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 |
From inside the book
Page 8
4 " ( ii ) In making the calculations required by clause 5 ( 1 ) , the Secretary shall exclude any hospital which has sig- 6 nificant understaffing problems or which otherwise experi- ences significant cost differentials resulting from ...
4 " ( ii ) In making the calculations required by clause 5 ( 1 ) , the Secretary shall exclude any hospital which has sig- 6 nificant understaffing problems or which otherwise experi- ences significant cost differentials resulting from ...
Page 11
3 " ( D ) April 1 of the year in which the Secretary deter- 4 mines the amount of the average per diem operating cost for 5 each hospital category and the adjusted per diem payment 6 rate for each hospital , the determinations shall be ...
3 " ( D ) April 1 of the year in which the Secretary deter- 4 mines the amount of the average per diem operating cost for 5 each hospital category and the adjusted per diem payment 6 rate for each hospital , the determinations shall be ...
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5 " ( G ) The Secretary may further increase the adjusted 6 per diem payment rate to reflect the higher prices prevailing 7 in Alaska or Hawaii . 8 11 " ( H ) Where the Secretary finds that a hospital has 9 manipulated its patient mix ...
5 " ( G ) The Secretary may further increase the adjusted 6 per diem payment rate to reflect the higher prices prevailing 7 in Alaska or Hawaii . 8 11 " ( H ) Where the Secretary finds that a hospital has 9 manipulated its patient mix ...
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The Secretary shall provide procedures for appropriate 6 exceptions . 7 ( 2 ) The systems of reimbursement shall not permit 8 payment for costs which exceed 120 percent of the average 9 cost incurred by other institutions or agencies in ...
The Secretary shall provide procedures for appropriate 6 exceptions . 7 ( 2 ) The systems of reimbursement shall not permit 8 payment for costs which exceed 120 percent of the average 9 cost incurred by other institutions or agencies in ...
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12 1 lish a reimbursement system for hospitals , hospital reim- 2 bursement in that State under titles XVIII and XIX shall 3 be based on that State system , if the Secretary finds that— ( 1 ) the State has mandated the reimbursement ...
12 1 lish a reimbursement system for hospitals , hospital reim- 2 bursement in that State under titles XVIII and XIX shall 3 be based on that State system , if the Secretary finds that— ( 1 ) the State has mandated the reimbursement ...
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accounting addition administration agency allow amended American amount anesthesiologists apply approach appropriate approval areas assistance Association average basis beds believe benefits bill capital Chairman changes charge clinical Committee concern considered 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 problems procedures proposed reasonable recognize recommend reform regulations reimbursement responsibility result routine Secretary Section Security Senator TALMADGE Social Social Security Administration specific staff statement Subcommittee suggest term tion utilization wage