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 14
... ) where a State that is unable to satisfy requirements of subparagraph ( A ) demonstrates to the satisfaction of the Secretary that total reimbursable inpatient hospital costs in the 18 1 2 State are lower than would otherwise be 14.
... ) where a State that is unable to satisfy requirements of subparagraph ( A ) demonstrates to the satisfaction of the Secretary that total reimbursable inpatient hospital costs in the 18 1 2 State are lower than would otherwise be 14.
Page 28
... inpatient or outpatient unless : " ( i ) the services are surgical services , anes- thesia services , or services performed by a physician who , as an attending or consulting physician who , has personally examined the patient and whose ...
... inpatient or outpatient unless : " ( i ) the services are surgical services , anes- thesia services , or services performed by a physician who , as an attending or consulting physician who , has personally examined the patient and whose ...
Page 29
... inpatients or outpatients or are performed outside the office of the participating physician . " . ( b ) The amendments made by paragraph ( 1 ) shall 9 become effective July 1 , 1978 . 10 CRITERIA FOR DETERMINING REASONABLE CHARGE FOR ...
... inpatients or outpatients or are performed outside the office of the participating physician . " . ( b ) The amendments made by paragraph ( 1 ) shall 9 become effective July 1 , 1978 . 10 CRITERIA FOR DETERMINING REASONABLE CHARGE FOR ...
Page 35
... inpatients of a 23 provider of services unless the Secretary finds that , because 24 of the size of the hospital and the part - time nature of the 25 services or for some other reason acceptable to him , it would 34 1 be less efficient ...
... inpatients of a 23 provider of services unless the Secretary finds that , because 24 of the size of the hospital and the part - time nature of the 25 services or for some other reason acceptable to him , it would 34 1 be less efficient ...
Page 42
... ) ( 5 ) ) which has an agreement under section 24 1866 may ( subject to paragraph ( 2 ) ) enter into an agree- 25 ment with the Secretary under which its inpatient hospital 41 1 facilities may be used for the furnishing of 42.
... ) ( 5 ) ) which has an agreement under section 24 1866 may ( subject to paragraph ( 2 ) ) enter into an agree- 25 ment with the Secretary under which its inpatient hospital 41 1 facilities may be used for the furnishing of 42.
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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