Medicare Administrative Costs: Hearings Before the Subcommittee on Oversight of the Committee on Ways and Means, House of Representatives, Ninety-fourth Congress, Second Session, August 2 and 27, 1976U.S. Government Printing Office, 1976 - 239 pages |
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Page 1
... medicare administrative costs , and in particular , the role of private , generally tax - exempt interme- diaries in managing the $ 15.5 billion medicare program . The issue is of double interest to the committee , since we are con ...
... medicare administrative costs , and in particular , the role of private , generally tax - exempt interme- diaries in managing the $ 15.5 billion medicare program . The issue is of double interest to the committee , since we are con ...
Page 7
... medicare program . As a result , they probably are submitting these as costs that they have incurred and HEW then ... medicare versus other lines of business . Mr. STARK . So , it could differ from plan to plan , then ? In some cases it ...
... medicare program . As a result , they probably are submitting these as costs that they have incurred and HEW then ... medicare versus other lines of business . Mr. STARK . So , it could differ from plan to plan , then ? In some cases it ...
Page 11
... medicare contractors . From the inception of the medicare program , the HEW Audit Agency has audited the contractors , called intermediaries for hospital and other institutional reimbursement , and carrier for physician and other ...
... medicare contractors . From the inception of the medicare program , the HEW Audit Agency has audited the contractors , called intermediaries for hospital and other institutional reimbursement , and carrier for physician and other ...
Page 12
... medicare program . 5. Prior audit findings . 6. The coverage and adequacy of SSA program reviews . 7. The extent of audit work performed by other auditors . Because these factors vary from contractor to contractor the per- centages of ...
... medicare program . 5. Prior audit findings . 6. The coverage and adequacy of SSA program reviews . 7. The extent of audit work performed by other auditors . Because these factors vary from contractor to contractor the per- centages of ...
Page 14
... medicare program . Some typical examples of unallowable costs questioned are occu- pancy costs in excess of prevailing fair rentals , entertainment expenses , first - class air fares in excess of lower rates , and travel for nonmedicare ...
... medicare program . Some typical examples of unallowable costs questioned are occu- pancy costs in excess of prevailing fair rentals , entertainment expenses , first - class air fares in excess of lower rates , and travel for nonmedicare ...
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Common terms and phrases
activities administrative costs agree agreement allocation amount Article BCA's bill Blue Cross Association Blue Cross Plans Blue Shield budget Bureau of Health carrier changes charge claims processing committee contract Cost Accounting Standards cost reports data processing determined effective established evaluation executive executive compensation Federal Health Insurance Federal Procurement Regulations fiscal functions and duties funds Government Health Insurance Benefits HEW Audit hospital implementation increase instructions Insurance Benefits Account Intermediary issues letter of credit mediary Medicaid Medicare program ment million negotiation operations organization paragraph payment percent performance physicians Plan's prior approval private sector problems procedures proposed providers of services pursuant question records regional offices reimbursement responsibility role Secretary Social Security Act Social Security Administration specific staff STARK STEPNICK submit Suycott term termination TIERNEY tion TRESNOWSKI utilization review vice president Wisconsin