Nursing Home Care: The Unfinished Agenda : Hearing Before the Special Committee on Aging, United States Senate, Ninety-ninth Congress, Second Session, Washington, DC, May 21, 1986U.S. Government Printing Office, 1987 |
Common terms and phrases
annual surveys areas assure Attachment Audit budget changes cited compliance Conditions of Participation conducted deficiencies DEPARTMENT OF HEALTH determine Director documentation effective evaluation facility's Federal Financing Administration findings funds guidelines HCFA HCFA's HEALTH & HUMAN health and safety Health Care Financing Health Standards hospital HUMAN SERVICES Idaho identified implementation intermediate care facilities intermediate sanction IoC review issues JOHN MELCHER key requirements long-term care Medicaid agency Medicare and Medicaid Medicare/Medicaid meet Memorandum MMACS monitoring NCCNHR nursing home PaCS survey payment percent period plan of correction problems proposed provider agreement recertification recommendations Region X regional office regulations reimbursement request residents response revised Rhode Island Safety Code sample Secretary Section skilled nursing facilities specific staff Standards and Quality Subpart survey agency survey and certification survey process Survey Report surveyors swing-bed termination procedures United States Senator Washington
Popular passages
Page 333 - Secretary an agreement— (A) not to charge, except as provided in paragraph (2), any individual or any other person for items or services for which such individual is entitled to have payment made under this title (or for which he would be so entitled if such provider of services had complied with the procedural and other requirements under or pursuant to this title or for which such provider is paid pursuant to the provisions of section...
Page 337 - ... (4) If a provider of services furnishes items or services to an individual which are in excess of or more expensive than the items or services determined to be necessary in the efficient delivery of needed health services and charges...
Page 338 - Where a provider of services which has an agreement in effect under this title furnishes to an individual items or services which are in excess of or more expensive than the items or services with respect to which payment may be made under...
Page 785 - Region IV Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee Region V Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin Region VI Arkansas, Louisiana, New Mexico, Oklahoma, Texas Region VII Iowa, Kansas, Missouri, Nebraska Region VIII Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming Region IX Arizona, California...
Page 351 - Secretary (after reasonable notice and opportunity for hearing) to the same extent as is provided in section 205(b), and to judicial review of the Secretary's final decision after such hearing as is provided in section 205 (g).
Page 339 - State agency finds necessary to determine whether such payments are or were due and the amounts thereof, or has refused to permit such examination of its records by or on behalf of the Secretary or that agency as may be necessary to verify such information.
Page 333 - Secretary's determination that such payment may not be made for such items and services was made after the third year following the year in which notice of such payment was sent to such individual; except that the Secretary may reduce such three-year period to not less than one year if he finds such reduction is consistent with the objectives of this title...
Page 41 - US Department of Health and Human Services 200 Independence Avenue, SW Washington, DC 20201...
Page 331 - extended care facility" means (except for purposes of subsection (a) (2) ) an institution (or a distinct part of an Institution) which has in effect a transfer agreement (meeting the requirements of subsection (1) ) with one or more hospitals having agreements in effect under section...
Page 339 - (1) knowingly and willfully makes or causes to be made any false statement or representation of a material fact in any application for any benefit...