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 7
... an average 13 per diem routine operating cost amount which shall ( except 14 as otherwise provided in this subsection ) be used in deter- 15 mining payments to hospitals . 16 " ( B ) The determination shall be based upon the amount ...
... an average 13 per diem routine operating cost amount which shall ( except 14 as otherwise provided in this subsection ) be used in deter- 15 mining payments to hospitals . 16 " ( B ) The determination shall be based upon the amount ...
Page 8
That payment rate shall equal the average per diem 14 routine operating cost amount for the category in which 15 the hospital is expected to be classified during the subsequent 16 fiscal year , except that the personnel component shall ...
That payment rate shall equal the average per diem 14 routine operating cost amount for the category in which 15 the hospital is expected to be classified during the subsequent 16 fiscal year , except that the personnel component shall ...
Page 9
16 " ( iii ) At the end of the fiscal year , the amounts paid 17 under clause ( ii ) shall be ... 19 23 " ( B ) For purposes of payment the amount of routine 24 operating cost incurred by a hospital shall be deemed to 25 equal- 92-202 O ...
16 " ( iii ) At the end of the fiscal year , the amounts paid 17 under clause ( ii ) shall be ... 19 23 " ( B ) For purposes of payment the amount of routine 24 operating cost incurred by a hospital shall be deemed to 25 equal- 92-202 O ...
Page 10
... an amount equal to the greater of : " ( I ) The hospital's actual routine operating costs , but not exceeding 120 percent of the hos- pital's adjusted per diem payment rate for routine operating costs , or " ( II ) the amounts ...
... an amount equal to the greater of : " ( I ) The hospital's actual routine operating costs , but not exceeding 120 percent of the hos- pital's adjusted per diem payment rate for routine operating costs , or " ( II ) the amounts ...
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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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