Implementation of PSRO Legislation, Hearings Before the Subcommittee on Health of ..., 93-2 ... |
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Page 493
... period of time thereby enhancing the educational effects of the program . 5 Hearings and Review Unlike the other areas already discussed which address the regulatory proc- ess , the statute itself may unconditionally condition the ...
... period of time thereby enhancing the educational effects of the program . 5 Hearings and Review Unlike the other areas already discussed which address the regulatory proc- ess , the statute itself may unconditionally condition the ...
Page 518
... period . The monthly premium costs for part B of medicare - doctors ' bills - rose from a total of $ 6 monthly per person on July 1 , 1966 , to $ 11.60 per person on July 1 , 1972. Medic- aid costs are also rising at precipitous rates ...
... period . The monthly premium costs for part B of medicare - doctors ' bills - rose from a total of $ 6 monthly per person on July 1 , 1966 , to $ 11.60 per person on July 1 , 1972. Medic- aid costs are also rising at precipitous rates ...
Page 523
... period of usual lengths of stay on the grounds that the certifi- cation would be unproductice ; for example , when the usual duration of stay is two days or less . Certification on the first day of stay might yield no significant ...
... period of usual lengths of stay on the grounds that the certifi- cation would be unproductice ; for example , when the usual duration of stay is two days or less . Certification on the first day of stay might yield no significant ...
Page 540
... period of time , if payment may be made under title XVIII with respect to services furnished by such provider or person during such period of time solely by reason of a determination by the Secretary under section 1862 ( d ) ( 1 ) or ...
... period of time , if payment may be made under title XVIII with respect to services furnished by such provider or person during such period of time solely by reason of a determination by the Secretary under section 1862 ( d ) ( 1 ) or ...
Page 544
... period as such services cannot , consistent with professionaly recognized health care standards , effectively be provided on outpatient basis or more economically in an inpatient health care facility of a different type , as determined ...
... period as such services cannot , consistent with professionaly recognized health care standards , effectively be provided on outpatient basis or more economically in an inpatient health care facility of a different type , as determined ...
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Common terms and phrases
administrative admission certification agreement amendment American appropriate approval area designation assistance assure challenged legislation Chapter Issue Date conditional PSRO contract costs criteria and standards determination DHEW diagnosis Directors doctor of medicine duties and functions effective Federal fifth amendment guidelines health care facility health care practitioners health care services hospital institutions Manual Chapter Issue medical necessity Medical Society medicare and medicaid meeting membership National Professional Standards non-physician health norms OPSR organiza osteopathy P.S.R.O. Program Manual patients payment peer review performance physicians Plaintiffs practitioner or provider procedures profes Professional Review Organization Professional Standards Review Program Manual Chapter proposed PSRO area PSRO program PSRO review PSRO's Region regulations review activities Review Organization area ROBERT DOLE Secretary Senate Social Security Act Standards Review Council Standards Review Organization Statewide Professional Standards Subcommittee tion U.S. Senate utilization review
Popular passages
Page 501 - Nothing in this title shall be construed to authorize any Federal officer or employee to exercise any supervision or control over the practice of medicine or the manner in which medical services are provided...
Page 884 - Act for the purpose of determining whether — (A) such services and items are or were medically necessary; (B) the quality of such services meets professionally recognized standards of health care ; and (C) in case such services and items are proposed to be provided in a hospital or other health care facility on an inpatient basis, such services and items could, consistent with the provision of appropriate medical care, be effectively provided on an outpatient basis or more economically in an inpatient...
Page 965 - ... denotes not merely freedom from bodily restraint, but also the right of the individual to contract, to engage in any of the common occupations of life, to acquire useful knowledge, to marry, establish a home and bring up children, to worship God according to the dictates of his own conscience, and, generally, to enjoy those privileges long recognized at common law as essential to the orderly pursuit of happiness by free men.
Page 965 - It is undoubtedly the right of every citizen of the United States to follow any lawful calling, business, or profession he may choose, subject only to such restrictions as are imposed upon all persons of like age, sex and condition.
Page 559 - ... (b) It shall be unlawful for any person to disclose any such information other than for such purposes, and any person violating the provisions of this section shall, upon conviction, be fined not more than $1,000, and imprisoned for not more than six months, or both, together with the costs of prosecution.
Page 972 - Few professions require more careful preparation by one who seeks to enter it than that of medicine. It has to deal with all those subtle and mysterious influences upon which health and life depend...
Page 965 - Without doubt it denotes not merely freedom from bodily restraint, but also the right of the individual to...
Page 524 - Hospitals, which is sponsored by the American Medical Association, the American Hospital Association, the American College of Physicians, and the American College of Surgeons, was also considering the establishment of an accreditation program for inpatient care institutions other than hospitals.
Page 542 - ... (2) A determination made by the Secretary under this subsection shall be effective at such time and upon such reasonable notice to the public and to the person furnishing the services involved as may be specified in regulations. Such determination shall be effective with respect to services furnished to an individual on or after the effective date of such determination (except that in the case of...
Page 963 - ... accrued" interests violative of the Due Process Clause of the Fifth Amendment. II. This is not to say, however, that Congress may exercise its power to modify the statutory scheme free of all constitutional restraint. The interest of a covered employee under the Act is of sufficient substance to fall within the protection from arbitrary governmental action afforded by the Due Process Clause.