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 3
... Reimbursement Reform Act " . TABLE OF CONTENTS HOSPITAL REIMBURSEMENT REFORM Sec . 2. Criteria for determining reasonable cost of hospital services . Sec . 3. Payments to promote closing and conversion of underutilized facilities . Sec ...
... Reimbursement Reform Act " . TABLE OF CONTENTS HOSPITAL REIMBURSEMENT REFORM Sec . 2. Criteria for determining reasonable cost of hospital services . Sec . 3. Payments to promote closing and conversion of underutilized facilities . Sec ...
Page 10
... operating costs exceeds the hospital's actual routine operating costs . " ( C ) Any hospital excluded by the Secretary under 25 paragraph ( 3 ) ( D ) ( ii ) , shall be reimbursed for routine 9 1 operating costs the lesser of ( i ) 10.
... operating costs exceeds the hospital's actual routine operating costs . " ( C ) Any hospital excluded by the Secretary under 25 paragraph ( 3 ) ( D ) ( ii ) , shall be reimbursed for routine 9 1 operating costs the lesser of ( i ) 10.
Page 13
... 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 an exception has been allowed . 11 ( 3 ) The Secretary shall , as ...
... 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 an exception has been allowed . 11 ( 3 ) The Secretary shall , as ...
Page 15
... reimburse 6 hospitals in that State according to the provisions of this 7 Act unless he finds that unusual , justifiable and non- 8 recurring circumstances led to the failure to comply . 9 ( f ) ( 1 ) Section 1866 ( a ) ( 1 ) of the ...
... reimburse 6 hospitals in that State according to the provisions of this 7 Act unless he finds that unusual , justifiable and non- 8 recurring circumstances led to the failure to comply . 9 ( f ) ( 1 ) Section 1866 ( a ) ( 1 ) of the ...
Page 39
... of medical services which may 24 be reimbursed under titles V , XVIII , and XIX , of the Social 25 Security Act , the Secretary of Health , Education , and Wel- 38 1 fare shall establish a system of procedural terminology 39.
... of medical services which may 24 be reimbursed under titles V , XVIII , and XIX , of the Social 25 Security Act , the Secretary of Health , Education , and Wel- 38 1 fare shall establish a system of procedural terminology 39.
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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