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
... claims . At a time when health insurance costs are skyrocketing to cata- strophic heights , I find it shocking that these intermediaries - most of which are nonprofit , tax - exempt , Blue Cross plans - would have any luxury ...
... claims . At a time when health insurance costs are skyrocketing to cata- strophic heights , I find it shocking that these intermediaries - most of which are nonprofit , tax - exempt , Blue Cross plans - would have any luxury ...
Page 7
... claims against BCA dating from 1971 , " $ 49,000 for first - class air fare over tourist ; $ 322,000 for incorrect salary allocation . " Did they just feel that they might as well try it and if you didn't catch it , it would go through ...
... claims against BCA dating from 1971 , " $ 49,000 for first - class air fare over tourist ; $ 322,000 for incorrect salary allocation . " Did they just feel that they might as well try it and if you didn't catch it , it would go through ...
Page 9
... claims in Florida , we noted that one apparent cause of a high turn over of medicare claims examiners was that they were paid less than claims examiners in other parts of the carrier's organization . The test of reasonableness would be ...
... claims in Florida , we noted that one apparent cause of a high turn over of medicare claims examiners was that they were paid less than claims examiners in other parts of the carrier's organization . The test of reasonableness would be ...
Page 11
... claims processing and paying agents under agreement with the Secretary , HEW . Currently , there are 130 medicare contractors subject to our audits , including 74 Blue Cross organizations , 32 Blue Shield plans , 23 com- mercial ...
... claims processing and paying agents under agreement with the Secretary , HEW . Currently , there are 130 medicare contractors subject to our audits , including 74 Blue Cross organizations , 32 Blue Shield plans , 23 com- mercial ...
Page 12
... claimed expenses are supported by the books and records and make comparisons of claimed costs , in total and by line item , to approved budgets and the prior year cost report . These overall checks are preliminary to the selection of ...
... claimed expenses are supported by the books and records and make comparisons of claimed costs , in total and by line item , to approved budgets and the prior year cost report . These overall checks are preliminary to the selection of ...
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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