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 24
With 11 respect to any organization which is reimbursed on a per 12 capita , fixed fee , or negotiated rate basis , in determining the 13 Federal payments to be made under titles V , XVIII , and 14 XIX , the Secretary shall exclude an ...
With 11 respect to any organization which is reimbursed on a per 12 capita , fixed fee , or negotiated rate basis , in determining the 13 Federal payments to be made under titles V , XVIII , and 14 XIX , the Secretary shall exclude an ...
Page 30
... or 4 ( II ) the prevailing charge level that , on the basis of statis- 5 tical data and methodology acceptable to the Secretary , 6 would cover 75 per centum of the customary charges made 7 for similar services in the same locality ...
... or 4 ( II ) the prevailing charge level that , on the basis of statis- 5 tical data and methodology acceptable to the Secretary , 6 would cover 75 per centum of the customary charges made 7 for similar services in the same locality ...
Page 54
... under this Act . The 18 Assistant Secretary may not have any other duties or func- 19 tions assigned to him which would prevent him from carrying 20 out the duties required under the preceding sentence on a full- 21 time basis .
... under this Act . The 18 Assistant Secretary may not have any other duties or func- 19 tions assigned to him which would prevent him from carrying 20 out the duties required under the preceding sentence on a full- 21 time basis .
Page 55
... making eligibility determinations on the basis of applications for coverage , within forty- five days of the date of application for all individ- uals : ( i ) receiving aid or assistance ( or who ex- cept for income and resources ...
... making eligibility determinations on the basis of applications for coverage , within forty- five days of the date of application for all individ- uals : ( i ) receiving aid or assistance ( or who ex- cept for income and resources ...
Page 56
... within sixty days of application for all individuals : ( i ) receiving aid or assistance ( or who except for income and resources would be eligible for aid or assistance ) on the basis of disability under any plan of the State ...
... within sixty days of application for all individuals : ( i ) receiving aid or assistance ( or who except for income and resources would be eligible for aid or assistance ) on the basis of disability under any plan of the State ...
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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