Medicare-medicaid administrative and reimbursement reform: hearings before the Subcommittee on Health of the Committee on Finance, United States Senate, Ninety-fourth Congress, second session, on S. 3205 ...U.S. Government Printing Office, 1976 |
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Page 3
... charge for physicians ' services . Sec . 21. Agreements of physicians to accept assignment of claims . Sec . 22. Hospital - associated physicians . Sec . 23. Payment for physicians ' services under medicaid . Sec . 24. Payment for ...
... charge for physicians ' services . Sec . 21. Agreements of physicians to accept assignment of claims . Sec . 22. Hospital - associated physicians . Sec . 23. Payment for physicians ' services under medicaid . Sec . 24. Payment for ...
Page 6
... charge is a reasonable charge , and that payments made are not in excess of those allowable under the program ; " ( vii ) review to determine and recover any third party liability ; " ( viii ) review to assure that there has been no ...
... charge is a reasonable charge , and that payments made are not in excess of those allowable under the program ; " ( vii ) review to determine and recover any third party liability ; " ( viii ) review to assure that there has been no ...
Page 16
... charge for services for purposes of paragraph ( 3 ) , there shall be taken into consideration the customary charges for ɛimilar services generally made by the physician or other person furnishing such services , as well as the ...
... charge for services for purposes of paragraph ( 3 ) , there shall be taken into consideration the customary charges for ɛimilar services generally made by the physician or other person furnishing such services , as well as the ...
Page 17
... charge level that , on the basis of statis- tical data and methodology acceptable to the Secretary , would cover 75 per centum of the customary charges made for similar services in the same locality during the last preceding calendar ...
... charge level that , on the basis of statis- tical data and methodology acceptable to the Secretary , would cover 75 per centum of the customary charges made for similar services in the same locality during the last preceding calendar ...
Page 18
... charge for such service ( as determined under this title ) will be the full charge therefor . " ( 2 ) An agreement under this section may be terminated by either party upon thirty days ' notice to the other party ( filed in such form ...
... charge for such service ( as determined under this title ) will be the full charge therefor . " ( 2 ) An agreement under this section may be terminated by either party upon thirty days ' notice to the other party ( filed in such form ...
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amendments amount anesthesia anesthesiologist appropriate areas assignment assistance Association basis believe beneficiaries benefits bill carrier Chairman claims clinical Committee concerned Congress contracts doctor effective efficient eligibility established expenditures factors Federal fiscal fraud and abuse funds health care Health Care Financing health maintenance organizations health services hospital costs implementation improve incentive income increase institutions laboratory legislation limited Medicaid programs medical technologist Medicare and Medicaid ment million nurse anesthetists nursing homes participating pathologists pathology patients payment percent percentage performed personnel physicians practice problems procedures professional proposed reasonable charge reasonable cost recognize recommend regulations Reimbursement Reform require responsibility result routine operating costs rural Secretary Section Senator CURTIS Senator DOLE Senator TALMADGE Social Security Act Social Security Administration specific staff standards statement Subcommittee tion Title XVIII U.S. Senate utilization
Popular passages
Page 141 - We hold, however, that the basis of all calculations as to the reasonableness of rates to be charged by a corporation maintaining a highway under legislative sanction must be the fair value of the property being used by it for the convenience of the public.
Page 539 - ... (11) where such expenses constitute charges imposed by immediate relatives of such individual or members of his household ; (12) where such expenses are for services in connection with the care, treatment, filling, removal, or replacement of teeth or structures directly supporting teeth...
Page 250 - ... is a step in the right direction, but does not go far enough...
Page 325 - For this court has held that classification " must always rest upon some difference which bears a reasonable and just relation to the act in respect to which the classification is proposed, and can never be made arbitrarily and without any such basis.
Page 570 - Nothing in this title shall be construed to authorize any Federal officer or employee to exercise any supervision or control over the practice of medicine or the manner in which medical services are provided, or over the selection, tenure, or compensation of any officer or employee of any institution, agency, or person...
Page 24 - In case a skilled nursing home is organized as a corporation, of each officer and director of the corporation, and (c) In case a skilled nursing...
Page 5 - Commission shall transmit to the Committee on Finance of the Senate and the Committee on Ways and Means of the House of Representatives an exact copy of its report and recommendations to the President.
Page 272 - Any employee who believes that he has been discharged or otherwise discriminated against by any person in violation of this subsection may, within thirty days after such violation occurs, file a complaint with the Secretary alleging such discrimination.
Page 255 - Appropriations Committees, the Senate Finance Committee, and the House Ways and Means Committee; and all other congressional committees.
Page 539 - ... in the case of inpatient hospital services in connection with the care, treatment, filling, removal, or replacement of teeth or structures directly supporting teeth...