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 4
... functions , while carriers are responsible for the payment of part B benefits Most of the intermediaries are local Blue Cross plans which are subcontractors of the Blue Cross Association , and most of the carriers are Blue Shield plans ...
... functions , while carriers are responsible for the payment of part B benefits Most of the intermediaries are local Blue Cross plans which are subcontractors of the Blue Cross Association , and most of the carriers are Blue Shield plans ...
Page 9
... functions were substantially higher . Mr. STARK . I would like to ask if this is the study which is now being redone which originally showed BHI at a higher cost per claim than two of the Blues ? When redone , this actually will show ...
... functions were substantially higher . Mr. STARK . I would like to ask if this is the study which is now being redone which originally showed BHI at a higher cost per claim than two of the Blues ? When redone , this actually will show ...
Page 25
... functions as determining eligibility for medicare benefits , issuing health insurance cards , collecting premiums and maintaining national records on bene- ficiary utilization of covered services . These are functions performed by the ...
... functions as determining eligibility for medicare benefits , issuing health insurance cards , collecting premiums and maintaining national records on bene- ficiary utilization of covered services . These are functions performed by the ...
Page 28
... functions to be per- formed and , in total , the contractors identify the various elements of costs that make up their budget requests , such as , salaries , fringe benefits , travel , space and equipment . The BHI regional offices ...
... functions to be per- formed and , in total , the contractors identify the various elements of costs that make up their budget requests , such as , salaries , fringe benefits , travel , space and equipment . The BHI regional offices ...
Page 30
... functions performed by the contractors , the cost of each of those functions and their relationship to the total administrative costs for the July - March period : TABLE 1. - MEDICARE CONTRACTOR FUNCTIONS [ Dollar amounts in thousands ] ...
... functions performed by the contractors , the cost of each of those functions and their relationship to the total administrative costs for the July - March period : TABLE 1. - MEDICARE CONTRACTOR FUNCTIONS [ Dollar amounts in thousands ] ...
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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