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 6
... participating provider ; " ( iii ) review to determine whether the service is covered under the State's plan ; " ( iv ) review to determine that the recipient is eligible for medical assistance ; " ( v ) review of claims against ...
... participating provider ; " ( iii ) review to determine whether the service is covered under the State's plan ; " ( iv ) review to determine that the recipient is eligible for medical assistance ; " ( v ) review of claims against ...
Page 18
... participating physician ' means a doctor of medicine or os- teopathy who has in effect an agreement entered into pursuant to this sec- tion ( except that , with respect to any claim for payment under this part for services performed ...
... participating physician ' means a doctor of medicine or os- teopathy who has in effect an agreement entered into pursuant to this sec- tion ( except that , with respect to any claim for payment under this part for services performed ...
Page 19
... participating or nonparticipating physicians as defined in section 1868 of such Act . HOSPITAL - ASSOCIATED ... participation in the most demanding procedures in this plan , including those of induction and emergence ; " ( D ) following ...
... participating or nonparticipating physicians as defined in section 1868 of such Act . HOSPITAL - ASSOCIATED ... participation in the most demanding procedures in this plan , including those of induction and emergence ; " ( D ) following ...
Page 22
... participate in the programs established by this title and title XVIII shall be terminated at such time as may be specified by the Secretary . The approval of eligibility of any such institu- tion to participate in such programs may not ...
... participate in the programs established by this title and title XVIII shall be terminated at such time as may be specified by the Secretary . The approval of eligibility of any such institu- tion to participate in such programs may not ...
Page 23
... participate in such programs may not be reinstated unless the Secretary finds that the reason for termination has been removed and there is reasonable assurance that it will not recur . " ( d ) Effective July 1 , 1977 , no payment may ...
... participate in such programs may not be reinstated unless the Secretary finds that the reason for termination has been removed and there is reasonable assurance that it will not recur . " ( d ) Effective July 1 , 1977 , no payment may ...
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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...