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 3
... was read twice and referred to the Com- mittee on Finance A BILL To provide for the reform of the administrative and reimburse- ment procedures currently employed under the medicare and medicaid programs , and for other purposes .
... was read twice and referred to the Com- mittee on Finance A BILL To provide for the reform of the administrative and reimburse- ment procedures currently employed under the medicare and medicaid programs , and for other purposes .
Page 10
... and " ( ii ) for a hospital which has actual routine operating costs less than that hospital's adjusted per diem pay- ment rate for routine operating costs , an amount equal to ( I ) the amount of the hospital's actual routine op- ...
... and " ( ii ) for a hospital which has actual routine operating costs less than that hospital's adjusted per diem pay- ment rate for routine operating costs , an amount equal to ( I ) the amount of the hospital's actual routine op- ...
Page 30
... customary charges made 7 for similar services in the same locality during the last pre- 8 ceding calendar year elapsing prior to the start of the fiscal 9 year in which the bill is submitted or the request for pay- 10 ment is made .
... customary charges made 7 for similar services in the same locality during the last pre- 8 ceding calendar year elapsing prior to the start of the fiscal 9 year in which the bill is submitted or the request for pay- 10 ment is made .
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8 " ( C ) In the case of medical services , supplies , and 9 equipment ( including equipment servicing ) that , in the judg- 10 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 judg- 10 ment of the Secretary , do not generally vary significantly in 11 quality from one supplier to another ...
Page 44
1 42 " ( 2 ) ( A ) The Secretary shall not enter into an agree 2 ment under this subsection with any hospital unless- 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 " ( i ) for a period specified by the Secretary ( not less than twelve months ) ...
1 42 " ( 2 ) ( A ) The Secretary shall not enter into an agree 2 ment under this subsection with any hospital unless- 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 " ( i ) for a period specified by the Secretary ( not less than twelve months ) ...
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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