the year.  Hospitals were the most likely of the provider groups to report that 
they had tested their equipment.  The majority of providers indicated that they are relying 
on the manufacturers of their biomedical equipment to provide Y2K information. 
Many Medicare fee-for-service providers had not completed contingency plans 
Less than 60 percent of survey respondents said they had completed contingency plans. 
Some providers reported that they did not intend to make contingency plans before the 
end of the year.  In addition, uncertainty about external suppliers and utility providers was 
also a cause of concern among some Medicare providers. 
Not all providers are taking advantage of Federal outreach efforts 
Some providers were not aware that Y2K information is available on numerous Federal 
websites.  However, almost all of the respondents who had visited the websites found 
them to be helpful.  While approximately 70 percent of providers reported that their 
Medicare contractors had sent them information or offered assistance with Y2K, about 30 
percent were unaware of contractor efforts. 
CONCLUSION 
Many Medicare fee-for-service providers were not Y2K ready as of July 1999, and 
we have concerns that some providers may not be ready by January 1, 2000. 
In the six months between our two surveys, health care providers have generally reported 
improvements in the status of their billing systems, medical records systems, and 
biomedical equipment.  Providers were also more likely to report having completed 
contingency plans than they were six months ago.  However, certain provider groups are 
further along the path to Y2K readiness than others.  These differences are reflected in: 
their reported readiness as of July 1999; the concrete steps they have taken in preparation 
for Y2K; and their higher response rates. 
Furthermore, some providers still report not taking the necessary steps to ensure that they 
are Y2K ready.  Additionally, since a large number of providers did not respond to our 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
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Providers as of July 1999  survey, we have no information to measure their current Y2K status, or their prospects for 
future readiness. 
While Y2K readiness is the responsibility of individual providers, HCFA has undertaken 
numerous efforts to assist them.  As HCFA, as well as the provider associations, continue 
their outreach and education initiatives, we suggest they focus on the following: 
emphasizing the need to test data exchanges as well as internal computer systems, 
stressing the importance of contingency planning, and publicizing websites where Y2K 
information is available.  With only a few months left until the year 2000 arrives, it is 
increasingly important that HCFA, provider associations, and the providers themselves 
work together to ensure that beneficiaries will continue to receive uninterrupted quality 
care. 
Agency Comments 
The HCFA agreed with our conclusions, stating that our survey confirms what their own 
outreach efforts have found: providers have made progress in Y2K readiness, but there is 
still much work to be done.  Additionally, HCFA provided a detailed account of their past 
outreach activities and future plans.  They concluded by stating that Y2K continues to be 
the agencys top priority.  The full text of their comments is found in Appendix C. 
We commend HCFAs attention and concern regarding Medicare fee-for-service 
providers readiness for Y2K, and support their plans for continued outreach activities. 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
3 
Providers as of July 1999  TABLE  OF  CONTENTS 
PAGE

EXECUTIVE SUMMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

INTRODUCTION  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

FINDINGS 

Billing and Medical Records Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Biomedical Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Contingency Planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  12

Outreach Efforts  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

CONCLUSION  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  14

APPENDICES

A: Provider Survey Responses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

B: Comparison with Previous Survey Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

C: Health Care Financing Administration Comments  . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
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Providers as of July 1999  INTRODUCTION 
PURPOSE 
To provide information about the Year 2000 (Y2K) readiness of Medicare fee-for-service 
providers. 
BACKGROUND 
Early programmers had to deal with two major constraints in the first few years of 
computer technology: limited computer memory and high data storage costs.  Todays 
Y2K problems stem directly from early programmers use of an implied century.  This 
allowed them to conserve space by coding the year as a two-digit code rather than a four-
digit code in the date field.  For instance, the year 1970 was entered as 70, and the year 
1980 as 80. 
Computers that do not rely on implied centuries, and are therefore capable of processing 
four-digit years after 1999, are said to be Y2K ready or Y2K compliant.  Computers 
that are not Y2K compliant will malfunction when the implied century (the first two digits 
of a four-digit year) is not 19.  The year 2000 in a non-Y2K compliant computer is read as 
00, and thus interpreted as 1900.  When this happens, computers will have problems 
processing information. 
The Impact of Y2K on Medicare 
According to the Health Care Financing Administration (HCFA), the Medicare program 
has 100 mission-critical computer systems containing almost 50 million lines of 
programming code.  The HCFA has made it a top priority to ensure that these systems, 
and the systems of its contractors, are ready for the year 2000. 
HCFA must also be concerned with the compliance of individual systems used by 
Medicare fee-for-service providers.  The Y2K problem impacts Medicare providers in 
several ways.  Medical records systems must be readied in order to safeguard patient care. 
Biomedical devices containing embedded microchips must be evaluated for Y2K problems 
that could cause them to malfunction.  Billing and financial systems must be updated so 
that electronic Medicare claims can be properly submitted and reimbursed.  Furthermore, 
Medicare providers must contact their vendors and utility suppliers to ensure that external 
factors will not cause problems that may put beneficiaries at risk.  Finally, providers 
should also complete contingency plans in preparation for possible Y2K-related problems. 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
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Providers as of July 1999  In addition to preparing its own internal and external contractor systems for Y2K, HCFA 
has conducted extensive outreach to Medicare fee-for-service providers.  Its efforts are 
intended to ensure that providers are capable of submitting Y2K compliant claims to 
HCFA, and to help make providers aware they must have their individual systems 
renovated and tested.  As part of this outreach initiative, HCFA mailed more than one 
million letters regarding the Y2K issue to Medicare providers in January of 1999.  The 
letter stated that HCFA will be ready to process and pay all acceptable claims on January 
1, 2000, and stressed that providers must take steps to ensure their own Y2K readiness. 
A checklist was included with the letter to assist providers in assessing their Y2K 
compliance.  The HCFA then sent follow-up letters to all Medicare providers in May. 
The HCFA has also used the Internet as a means to disseminate Y2K information to its 
providers.  On its website, HCFA has provided extensive information on a variety of 
topics, including outreach seminars, system testing guidelines, and HCFAs own Y2K 
status.  Additionally, HCFA provides links to many other Y2K websites, including the 
Department of Veterans Affairs and the Food and Drug Administration (FDA).  The 
Department of Veterans Affairs website provides thorough contingency planning 
guidelines, while the FDAs website includes a comprehensive database which allows 
providers to determine the Y2K status of many pieces of biomedical equipment. 
Recognizing the importance of Medicare provider readiness, the United States House of 
Representatives Committee on Commerce and the Senate Special Committee on the Year 
2000 Technology Problem requested that we conduct this inspection. 
Related Work by the Office of Inspector General 
The Office of Inspector General released a previous report on fee-for-service provider 
readiness for Y2K in March of 1999.  The original report, Y2K Readiness of Medicare 
Providers (OEI-03-98-00250), evaluated the Y2K readiness of five types of Medicare 
providers: acute-care hospitals, nursing facilities, home health agencies, durable medical 
equipment (DME) suppliers, and physicians.  We found that about half of providers 
responded that their billing and medical records systems were ready.  However, providers 
were less confident in the readiness of their biomedical equipment.  Furthermore, less than 
half of respondents had developed contingency plans in anticipation of Y2K-related 
problems, and many respondents reported difficulty in getting Y2K guarantees from their 
external vendors. 
A companion report, Secondary Analysis of Medicare Provider Readiness for Y2K 
(OEI-03-98-00252), found that there were few differences in Y2K readiness based on 
demographic indicators such as urban or rural setting, use of a billing service, and 
affiliation with a chain.  The size of the provider, however, did seem to effect Y2K 
readiness, with larger providers generally being better prepared than smaller providers. 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
6 
Providers as of July 1999  Furthermore, in May of 1999, the OIG released a report entitled Y2K Readiness of 
Managed Care Organizations (OEI-05-98-00590).  We found that Medicare managed 
care organizations appear to be moving toward internal compliance.  However, most 
managed care organizations are unaware of their providers Y2K status.  An update to this 
report will be released in the near future. 
METHODOLOGY 
Using Medicare databases, we sampled the same five provider groups as we did for our 
previous survey: acute-care hospitals, nursing facilities, home health agencies, DME 
suppliers, and physicians.  We selected a simple random sample of 1000 fee-for-service 
providers from each of these five provider groups. 
We sent anonymous surveys to 5000 sampled providers on June 30, 1999.  We accepted 
responses through August 6, 1999.  In order to increase response rates, we assured 
providers that their responses were completely anonymous, and that we had no way of 
tracking who responded to our request.  We also mailed a reminder postcard to all 
providers one week after the survey was sent.  We received completed surveys from 56 
percent of hospitals, 45 percent of nursing facilities, 43 percent of home health agencies, 
29 percent of DME suppliers, and 20 percent of physicians.  We also received letters from 
74 providers indicating that they are aware of the Y2K problem and are actively working 
towards a solution. 
In order to maintain consistency with our previous study, this survey revisited several key 
issues: Y2K awareness, contingency planning, computer systems, biomedical equipment, 
Medicare claim filing, and external suppliers.  We designed the surveys in cooperation 
with HCFA and several professional and trade associations.  The following organizations 
worked with us and allowed us to highlight their cooperation in the survey instruments 
sent to providers: American Association of Homes and Services for the Aging, American 
Health Care Association, American Hospital Association, American Medical Association, 
Health Industry Distributors Association, National Association for Home Care, and 
National Association for Medical Equipment Services. 
We analyzed survey responses to each question for all provider groups.  We calculated 
percentages based on the number of answers provided for each response category.  We 
compared the various groups to determine if differences existed among provider types. 
Providers responses to individual survey questions are presented in Appendix A. 
This inspection was conducted in accordance with the Quality Standards for Inspections 
issued by the President's Council on Integrity and Efficiency. 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
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Providers as of July 1999  Comparison to Prior Office of Inspector General Reports 
In general, the methodology of this inspection was very similar to our previous survey of 
Medicare fee-for-service providers conducted in January of 1999.  However, based on our 
experience with the initial survey, we have made improvements to our current 
methodology, some of which make comparisons with the January survey difficult.  For 
example, the July survey was shortened considerably, numerous survey questions were 
changed, and our samples were no longer stratified based on an urban or rural designation. 
Furthermore, in order to provide full disclosure to HCFA, we included not applicable 
responses when reporting the results from the January survey.  However, for this 
inspection, we have removed not applicable responses from the analysis, which we feel 
gives a clearer picture of provider readiness.  Because of these changes, the percentages 
presented in the two reports do not correspond on a one-to-one basis, and therefore, 
direct comparisons are complicated. 
However, because we believe that measuring the progress of providers during the six 
months between our two surveys is important, we have re-analyzed several key questions 
from the initial Y2K report.  We did this by removing not applicable responses from the 
January survey data, and by combining the urban and rural strata for each provider group. 
In the conclusion, we have given general comments on the improvements made by 
providers between our initial inspection and this inspection.  Additionally, Appendix B 
provides charts which directly compare the re-analyzed provider responses from January 
with the July responses for four important variables: billing system readiness, medical 
records system readiness, biomedical equipment readiness, and contingency planning. 
Limitations of Survey Data 
The data analyzed for this report were furnished by individual Medicare providers, and 
were not verified for accuracy.  Additionally, the data are based solely on those providers 
who responded to the survey.  We are unable to make any statements about the Y2K 
readiness of those who did not respond.  Because of the low response rates among certain 
provider groups, readers should be cautious in using our data to make generalizations 
about the entire provider community. 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
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Providers as of July 1999  FINDINGS 
Approximately two-thirds of Medicare fee-for-service 
providers reported that their billing and medical records 
systems were Y2K ready 
Sixty-one to 75 percent of providers who use computerized billing and medical 
records systems reported that these systems were Y2K ready 
The reported readiness of computerized billing and medical records systems varied slightly 
by provider group.  Responses from nursing facilities and physicians indicate that they are 
marginally behind hospitals, home health agencies, and DME suppliers in these two areas 
(see Figure 1 on page 11). 
Most providers predicted that their billing and medical records systems will be 
ready by the end of the year 
Nearly all providers responded that their billing and medical records systems will be 100 
percent ready by December 31, 1999.  Less than two percent reported that these systems 
will not be fully Y2K ready on time. 
However, at least one-third of providers reported they have not yet tested the 
readiness of their systems 
Although more than 80 percent of respondents reported that they have assessed the Y2K 
readiness of their billing and medical records systems, only about 60 percent said they had 
actually tested their readiness.  Hospitals were more likely to report having tested these 
systems than were the other provider groups.  Additionally, less than half of all providers 
reported that an independent party had verified their systems Y2K status. 
Many providers had not tested data exchanges with vendors and contractors 
Approximately half of the respondents stated that they had tested data exchanges with 
their billing vendor or clearinghouse.  Furthermore, less than one-quarter said they had 
tested claims submission in a future-date environment with their Medicare contractor, 
even though many reported that their contractor had encouraged them to do so.  Of 
providers who had not tested data exchange, more than half plan to do so in the near 
future. 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
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Providers as of July 1999  Even fewer fee-for-service providers reported that their 
biomedical equipment was Y2K ready 
Less than half of providers reported that all of their biomedical equipment was 
Y2K ready 
Only 27 percent of hospitals reported that all of their biomedical equipment was Y2K 
ready.  Among the other provider groups, the reported readiness was approximately 50 
percent (see Figure 1 on next page).  Of those not completely ready, hospitals reported 86 
percent of their biomedical equipment was ready, while other provider groups said 
approximately 70 percent of their equipment was ready. 
Most providers expected their biomedical equipment to be completely ready by 
the end of the year 
More than 90 percent of providers reported that their biomedical equipment will be 
completely ready by December 31, 1999.  In general, providers who predicted that their 
equipment will not be totally ready felt that only a small percentage of their biomedical 
equipment would not be compliant on time. 
Hospitals were significantly more likely than other providers to report that they 
had tested their biomedical equipment 
Almost 70 percent of hospitals reported that they had tested their biomedical equipment. 
Fifty percent or less of nursing facilities, home health agencies, DME suppliers, and 
physicians said that they had tested.  Furthermore, only 40 percent of the hospitals and 
one-quarter of the other provider groups reported that a third party had independently 
verified the status of their biomedical equipment. 
The majority of providers reported that they are relying on the manufacturers of 
their biomedical equipment to provide Y2K information 
Over 60 percent of providers responded that they are relying on manufacturers statements 
regarding the Y2K readiness of their biomedical equipment.  However, half of the 
hospitals reported that they had problems getting Y2K information from these 
manufacturers.  More than one in five providers did not feel they had the information 
necessary to evaluate the Y2K readiness of their biomedical equipment. 
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Providers as of July 1999  FIGURE 1: PROVIDER READINESS

Percent Who Reported Current Y2K Readiness

0%  10%  20%  30%  40%  50%  60%  70%  80%  90%  100% 
74% 
Hospitals  72% 
27% 
61%  Billing Systems 
Nursing Facilities  66%  Medical Records Systems 
50% 
Biomedical Equipment 
72% 
Home Health 
74% 
Agencies 
48% 
75% 
DME Suppliers  70% 
54% 
66% 
Physicians  65% 
56% 
Source: Office of Evaluation and Inspections Survey - July 1999

Note: Please see Appendix B for comparison with January 1999 survey data. 

Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
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Providers as of July 1999  Many Medicare fee-for-service providers have not completed 
contingency plans 
Less than 60 percent of survey respondents stated that they had completed 
contingency plans 
Fifty-nine percent of hospitals reported that they had completed contingency plans in 
preparation for potential Y2K-related failures.  The percentages were slightly lower for 
the other provider groups (see Figure 2 on next page).  Furthermore, less than half of the 
respondents stated that they had tested their contingency plans. 
Some providers said that they will not make contingency plans 
Approximately one-quarter of DME suppliers and physicians who did not have 
contingency plans said they had no intention of completing them in anticipation of the 
Year 2000.  However, nearly all hospitals, and most nursing facilities and home health 
agencies, reported that they will make contingency plans before the end of the year. 
Uncertainty about external suppliers and utility providers was a cause of concern 
among some Medicare providers 
Approximately one-third of DME suppliers and physicians had not identified all of their 
external suppliers (e.g. pharmaceutic suppliers, food suppliers) and utility providers. 
Additionally, only half of hospitals and nursing facilities and less than 40 percent of the 
other provider groups reported that they had received certifications of Y2K readiness from 
these external entities. 
Not all providers are taking advantage of Federal outreach 
efforts 
Approximately one-half of hospitals, nursing facilities and home health agencies reported 
visiting HCFAs website.  However, less than 20 percent of DME suppliers and physicians 
had done so.  With the exception of hospitals, less than one-quarter of respondents had 
been to the FDAs website.  Less than one-third of providers were even aware of the 
Department of Veterans Affairs website.  However, approximately 90 percent of 
providers who had been to the HCFA and FDA sites said they found them to be helpful. 
Furthermore, approximately 70 percent of providers reported that their Medicare 
contractors had sent them information or offered assistance with Y2K issues.  Only 15 
percent of respondents reported that their Medicare contractor had not contacted them 
about Y2K.  Another 15 percent said they did not know if they had received anything 
concerning Y2K from their contractors. 
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Providers as of July 1999  FIGURE 2: CONTINGENCY PLANNING

Percent Who Reported Completing Contingency Plans

0%  10%  20%  30%  40%  50%  60%  70%  80%  90%  100% 
Hospitals  59% 
Nursing Facilities  55% 
Home Health 
56% 
Agencies 
DME Suppliers  52% 
Physicians  49% 
Source: Office of Evaluation and Inspections Survey - July 1999

Note: Please see Appendix B for comparison with January 1999 survey data. 

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Providers as of July 1999  CONCLUSION 
Many Medicare fee-for-service providers were not Y2K ready as of July 1999, and 
we have concerns that some providers may not be ready by January 1, 2000. 
In the six months between our two surveys, health care providers have generally reported 
improvements in the status of their billing systems, medical records systems, and 
biomedical equipment.  Providers were also more likely to report having completed 
contingency plans than they were six months ago.  However, certain provider groups are 
further along the path to Y2K readiness than others.  These differences are reflected in: 
their reported readiness as of July 1999; the concrete steps they have taken in preparation 
for Y2K; and their higher response rates. 
Furthermore, some providers still report not taking the necessary steps to ensure that they 
are Y2K ready.  Additionally, since a large number of providers did not respond to our 
survey, we have no information to measure their current Y2K status, or their prospects for 
future readiness. 
While Y2K readiness is the responsibility of individual providers, HCFA has undertaken 
numerous efforts to assist them.  As HCFA, as well as the provider associations, continue 
their outreach and education initiatives, we suggest they focus on the following: 
emphasizing the need to test data exchanges as well as internal computer systems, 
stressing the importance of contingency planning, and publicizing websites where Y2K 
information is available.  With only a few months left until the year 2000 arrives, it is 
increasingly important that HCFA, provider associations, and the providers themselves 
work together to ensure that beneficiaries will continue to receive uninterrupted quality 
care. 
Agency Comments 
The HCFA agreed with our conclusions, stating that our survey confirms what their own 
outreach efforts have found: providers have made progress in Y2K readiness, but there is 
still much work to be done.  Additionally, HCFA provided a detailed account of their past 
outreach activities and future plans.  They concluded by stating that Y2K continues to be 
the agencys top priority.  The full text of their comments is found in Appendix C. 
We commend HCFAs attention and concern regarding Medicare fee-for-service 
providers readiness for Y2K, and support their plans for continued outreach activities. 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
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Providers as of July 1999  APPENDIX  A 
Provider Survey Responses

In this appendix, we present the aggregated responses to our Year 2000 survey by 
provider type. 
KEY: 
n = number of responses to the question (not applicable responses excluded)

Yes = percentage of n answering Yes

No = percentage of n answering No

Dont Know = percentage of n answering Dont Know

Note: All percentages may not add to 100 due to rounding 
SURVEY RESPONSE RATES: 
Provider  Total  Surveys  Surveys  Response 
Type  Number  Mailed  Returned  Rate 
Hospitals  5,692  1,000  559  56% 
Nursing Facilities  16,749  1,000  448  45% 
Home Health Agencies  9,098  1,000  426  43% 
DME Suppliers  109,429  1,000  293  29% 
Physicians  831,091  1,000  198  20% 
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Providers as of July 1999  APPENDIX  A 
A.  Y2K Awareness and Contingency Planning 
1.  Do you feel that your ability to provide quality care  Provider  n  Yes  No  Dont 
could be compromised by Y2K?  Type  Know 
Hospital  550  17%  79%  4% 
Nursing Facility  442  18%  74%  8% 
Home Health Agency  419  22%  73%  5% 
DME Supplier  288  15%  74%  10% 
Physician  196  16%  78%  6% 
2.  Is your corporate headquarters responsible for your  Provider  n  Yes  No  Dont 
Y2K readiness?  Type  Know 
Hospital  418  64%  36%  0% 
Nursing Facility  375  76%  23%  1% 
Home Health Agency  363  82%  18%  0% 
DME Supplier  223  79%  21%  0% 
Physician  144  72%  25%  3% 
3.  Have you completed contingency plans in case you  Provider  n  Yes  No  Dont 
experience Y2K-related failures?  Type  Know 
Hospital  559  59%  40%  0% 
Nursing Facility  435  55%  38%  7% 
Home Health Agency  414  56%  39%  5% 
DME Supplier  280  52%  41%  7% 
Physician  181  49%  45%  6% 
4.  If no, do you plan on completing contingency plans  Provider  n  Yes  No  Dont 
before the end of 1999?  Type  Know 
Hospital  224  97%  1%  2% 
Nursing Facility  163  87%  7%  7% 
Home Health Agency  161  84%  7%  8% 
DME Supplier  113  66%  23%  11% 
Physician  79  57%  30%  13% 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
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Providers as of July 1999  APPENDIX  A 
A.  Y2K Awareness and Contingency Planning (cont.) 
5.  To the extent feasible, have you tested your  Provider  n  Yes  No  Dont 
contingency plans?  Type  Know 
Hospital  512  46%  53%  2% 
Nursing Facility  380  38%  54%  8% 
Home Health Agency  359  42%  52%  7% 
DME Supplier  238  47%  45%  8% 
Physician  150  46%  45%  9% 
B.  Billing/Financial Systems 
1.  Do you use computerized billing/financial systems?  Provider  n  Yes  No  Dont 
Type  Know 
Hospital  556  100%  0%  0% 
Nursing Facility  445  96%  4%  1% 
Home Health Agency  423  97%  3%  0% 
DME Supplier  292  89%  11%  0% 
Physician  196  86%  13%  1% 
2.  Have you made a complete inventory of your  Provider  n  Yes  No  Dont 
billing/financial systems?  Type  Know 
Hospital  555  98%  2%  0% 
Nursing Facility  421  87%  9%  5% 
Home Health Agency  407  84%  10%  6% 
DME Supplier  255  80%  13%  7% 
Physician  167  82%  9%  9% 
3.  Have you assessed the Y2K readiness of your  Provider  n  Yes  No  Dont 
billing/financial systems?  Type  Know 
Hospital  555  98%  2%  1% 
Nursing Facility  421  84%  11%  5% 
Home Health Agency  408  86%  10%  4% 
DME Supplier  257  80%  14%  6% 
Physician  169  87%  7%  7% 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
17 
Providers as of July 1999  APPENDIX  A 
B.  Billing/Financial Systems (cont.) 
4.  Have you tested your billing/financial systems to  Provider  n  Yes  No  Dont 
ensure Y2K readiness?  Type  Know 
Hospital  552  68%  30%  2% 
Nursing Facility  416  57%  34%  10% 
Home Health Agency  402  58%  34%  8% 
DME Supplier  254  60%  32%  7% 
Physician  167  61%  31%  8% 
5.  Has an independent party verified the Y2K status of  Provider  n  Yes  No  Dont 
your billing/financial systems?  Type  Know 
Hospital  548  43%  52%  5% 
Nursing Facility  412  44%  40%  16% 
Home Health Agency  402  43%  45%  12% 
DME Supplier  254  51%  39%  10% 
Physician  167  56%  36%  8% 
6.  Are all of your billing/financial systems currently Y2K  Provider  n  Yes  No  Dont 
ready?  Type  Know 
Hospital  544  74%  24%  3% 
Nursing Facility  407  61%  28%  11% 
Home Health Agency  395  72%  21%  7% 
DME Supplier  251  75%  13%  12% 
Physician  153  66%  21%  13% 
7.  If no, what percentage of your billing/financial  Provider  n  Mean  Median  Mode 
systems are currently Y2K ready?  Type 
Hospital  125  65%  75%  90% 
Nursing Facility  103  47%  50%  0% 
Home Health Agency  73  53%  50%  0% 
DME Supplier  28  52%  50%  50% 
Physician  29  40%  50%  0% 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
18 
Providers as of July 1999  APPENDIX  A 
B.  Billing/Financial Systems (cont.) 
8.  What percentage of your billing/financial systems will  Provider  n  Mean  Median  Mode 
be Y2K ready on December 31, 1999?  Type 
Hospital  543  100%  100%  100% 
Nursing Facility  376  100%  100%  100% 
Home Health Agency  374  100%  100%  100% 
DME Supplier  228  99%  100%  100% 
Physician  147  99%  100%  100% 
C.  Clinical/Medical Records Systems 
1.  Do you use computerized clinical/medical records  Provider  n  Yes  No  Dont 
systems?  Type  Know 
Hospital  554  62%  38%  0% 
Nursing Facility  446  73%  26%  0% 
Home Health Agency  423  49%  51%  0% 
DME Supplier  281  46%  54%  0% 
Physician  196  23%  76%  1% 
2.  Have you made a complete inventory of your  Provider  n  Yes  No  Dont 
clinical/medical records systems?  Type  Know 
Hospital  341  97%  3%  1% 
Nursing Facility  324  85%  11%  4% 
Home Health Agency  205  85%  11%  4% 
DME Supplier  129  73%  19%  9% 
Physician  45  84%  7%  9% 
3.  Have you assessed the Y2K readiness of your  Provider  n  Yes  No  Dont 
clinical/medical records systems?  Type  Know 
Hospital  341  98%  2%  1% 
Nursing Facility  325  86%  10%  4% 
Home Health Agency  207  84%  13%  3% 
DME Supplier  129  77%  14%  9% 
Physician  45  80%  9%  11% 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
19 
Providers as of July 1999  APPENDIX  A 
C.  Clinical/Medical Records Systems (cont.) 
4.  Have you tested your clinical/medical records system  Provider  n  Yes  No  Dont 
to ensure Y2K readiness?  Type  Know 
Hospital  339  67%  32%  1% 
Nursing Facility  322  57%  35%  9% 
Home Health Agency  206  57%  38%  4% 
DME Supplier  129  53%  37%  10% 
Physician  45  47%  40%  13% 
5.  Has an independent party verified the Y2K status of  Provider  n  Yes  No  Dont 
your clinical/medical records systems?  Type  Know 
Hospital  337  42%  54%  4% 
Nursing Facility  322  45%  44%  11% 
Home Health Agency  205  47%  44%  9% 
DME Supplier  129  48%  36%  16% 
Physician  46  46%  39%  15% 
6.  Are all of your clinical/medical records systems  Provider  n  Yes  No  Dont 
currently Y2K ready?  Type  Know 
Hospital  335  72%  26%  2% 
Nursing Facility  318  66%  23%  11% 
Home Health Agency  201  74%  17%  8% 
DME Supplier  127  70%  15%  15% 
Physician  43  65%  23%  12% 
7.  If no, what percentage of your clinical/medical records  Provider  n  Mean  Median  Mode 
systems are currently Y2K ready?  Type 
Hospital  87  66%  75%  50% 
Nursing Facility  69  47%  50%  0% 
Home Health Agency  29  54%  50%  50% 
DME Supplier  17  42%  35%  0% 
Physician  8  31%  25%  0% 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
20 
Providers as of July 1999  APPENDIX  A 
C.  Clinical/Medical Records Systems (cont.) 
8.  What percentage of your clinical/medical records  Provider  n  Mean  Median  Mode 
systems will be Y2K ready on December 31, 1999?  Type 
Hospital  333  100%  100%  100% 
Nursing Facility  295  99%  100%  100% 
Home Health Agency  186  99%  100%  100% 
DME Supplier  108  99%  100%  100% 
Physician  40  100%  100%  100% 
D.  Biomedical Equipment 
1.  Do you use biomedical equipment?  Provider  n  Yes  No  Dont 
Type  Know 
Hospital  550  100%  0%  0% 
Nursing Facility  410  59%  37%  4% 
Home Health Agency  370  47%  52%  1% 
DME Supplier  256  41%  57%  2% 
Physician  177  51%  47%  2% 
2.  Have you made a complete inventory of your  Provider  n  Yes  No  Dont 
biomedical equipment?  Type  Know 
Hospital  548  99%  1%  0% 
Nursing Facility  242  83%  15%  2% 
Home Health Agency  173  88%  9%  3% 
DME Supplier  105  86%  13%  1% 
Physician  89  87%  11%  2% 
3.  Have you had problems getting Y2K information from  Provider  n  Yes  No  Dont 
the manufacturers of your biomedical equipment?  Type  Know 
Hospital  547  48%  49%  3% 
Nursing Facility  236  28%  64%  8% 
Home Health Agency  170  27%  60%  13% 
DME Supplier  101  18%  74%  8% 
Physician  87  16%  67%  17% 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
21 
Providers as of July 1999  APPENDIX  A 
D.  Biomedical Equipment (cont.) 
4.  Do you feel you now have the information necessary  Provider  n  Yes  No  Dont 
to evaluate the Y2K readiness of your equipment?  Type  Know 
Hospital  545  86%  12%  2% 
Nursing Facility  242  74%  17%  10% 
Home Health Agency  168  71%  20%  9% 
DME Supplier  102  75%  20%  6% 
Physician  89  72%  18%  10% 
5.  Are you relying on manufacturer statements  Provider  n  Yes  No  Dont 
concerning the readiness of your biomedical  Type  Know 
equipment? 
Hospital  545  58%  42%  0% 
Nursing Facility  242  66%  29%  6% 
Home Health Agency  172  71%  25%  4% 
DME Supplier  101  62%  36%  2% 
Physician  87  59%  33%  8% 
6.  Have you tested your biomedical equipment to ensure  Provider  n  Yes  No  Dont 
Y2K readiness?  Type  Know 
Hospital  546  68%  30%  1% 
Nursing Facility  232  40%  54%  6% 
Home Health Agency  164  40%  55%  4% 
DME Supplier  102  42%  57%  1% 
Physician  84  50%  44%  6% 
7.  Has an independent party verified the Y2K status of  Provider  n  Yes  No  Dont 
your biomedical equipment?  Type  Know 
Hospital  543  40%  57%  2% 
Nursing Facility  238  25%  61%  13% 
Home Health Agency  167  25%  68%  7% 
DME Supplier  102  18%  77%  5% 
Physician  86  27%  60%  13% 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
22 
Providers as of July 1999  APPENDIX  A 
D.  Biomedical Equipment (cont.) 
8.  Is all of your biomedical equipment currently Y2K  Provider  n  Yes  No  Dont 
ready?  Type  Know 
Hospital  537  27%  67%  5% 
Nursing Facility  230  50%  24%  25% 
Home Health Agency  159  48%  25%  27% 
DME Supplier  100  54%  28%  18% 
Physician  79  56%  23%  22% 
9.  If no, what percentage of your biomedical equipment  Provider  n  Mean  Median  Mode 
is currently Y2K ready?  Type 
Hospital  357  86%  90%  90% 
Nursing Facility  49  75%  90%  90% 
Home Health Agency  39  69%  75%  75% 
DME Supplier  28  67%  85%  0% 
Physician  17  66%  80%  80% 
10.  What percentage of your biomedical equipment will  Provider  n  Mean  Median  Mode 
be Y2K ready on December 31, 1999?  Type 
Hospital  513  99%  100%  100% 
Nursing Facility  185  99%  100%  100% 
Home Health Agency  134  99%  100%  100% 
DME Supplier  83  97%  100%  100% 
Physician  67  99%  100%  100% 
11.  Do you know the FDA has Y2K information about  Provider  n  Yes  No  Dont 
biomedical equipment on its website (www.fda.gov)?  Type  Know 
Hospital  541  79%  18%  2% 
Nursing Facility  353  44%  48%  8% 
Home Health Agency  289  41%  52%  7% 
DME Supplier  174  27%  67%  6% 
Physician  125  26%  69%  6% 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
23 
Providers as of July 1999  APPENDIX  A 
D.  Biomedical Equipment (cont.) 
12.  Have you visited the FDAs website to obtain  Provider  n  Yes  No  Dont 
readiness information about biomedical equipment?  Type  Know 
Hospital  535  59%  37%  4% 
Nursing Facility  347  25%  70%  4% 
Home Health Agency  277  22%  77%  1% 
DME Supplier  172  11%  88%  1% 
Physician  123  8%  90%  2% 
13.  Did you find the FDAs website helpful?  Provider  n  Yes  No  Dont 
Type  Know 
Hospital  316  91%  6%  3% 
Nursing Facility  87  95%  3%  1% 
Home Health Agency  54  87%  9%  4% 
DME Supplier  18  100%  0%  0% 
Physician  10  100%  0%  0% 
E.  Medicare Claim Filing 
1.  Do you file your Medicare claims electronically?  Provider  n  Yes  No  Dont 
Type  Know 
Hospital  549  97%  1%  2% 
Nursing Facility  411  91%  8%  1% 
Home Health Agency  411  94%  6%  0% 
DME Supplier  281  66%  34%  0% 
Physician  188  61%  35%  5% 
2.  Do all of your payers require the same claim format?  Provider  n  Yes  No  Dont 
Type  Know 
Hospital  543  42%  45%  13% 
Nursing Facility  399  52%  34%  14% 
Home Health Agency  404  38%  57%  5% 
DME Supplier  266  44%  44%  12% 
Physician  180  50%  33%  17% 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
24 
Providers as of July 1999  APPENDIX  A 
E.  Medicare Claim Filing (cont.) 
3.  Do you use an external vendor or clearinghouse for  Provider  n  Yes  No  Dont 
claim submission and payment activities?  Type  Know 
Hospital  546  72%  24%  4% 
Nursing Facility  413  36%  58%  6% 
Home Health Agency  408  29%  69%  2% 
DME Supplier  266  41%  54%  5% 
Physician  177  42%  50%  8% 
4.  Do you send non-compliant dates to your vendor/  Provider  n  Yes  No  Dont 
clearinghouse for conversion into an 8-digit format?  Type  Know 
Hospital  382  24%  53%  23% 
Nursing Facility  142  27%  39%  33% 
Home Health Agency  110  28%  47%  25% 
DME Supplier  102  31%  42%  26% 
Physician  69  26%  45%  29% 
5.  Have you performed testing with your vendor/  Provider  n  Yes  No  Dont 
clearinghouse in order to confirm their Y2K  Type  Know 
readiness? 
Hospital  392  53%  40%  6% 
Nursing Facility  145  36%  48%  16% 
Home Health Agency  114  48%  39%  12% 
DME Supplier  109  45%  40%  15% 
Physician  72  47%  42%  11% 
6.  Has your Medicare contractor sent you information  Provider  n  Yes  No  Dont 
or offered assistance with Y2K issues?  Type  Know 
Hospital  542  77%  11%  12% 
Nursing Facility  384  64%  16%  20% 
Home Health Agency  382  78%  14%  8% 
DME Supplier  242  69%  17%  14% 
Physician  162  64%  17%  19% 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
25 
Providers as of July 1999  APPENDIX  A 
E.  Medicare Claim Filing (cont.) 
7.  Has your Medicare contractor encouraged you to test  Provider  n  Yes  No  Dont 
claims submission in a future-date environment?  Type  Know 
Hospital  540  50%  26%  23% 
Nursing Facility  379  40%  33%  27% 
Home Health Agency  375  51%  35%  15% 
DME Supplier  236  45%  33%  22% 
Physician  156  40%  33%  28% 
8.  Have you tested claims submission in a future-date  Provider  n  Yes  No  Dont 
environment with your Medicare contractor?  Type  Know 
Hospital  538  27%  54%  19% 
Nursing Facility  381  16%  61%  23% 
Home Health Agency  378  19%  67%  14% 
DME Supplier  237  17%  69%  14% 
Physician  154  18%  60%  22% 
9.  If no, do you plan to test claims submission in a  Provider  n  Yes  No  Dont 
future-date environment with your Medicare  Type  Know 
contractor? 
Hospital  283  65%  17%  17% 
Nursing Facility  228  59%  16%  25% 
Home Health Agency  248  66%  14%  20% 
DME Supplier  154  54%  27%  19% 
Physician  88  51%  30%  19% 
10.  Have you visited HCFAs website (www.hcfa.gov) to  Provider  n  Yes  No  Dont 
obtain information about Y2K?  Type  Know 
Hospital  541  56%  38%  6% 
Nursing Facility  411  40%  56%  4% 
Home Health Agency  402  53%  45%  2% 
DME Supplier  259  16%  82%  2% 
Physician  172  17%  78%  5% 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
26 
Providers as of July 1999  APPENDIX  A 
E.  Medicare Claim Filing (cont.) 
11.  Did you find HCFAs website helpful?  Provider  n  Yes  No  Dont 
Type  Know 
Hospital  295  91%  7%  2% 
Nursing Facility  166  90%  9%  1% 
Home Health Agency  208  88%  8%  3% 
DME Supplier  38  92%  8%  0% 
Physician  29  83%  17%  0% 
F.  External Suppliers 
1.  Have you identified all external suppliers and utility  Provider  n  Yes  No  Dont 
providers with whom you conduct business?  Type  Know 
Hospital  549  94%  5%  1% 
Nursing Facility  436  85%  11%  4% 
Home Health Agency  392  78%  18%  4% 
DME Supplier  270  60%  33%  7% 
Physician  171  56%  35%  9% 
2.  Have you received certification from these suppliers/  Provider  n  Yes  No  Dont 
providers that their systems will be Y2K ready?  Type  Know 
Hospital  545  57%  40%  3% 
Nursing Facility  436  51%  43%  6% 
Home Health Agency  388  40%  51%  8% 
DME Supplier  267  35%  54%  11% 
Physician  163  38%  48%  14% 
3.  Do you anticipate problems due to disruptions  Provider  n  Yes  No  Dont 
caused by these suppliers/providers Y2K  Type  Know 
problems? 
Hospital  547  16%  71%  13% 
Nursing Facility  439  10%  73%  17% 
Home Health Agency  396  12%  71%  17% 
DME Supplier  269  13%  71%  16% 
Physician  169  11%  70%  20% 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
27 
Providers as of July 1999  APPENDIX  A 
F.  External Suppliers (cont.) 
4.  Are you aware that the Dept. of Veterans Affairs has  Provider  n  Yes  No  Dont 
Y2K information on its website (www.va.gov)?  Type  Know 
Hospital  545  37%  59%  3% 
Nursing Facility  433  18%  78%  4% 
Home Health Agency  396  15%  81%  5% 
DME Supplier  268  13%  81%  6% 
Physician  164  7%  84%  9% 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
28 
Providers as of July 1999  APPENDIX  B 
Comparison with Previous Survey Results

In this appendix, we present a comparison of several key variables from this inspection to 
similar variables in our prior inspection, Y2K Readiness of Medicare Providers (OEI-03-98-
00250).  These variables involve billing system readiness, medical records system readiness, 
biomedical equipment readiness, and contingency planning.  Please see page 7 for an 
explanation of how these comparisons were made. 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
29 
Providers as of July 1999  APPENDIX  B 
FIGURE 1:  BILLING SYSTEM READINESS

Percent Who Reported Billing Systems Were Y2K Ready

0%  20%  40%  60%  80%  100% 
54% 
Hospitals 
74% 
50% 
Nursing Facilities 
61% 
B 
51% 
Home Health 
Agencies  January 1999 
72% 
July 1999 
63% 
DME Suppliers 
75% 
52% 
Physicians 
66% 
Source: OEI Surveys - January 1999 and July 1999 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
30 
Providers as of July 1999  APPENDIX  B 
FIGURE 2:  MEDICAL RECORDS SYSTEMS READINESS

Percent Who Reported Medical Records Systems WereY2K Ready

0%  20%  40%  60%  80%  100% 
49% 
Hospitals 
72% 
57% 
Nursing Facilities 
66% 
56% 
Home Health 
Agencies 
74%  January 1999 
July 1999 
61% 
DME Suppliers 
70% 
60% 
Physicians 
65% 
Source: OEI Surveys - January 1999 and July 1999 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
31 
Providers as of July 1999  APPENDIX  B 
Figure 3: BIOMEDICAL EQUIPMENT READINESS

Percent Who Reported Biomedical Equipment Was Y2K Ready

0%  10%  20%  30%  40%  50%  60%  70%  80%  90%  100% 
28% 
Hospitals 
27% 
29% 
Nursing Facilities 
50% 
B 
37% 
Home Health 
Agencies 
48% 
January 1999 
July 1999 
48% 
DME Suppliers 
54% 
42% 
Physicians 
56% 
Source:  OEI Surveys - January 1999 and July 1999 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
32 
Providers as of July 1999  APPENDIX  B 
FIGURE 4:  CONTINGENCY PLANNING

Percent Who Reported Completing Contingency Plans

0%  20%  40%  60%  80%  100% 
48% 
Hospitals 
59% 
34% 
Nursing Facilities 
55% 
B 
40% 
Home Health 
Agencies  January 1999 
56% 
July 1999 
33% 
DME Suppliers 
52% 
33% 
Physicians 
49% 
Source: OEI Surveys - January 1999 and July 1999 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
33 
Providers as of July 1999  APPENDIX  C 
Health Care Financing Administration Comments

In this appendix, we present, in full, comments from the Health Care Financing 
Administration. 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
34 
Providers as of July 1999  APPENDIX  C 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
35 
Providers as of July 1999  APPENDIX  C 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
36 
Providers as of July 1999  APPENDIX  C 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
37 
Providers as of July 1999  APPENDIX  C 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
38 
Providers as of July 1999  APPENDIX  C 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
39 
Providers as of July 1999  APPENDIX  C 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
40 
Providers as of July 1999  APPENDIX  C 
Y2K Readiness of Medicare Fee-for-Service  OEI-03-98-00253 
41 
Providers as of July 1999