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 4
... charge for physicians ' services . Sec . 12. Hospital - associated physicians . Sec . 13. Payment for certain antigens under part B of medicare . Sec . 14. Payments on behalf of deceased individuals . Sec . 15. Use of approved relative ...
... charge for physicians ' services . Sec . 12. Hospital - associated physicians . Sec . 13. Payment for certain antigens under part B of medicare . Sec . 14. Payments on behalf of deceased individuals . Sec . 15. Use of approved relative ...
Page 27
... charges in the locality 21 for similar services . 22 " ( B ) ( i ) Except as otherwise provided in clause ( iii ) , 23 no charge may be determined to be reasonable in the case of 24 bills submitted or requests for payment made under ...
... charges in the locality 21 for similar services . 22 " ( B ) ( i ) Except as otherwise provided in clause ( iii ) , 23 no charge may be determined to be reasonable in the case of 24 bills submitted or requests for payment made under ...
Page 29
... charges incurred 12 after December 31 , 1972 , determined to be reasonable may 13 not exceed the lowest charge levels at which such services , 14 supplies , and equipment are widely and consistently available 15 in a locality except to ...
... charges incurred 12 after December 31 , 1972 , determined to be reasonable may 13 not exceed the lowest charge levels at which such services , 14 supplies , and equipment are widely and consistently available 15 in a locality except to ...
Page 30
... charge recognized by the carrier and found 2 acceptable by the Secretary for similar services in the same 3 locality in administering this part on December 31 , 1970 , or 4 ( II ) the prevailing charge level that , on the basis of ...
... charge recognized by the carrier and found 2 acceptable by the Secretary for similar services in the same 3 locality in administering this part on December 31 , 1970 , or 4 ( II ) the prevailing charge level that , on the basis of ...
Page 31
... charges incurred 12 after December 31 , 1972 , determined to be reasonable may 13 not exceed the lowest charge levels at which such services , 14 supplies , and equipment are widely and consistently available 15 in a locality except to ...
... charges incurred 12 after December 31 , 1972 , determined to be reasonable may 13 not exceed the lowest charge levels at which such services , 14 supplies , and equipment are widely and consistently available 15 in a locality except to ...
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Common terms and phrases
agencies 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 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 LIBRARY OF CONGRESS 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 problems procedures proposed psychiatric psychotherapy reasonable cost recommend reduced regulations reim relative value scales relative value schedules result routine operating costs Secretary CALIFANO Senator DOLE Senator TALMADGE ServiceMaster skilled nursing Social Security Act Social Security Administration staff statement Subcommittee subsection tion utilization wage
Popular passages
Page 202 - ... is a step in the right direction, but does not go far enough...
Page 543 - ... term shall not include a private organization which is not a nonprofit organization exempt from Federal income taxation under section...
Page 501 - I have been a member of the board of directors, and of the executive committee of the American Meat Institute for many years.
Page 488 - but only with respect to" (1) surgery related to the jaw or any contiguous structure or (2) reduction (that is, the alignment) of fractures of the jaw or any facial bone.
Page 207 - Appropriations Committees, the Senate Finance Committee, and the House Ways and Means Committee; and all other congressional committees.
Page 438 - Dermatology, the American College of Obstetricians and Gynecologists, and the American Academy of Neruology.
Page 297 - ... of individuals who are not described in clause (A) and who do not meet the income and resources requirements of the appropriate State plan, or the supplemental security income program under title XVI, as the case may be, as determined in accordance with standards prescribed by the Secretary...
Page 243 - Chairman, if you have any questions I will be glad to try to answer them, or Mr.
Page 356 - Act, as amended, is amended — (1) by striking out the period at the end of "paragraph (5)" and inserting in lieu thereof "; and...
Page 160 - An allowance of a reasonable return on equity capital invested and used in the provision of patient care is allowable as an element of the reasonable cost of covered services furnished to beneficiaries by proprietary providers. The amount allowable on an annual basis is determined by applying to the provider's equity capital a percentage equal to one and one-half times the average of the rates of interest on special issues of public debt obligations issued to the Federal...