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
... physicians to accept assignments . Sec . 11. Criteria for determining reasonable charge for physicians services . Sec . 12. Hospital - associated physicians . Sec . 13. Payment for certain antigens under part B of medicare . Sec . 14 ...
... physicians to accept assignments . Sec . 11. Criteria for determining reasonable charge for physicians services . Sec . 12. Hospital - associated physicians . Sec . 13. Payment for certain antigens under part B of medicare . Sec . 14 ...
Page 25
... PHYSICIANS TO ACCEPT ASSIGNMENT 2 " SEC . 1868. ( a ) For purposes of this section the term 3 ' participating physician ' means a doctor of medicine or oste- 4 opathy who has in effect an agreement by which he agrees 5 to accept an ...
... PHYSICIANS TO ACCEPT ASSIGNMENT 2 " SEC . 1868. ( a ) For purposes of this section the term 3 ' participating physician ' means a doctor of medicine or oste- 4 opathy who has in effect an agreement by which he agrees 5 to accept an ...
Page 84
... PHYSICIANS IN SCARCITY AREAS ) Allowing new physicians in scarcity areas to establish their customary charge levels at the 75th percentile rather than the 50th percentile would add about 20 percent to present law reimbursement levels to ...
... PHYSICIANS IN SCARCITY AREAS ) Allowing new physicians in scarcity areas to establish their customary charge levels at the 75th percentile rather than the 50th percentile would add about 20 percent to present law reimbursement levels to ...
Page 85
... physicians billing Medicare directly . Non - par- ticipating physicians will be reimbused at 80 percent rather than 100 percent . An estimated $ 200 million is projected for fiscal year 1978 for a total R. & P. expenditures paid ...
... physicians billing Medicare directly . Non - par- ticipating physicians will be reimbused at 80 percent rather than 100 percent . An estimated $ 200 million is projected for fiscal year 1978 for a total R. & P. expenditures paid ...
Page 167
... Physician payment Defining " physicians ' services " Under present Medicare law , " the term ' physicians ' services ' means profes- sional services performed by physicians , including surgery , consultation , and home , office and ...
... Physician payment Defining " physicians ' services " Under present Medicare law , " the term ' physicians ' services ' means profes- sional services performed by physicians , including surgery , consultation , and home , office and ...
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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
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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...
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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...