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 12
... instructions require each examination to be sufficiently comprehensive to permit a determination that the audited cost report presents , in all material respects , only the allowable costs of administration . Recurring examinations ...
... instructions require each examination to be sufficiently comprehensive to permit a determination that the audited cost report presents , in all material respects , only the allowable costs of administration . Recurring examinations ...
Page 74
... instructions correctly . With that much background , I would now like to present an overview of the Medicare program itself , and of the role of BCA in administering it - including some specific challenges our organization has faced and ...
... instructions correctly . With that much background , I would now like to present an overview of the Medicare program itself , and of the role of BCA in administering it - including some specific challenges our organization has faced and ...
Page 76
... instructions . In this latter area , we have helped sharpen and refine regulations and instruc- tions to make them more effective in carrying out the aims of the Medicare- program . As this leadership has grown , it has come to stand as ...
... instructions . In this latter area , we have helped sharpen and refine regulations and instruc- tions to make them more effective in carrying out the aims of the Medicare- program . As this leadership has grown , it has come to stand as ...
Page 79
... instructions has necessitated ongoing Plan assistance and efforts to secure clarification and operational pro- cedures from BHI . In addition , there are various program areas not related to legislated modifications which continue to ...
... instructions has necessitated ongoing Plan assistance and efforts to secure clarification and operational pro- cedures from BHI . In addition , there are various program areas not related to legislated modifications which continue to ...
Page 80
... instructions to allow bill returns . Periodic Interim Payment- ( PIP ) Existing instructions for PIP reimbursement went against claim department efforts to analyze provider bills fully ; and raised the cost of reviewing the bills . The ...
... instructions to allow bill returns . Periodic Interim Payment- ( PIP ) Existing instructions for PIP reimbursement went against claim department efforts to analyze provider bills fully ; and raised the cost of reviewing the bills . The ...
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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