Medicare-medicaid Administrative and Reimbursement Reform Act: Hearings 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 |
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Page 13
... 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 same 10 class , unless ...
... 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 same 10 class , unless ...
Page 33
... procedure 17 would be considered to be ' personally performed ' in its en- 18 tirety by a physician where the ... procedures in this plan , including those of induction and emergence and assuring that a qualified individual , who ...
... procedure 17 would be considered to be ' personally performed ' in its en- 18 tirety by a physician where the ... procedures in this plan , including those of induction and emergence and assuring that a qualified individual , who ...
Page 34
... procedures which the physician does not personally perform ; " ( D ) following the course of anesthesia adminis ... procedure in its entirety . 21 " ( 3 ) Pathology services shall be considered ' physicians ' 22 services ' to patients ...
... procedures which the physician does not personally perform ; " ( D ) following the course of anesthesia adminis ... procedure in its entirety . 21 " ( 3 ) Pathology services shall be considered ' physicians ' 22 services ' to patients ...
Page 42
... procedures and services . ( 4 ) That the use of the proposed system will en- hance the administration of the Federal health care financing programs . 6 ( e ) A system of terminology , definitions , and their 7 relative values , as ...
... procedures and services . ( 4 ) That the use of the proposed system will en- hance the administration of the Federal health care financing programs . 6 ( e ) A system of terminology , definitions , and their 7 relative values , as ...
Page 57
... procedures to assure that ( A ) 95 percent of claims for which no further written information or substantiation is required to make pay- ment , be paid within thirty days of receipt of the claim from a provider , and that 99 percent of ...
... procedures to assure that ( A ) 95 percent of claims for which no further written information or substantiation is required to make pay- ment , be paid within thirty days of receipt of the claim from a provider , and that 99 percent of ...
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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