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 56
Page 21
... approval from the State insurance commis- sioner to go outside the State and they took their wives along , what they stated to be the directors , who are not paid , to educate them and explain to them why their husbands had to be away ...
... approval from the State insurance commis- sioner to go outside the State and they took their wives along , what they stated to be the directors , who are not paid , to educate them and explain to them why their husbands had to be away ...
Page 28
... approval effort is controlled by the BHI central office by means of allotments relating to both workload and dollars . The regions cannot authorize budgets in excess of the amount provided by central office . Once the annual budget is ...
... approval effort is controlled by the BHI central office by means of allotments relating to both workload and dollars . The regions cannot authorize budgets in excess of the amount provided by central office . Once the annual budget is ...
Page 35
... approval for rate increases . But in Wisconsin the insurance commissioner has authority to block rate increases only if the increases are discriminatory . While questioning some re- quests , department officials candidly admit that they ...
... approval for rate increases . But in Wisconsin the insurance commissioner has authority to block rate increases only if the increases are discriminatory . While questioning some re- quests , department officials candidly admit that they ...
Page 42
... approval on it . " Blue Cross tried and tried and tried to get the governor to name somebody who would be identified as the governor's representative on rate review , " said Helen Nelson , a rate committee member and director of the ...
... approval on it . " Blue Cross tried and tried and tried to get the governor to name somebody who would be identified as the governor's representative on rate review , " said Helen Nelson , a rate committee member and director of the ...
Page 45
... approve a service or a supply does not of itself make it medically necessary or make the charge an allowable expense even though it is not specifically listed as an exclusion . " BIGGEST BATTLE One of the strongest battles the ...
... approve a service or a supply does not of itself make it medically necessary or make the charge an allowable expense even though it is not specifically listed as an exclusion . " BIGGEST BATTLE One of the strongest battles the ...
Other editions - View all
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