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 |
From inside the book
Results 1-5 of 77
Page 1
... amount of money , but maybe just the harbinger of more to come . We will hear today from the audit agency on these findings and the process by which they help audit intermediary claims . At a time when health insurance costs are ...
... amount of money , but maybe just the harbinger of more to come . We will hear today from the audit agency on these findings and the process by which they help audit intermediary claims . At a time when health insurance costs are ...
Page 5
... amount of billing ? Mr. DENSMORE . Yes , sir . There are a lot of things that could come into play there . There could be differences in the responsibilities , the qualifications of the individual , and there would be problems with the ...
... amount of billing ? Mr. DENSMORE . Yes , sir . There are a lot of things that could come into play there . There could be differences in the responsibilities , the qualifications of the individual , and there would be problems with the ...
Page 9
... amounts paid by contractors to employees working directly on medicare . In September 30 , 1975 , report comparing the Government with four private intermediaries who handle part A bills , we noted that Govern- ment salaries for similar ...
... amounts paid by contractors to employees working directly on medicare . In September 30 , 1975 , report comparing the Government with four private intermediaries who handle part A bills , we noted that Govern- ment salaries for similar ...
Page 12
... amounts . 3. The nature of the items charged . 4. The likelihood that an account or cost center may contain unallowable costs , unreasonable costs , or costs not benefitting the medicare program . 5. Prior audit findings . 6. The ...
... amounts . 3. The nature of the items charged . 4. The likelihood that an account or cost center may contain unallowable costs , unreasonable costs , or costs not benefitting the medicare program . 5. Prior audit findings . 6. The ...
Page 13
... amount , we recommended net downward financial adjust- ments of $ 16.4 million . Almost all of these reports either ... amounts in millions ] Contractor administrative Number of audit reports with findings costs Number Adminis- trative ...
... amount , we recommended net downward financial adjust- ments of $ 16.4 million . Almost all of these reports either ... amounts in millions ] Contractor administrative Number of audit reports with findings costs Number Adminis- trative ...
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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