Medicare-medicaid Administrative and Reimbursement Reform Act: Hearing Before the Subcommittee on Health of the Committee on Finance, United States Senate, Ninety-fifth Congress, First Session, on S. 1470 ...U.S. Government Printing Office, 1977 - 638 pages |
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Page 4
... charge for physicians services . Sec . 12. Hospital - associated physicians . Sec . 13. Payment for certain antigens under part B of medicare . Sec . 14. Payments on behalf of deceased individuals . Sec . 15. Use of approved relative ...
... charge for physicians services . Sec . 12. Hospital - associated physicians . Sec . 13. Payment for certain antigens under part B of medicare . Sec . 14. Payments on behalf of deceased individuals . Sec . 15. Use of approved relative ...
Page 29
... charges in the locality 21 for similar services . 22 22 66 ( B ) ( i ) Except as otherwise provided in clause ( iii ) , 23 no charge may be determined to be reasonable in the case of 24 bills submitted or requests for payment made under ...
... charges in the locality 21 for similar services . 22 22 66 ( B ) ( i ) Except as otherwise provided in clause ( iii ) , 23 no charge may be determined to be reasonable in the case of 24 bills submitted or requests for payment made under ...
Page 30
... charge recognized by the carrier and found 2 acceptable by the Secretary for similar services in the same 3 locality in administering this part on December 31 , 1970 , or 4 ( II ) the prevailing charge level that , on the basis of ...
... charge recognized by the carrier and found 2 acceptable by the Secretary for similar services in the same 3 locality in administering this part on December 31 , 1970 , or 4 ( II ) the prevailing charge level that , on the basis of ...
Page 31
... charges incurred 12 after December 31 , 1972 , determined to be reasonable may 13 not exceed the lowest charge levels at which such services , 14 supplies , and equipment are widely and consistently available 15 in a locality except to ...
... charges incurred 12 after December 31 , 1972 , determined to be reasonable may 13 not exceed the lowest charge levels at which such services , 14 supplies , and equipment are widely and consistently available 15 in a locality except to ...
Page 32
... charge for any particular service or procedure 13 performed by a doctor of medicine or osteopathy shall be 14 regarded as a reasonable charge if- 15 16 17 18 19 20 21 222 23 223 24 " ( i ) the service or procedure is performed in an ...
... charge for any particular service or procedure 13 performed by a doctor of medicine or osteopathy shall be 14 regarded as a reasonable charge if- 15 16 17 18 19 20 21 222 23 223 24 " ( i ) the service or procedure is performed in an ...
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Common terms and phrases
agency allow amended American American Hospital Association anesthesia anesthesiologists appropriate areas average basis beds believe benefits bill Blue Cross budget capital expenditures Chairman charge clinical Committee concern Congress cost containment determining effective eligibility employees established facilities Federal fiscal health care costs Health Care Financing health insurance health planning health services Hospital Association hospital costs implementation incentives increase industry inpatient institutions laboratory legislation limit long-term Medicaid programs Medicare and Medicaid ment million nurse anesthetists nursing homes outpatient participating pathologists pathology patients payment percent performed physi physicians pital problems procedures proposed psychiatric psychotherapy radiologists radiology reasonable cost recommend regulations reim relative value scales relative value schedules result revenues routine operating costs Secretary CALIFANO Senator DOLE Senator TALMADGE ServiceMaster skilled nursing Social Security Act Social Security Administration staff statement Subcommittee tion utilization wage