Health Care Services Under the Medicare Program: Hearings Before a Task Force of the Subcommittee on Health, Committee on Ways and Means, House of Representatives, Ninety-fifth Congress, First Session ... May 6, 1977, Cleveland, Ohio, May 7, 1977, Cincinnati, OhioU.S. Government Printing Office, 1977 - 353 pages |
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administration American American Dietetic Association average beneficiaries bill Blue Cross carrier charge chiropractic chiropractor Cincinnati claims Cleveland clinical social coinsurance Committee Community Mental Health concerned Congress Congressman Gradison Congressman Vanik deductible delivery doctor dollars elderly expenses facilities Federal funds going Government health insurance health services hearing home health agency Homemakers Upjohn increase inpatient Jay Collins legislation medi medicaid medicare and medicaid medicare coverage medicare patients medicare program ment mental health centers mental illness million Nationwide NATIONWIDE INSURANCE nursing home nutrition occupational therapy Ohio OSCHERWITZ outpatient paid pathologist payment person physical therapy physicians assistants podiatrist present problems professional psychiatric psychiatric hospital received regulations reimbursement require senior citizens skilled nursing Social Security Act Social Security Administration speech pathology services Subcommittee testimony Thank tion treatment utilization utilization review
Popular passages
Page 54 - ... (5) Meets such other conditions of participation as the Secretary may find necessary in the interest of the health and safety of individuals who are furnished services by such agency or organization; except that such term shall not include a private organization which is not a nonprofit organization exempt from Federal income taxation under section...
Page 326 - intermediate care facility" means an institution which provides, on a regular basis, health-related care and services to individuals who do not require the degree of care and treatment which a hospital or skilled nursing facility is designed to provide, but who because of their mental or physical condition require health related care and services (above the level of room and board). (6) The term "ambulatory surgical facility" means a facility, not a part of a hospital, which provides surgical treatment...
Page 54 - home health agency' means a public agency or private organization, or a subdivision of such an agency or organization, which — "(1) is primarily engaged in providing skilled nursing services and other therapeutic services; "(2) has policies, established by a group of professional personnel (associated with the agency or organization), including one or more physicians and one or more registered professional nurses, to govern the services (referred to in paragraph (1)) which it provides, and provides...
Page 296 - Association defined the physician assistant as "... a skilled person qualified by academic and practical training to provide patient services under the supervision and direction of a licensed physician who is responsible for the performance of that assistant.
Page 326 - ... (1) is primarily engaged in providing to inpatients (A) skilled nursing care and related services for patients who require medical or nursing care, or (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons...
Page 326 - ... is designed to provide, but who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities...
Page 54 - ... except that such term shall not include a private organization which is not a nonprofit organization exempt from Federal income taxation under section 501 of the Internal Revenue Code of 1954 (or a subdivision of such organization) unless it is licensed pursuant to State law and it meets such...
Page 144 - ... with respect to functions which he is legally authorized to perform as such by the State in which he performs them...
Page 3 - STATEMENT OF HON. LOUIS STOKES, A REPRESENTATIVE IN CONGRESS FROM THE STATE OF OHIO Mr. STOKES. Thank you very much, Mr. Chairman.
Page 251 - No payment under this section for inpatient hospital services furnished an individual during a spell of illness which begins, or is continuing after December 31, 1967, may be made for any such services furnished to him after the 150th day (less 1 day for each day of inpatient hospital services in excess of 90 days received during any preceding spell of illness) that such services have been furnished to him during such spell of illness (see § 405.161 for exception) . (d) Lifetime maximum on inpatient...