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" December 31, 1970, or (ii) the prevailing charge level that, on the basis of statistical data and methodology acceptable to the Secretary, would cover 75 percent of the customary charges made for similar services in the same locality during the last preceding... "
National Health Insurance: Major Proposals : Hearings Before the ... - Page 1467
by United States. Congress. House. Committee on Interstate and Foreign Commerce. Subcommittee on Health and the Environment - 1976
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Code of Federal Regulations: Containing a Codification of Documents of ...

1996 - 1112 pages
...billed charges made for similar services during the base period. The 80th percentile of charges shall be determined on the basis of statistical data and methodology acceptable to the Director, OCHAMPUS (or a designee). (C) For purposes of paragraph (g)(l)(ii)(B) of this section, the...
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Code of Federal Regulations: Containing a Codification of Documents of ...

1986 - 1148 pages
...implemented in instructions issued by the Director, OCHAMPUS. (i) The 80th percentile of charges shall be determined on the basis of statistical data and methodology acceptable to the Director, OCHAMPUS, or a designee. (ii) The base period shg.'l be a period of 12 calendar months and...
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The Code of Federal Regulations of the United States of America

1979 - 848 pages
...charge may be determined to be reasonable if it exceeds the higher of: (i) The prevailing charge that, on the basis of statistical data and methodology acceptable to the Secretary, would cover 75 percent of the customary charges made for similar services in the same locality during...
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Code of Federal Regulations: Containing a Codification of Documents of ...

1976 - 1200 pages
...submitted or requests for payment made under this part if It exceeds the prevailing charge level that, on the basis of statistical data and methodology acceptable to the Secretary, would cover 75 percent of the customary charges made for similar services in the same locality during...
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Code of Federal Regulations: Containing a Codification of Documents of ...

1975 - 1116 pages
...may be determined to be reasonable If It exceeds the higher of (1) the prevailing charge limit that, on the basis of statistical data and methodology acceptable to the Secretary, would cover 75 percent of the customary charges made for similar services in the same locality during...
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Inquiry Into Survivor Benefits: Hearings Before the Special ..., Volume 5

United States. Congress. House. Committee on Armed Services. Special Subcommittee on Survivors' Benefits - 1970 - 368 pages
...as prevailing in a locality could be increased during fiscal year 1971 only to the extent necessary, on the basis of statistical data and methodology acceptable to the Secretary, to bring the prevailing charge levels to the 75th percentile of the customary charges made for similar...
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Social Security Amendments of 1971: Hearings, Ninety-second Congress ..., Part 2

United States. Congress. Senate. Committee on Finance - 1972 - 524 pages
...services in the same locality in administering this part of (ii) and the prevailing charge level that, on the basis of statistical data and methodology acceptable to the Secretary, would cover 75 percent of the customary charges made for similar services in the same locality during...
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Provisions Relating to Medicare-Medicaid and Maternal and Child Health ...

United States. Congress. Senate. Committee on Finance - 1972 - 164 pages
...for similar services in the same locality on December 31, 1970, or the prevailing charge level that, on the basis of statistical data and methodology acceptable to the Secretary, would cover 75 percent of the customary charges made for similar services in the same locality during...
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Public Health Service Hospitals: Hearings, Ninety-third Congress, First ...

United States. Congress. House. Committee on Merchant Marine and Fisheries - 1973 - 780 pages
...(42 USC, Sec. 1395î(a) ) for such services shall be the higher of (1) the prevailing charge that, on the basis of statistical data and methodology acceptable to the Secretary, would cover 75 per cent of the customary charges, whether or not reimbursed under Federal law, made...
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Health Maintenance Organizations--1973: Hearings, Ninety-third Congress ...

United States. Congress. House. Committee on Interstate and Foreign Commerce. Subcommittee on Public Health and Environment - 1973 - 388 pages
...locality in administering this part on December 31, 1970, or (ii) the prevailing charge level that, on the basis of statistical data and methodology acceptable to the Secretary, would cover 75 percent of the customary charges made for similar services in the same locality during...
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