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 13
11 ( 3 ) The Secretary shall , as classification and reimburse12 ment systems methods are developed , but not later than two 13 years from enactment , submit appropriate legislative recom14 mendations to the Congress .
11 ( 3 ) The Secretary shall , as classification and reimburse12 ment systems methods are developed , but not later than two 13 years from enactment , submit appropriate legislative recom14 mendations to the Congress .
Page 30
... the customary charges made 7 for similar services in the same locality during the last pre8 ceding calendar year elapsing prior to the start of the fiscal 9 year in which the bill is submitted or the request for pay10 ment is made .
... the customary charges made 7 for similar services in the same locality during the last pre8 ceding calendar year elapsing prior to the start of the fiscal 9 year in which the bill is submitted or the request for pay10 ment is made .
Page 31
8 " ( C ) In the case of medical services , supplies , and 9 equipment ( including equipment servicing ) that , in the judg10 ment of the Secretary , do not generally vary significantly in 11 quality from one supplier to another ...
8 " ( C ) In the case of medical services , supplies , and 9 equipment ( including equipment servicing ) that , in the judg10 ment of the Secretary , do not generally vary significantly in 11 quality from one supplier to another ...
Page 36
... 12 13 would have been incurred by the hospital ) to the physician performing it if it had been performed in an employ14 15 ment relationship with the hospital plus the cost of other 16 expenses ( including a reasonable allowance for ...
... 12 13 would have been incurred by the hospital ) to the physician performing it if it had been performed in an employ14 15 ment relationship with the hospital plus the cost of other 16 expenses ( including a reasonable allowance for ...
Page 38
36 1 apply to any physician unless he has entered into an 2 agreement with the Secretary under which he agrees to be 3 compensated for all such services on the basis of an assign4 ment the terms of which are described in section 1842 ...
36 1 apply to any physician unless he has entered into an 2 agreement with the Secretary under which he agrees to be 3 compensated for all such services on the basis of an assign4 ment the terms of which are described in section 1842 ...
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accounting addition administration agencies allow amended American amount anesthesiologists anesthetists apply approach appropriate areas assistance Association average basis beds believe benefits bill capital Chairman changes charge clinical Committee concern containment continue determining direct effective efficient efforts established expenditures expenses facilities Federal Financing fiscal health care hospital costs improve incentives increase individual industry institutions legislation less limit major Medicare and Medicaid ment million nursing operating organization participating patients payment percent performed persons physicians planning practice present problem procedures proposed reasonable recognize recommend reform regulations reimbursement represent responsibility result routine Secretary Section Security Senator TALMADGE Social Social Security Administration specific staff statement Subcommittee suggest term tion utilization wage