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 - 604 pages |
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Page 3
... Payment for physicians ' services under medicaid . Sec . 24. Payment for certain antigens under part B of medicare . Sec . 25. Payment under medicare of certain physicians ' fees on account of services furnished by proprietary hospitals ...
... Payment for physicians ' services under medicaid . Sec . 24. Payment for certain antigens under part B of medicare . Sec . 25. Payment under medicare of certain physicians ' fees on account of services furnished by proprietary hospitals ...
Page 6
... payment procedures which assure that ( A ) 95 per centum of clean claims ( claims for which no further written informa- tion or substantiation is required from the provider or any other person , in the absence of which payment may not ...
... payment procedures which assure that ( A ) 95 per centum of clean claims ( claims for which no further written informa- tion or substantiation is required from the provider or any other person , in the absence of which payment may not ...
Page 7
... payments by basis of eligibility and maintenance assistance status of the recipient and the type of medical services ... payment claims review procedures specified in section 1902 ( a ) ( 39 ) ( B ) ; and " ( D ) the State is making ...
... payments by basis of eligibility and maintenance assistance status of the recipient and the type of medical services ... payment claims review procedures specified in section 1902 ( a ) ( 39 ) ( B ) ; and " ( D ) the State is making ...
Page 12
... payment rate for routine operating costs . Such payment rate for any such hospital shall be equal to the average per diem routine operat- ing cost amount for the hospitals of the category in which such hospital is classi- fied , except ...
... payment rate for routine operating costs . Such payment rate for any such hospital shall be equal to the average per diem routine operat- ing cost amount for the hospitals of the category in which such hospital is classi- fied , except ...
Page 13
... payment rate for routine operating costs , or ( b ) an amount equal to 50 per centum of the amount by which such hospital's adjusted per diem payment rate for routine operating costs exceeds such hospital's actual routine operating ...
... payment rate for routine operating costs , or ( b ) an amount equal to 50 per centum of the amount by which such hospital's adjusted per diem payment rate for routine operating costs exceeds such hospital's actual routine operating ...
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agencies amended amount anesthesia anesthesiologist appropriate areas assignment assistance Association basis believe beneficiaries benefits bill carrier Chairman claims clinical Committee concerned contracts doctors effective efficient eligibility established expenditures factors Federal fiscal fraud and abuse funds health care Health Care Financing health maintenance organizations health services home health hospital costs implementation improve incentive income increase institutions laboratory legislation limited Medicaid programs medical technologist Medicare and Medicaid ment million nurse anesthetists nursing homes Office participating pathologists pathology patients payment percent percentage performed physical therapy physicians practice problems procedures proposed reasonable charge reasonable cost recognize recommend regulations Reimbursement Reform require responsibility result routine operating costs 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 155 - For purposes of the preceding provisions of this paragraph, the term routine services" shall mean the regular room, dietary, and nursing services, minor medical and surgical supplies and the use of equipment and facilities for which a separate charge is not customarily made; the term "ancillary services" shall mean those special services for which charges are customarily made in addition to routine services.
Page 264 - 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 4 - For the purpose of advising and assisting the Secretary of Health, Education, and Welfare (hereinafter in this section referred to as the "Secretary" with respect to the education of the deaf, there is hereby created a National Advisory Committee on Education of the Deaf, which shall consist of...
Page 17 - Secretary, would cover 75 percent of the customary charges made for similar services in the same locality during the last preceding calendar year elapsing prior to the start of the fiscal year in which the bill is submitted or the request for payment is made.
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 534 - Post-Hospital Extended Care Services (i) The term "post-hospital extended care services" means extended care services furnished an individual after transfer from a hospital in which he was an inpatient for not less than 3 consecutive days before his discharge from the hospital in connection with such transfer. For purposes of the preceding sentence, items and services shall be deemed to have been furnished to an individual after transfer from a hospital, and he shall...
Page 249 - Appropriations Committees, the Senate Finance Committee, and the House Ways and Means Committee; and all other congressional committees.
Page 134 - OF FEDERATION OF AMERICAN HOSPITALS On behalf of the members of the Federation of American Hospitals, we would like to thank the Committee for this opportunity to present the views of our organization on national health insurance.
Page 221 - ... through representatives of their own choosing, without restraint, coercion, or interference on the part of the producers.
Page 317 - That 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.