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
... Secretary shall exclude any hospital which has sig- 6 nificant understaffing problems or which otherwise experi- ences significant cost differentials resulting from failure of 8 the hospital to fully meet the standards and conditions of ...
... Secretary shall exclude any hospital which has sig- 6 nificant understaffing problems or which otherwise experi- ences significant cost differentials resulting from failure of 8 the hospital to fully meet the standards and conditions of ...
Page 11
... 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 published 7 by the Secretary ; and 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 published 7 by the Secretary ; and the ...
Page 12
... Secretary may further increase the adjusted 6 per diem payment rate to reflect the higher prices prevailing 7 in Alaska or Hawaii . 8 " ( H ) Where the Secretary finds that a hospital has 9 manipulated its patient mix , or patient flow ...
... Secretary may further increase the adjusted 6 per diem payment rate to reflect the higher prices prevailing 7 in Alaska or Hawaii . 8 " ( H ) Where the Secretary finds that a hospital has 9 manipulated its patient mix , or patient flow ...
Page 13
... 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 the ...
Page 14
... Secretary finds that ( 1 ) the State has mandated the reimbursement system and it applies to all hospitals in the State which 4 5 6 7 8 9 10 11 12 23 13 14 15 16 17 18 19 20 222 21 23 24 have provider agreements under title XVIII or ...
... Secretary finds that ( 1 ) the State has mandated the reimbursement system and it applies to all hospitals in the State which 4 5 6 7 8 9 10 11 12 23 13 14 15 16 17 18 19 20 222 21 23 24 have provider agreements under title XVIII or ...
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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 practice 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