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
... Operations provides policy guidance to regional office personnel for on - site reviews and negotiates with the contractors for reimbursement adjustments resulting from audit findings . The regional offices make the on - site reviews of ...
... Operations provides policy guidance to regional office personnel for on - site reviews and negotiates with the contractors for reimbursement adjustments resulting from audit findings . The regional offices make the on - site reviews of ...
Page 5
... operations for time periods from a month to a year depending on the degree of concern the Bureau has for the operations of the individual contractor . The reports are kept at each regional office and are incorporated in annual ...
... operations for time periods from a month to a year depending on the degree of concern the Bureau has for the operations of the individual contractor . The reports are kept at each regional office and are incorporated in annual ...
Page 6
... operation or a paid vacation than a meeting - was paid for . The Blue Cross people say they need it , how does that get resolved ? Who wins ? Mr. DENSMORE . That particular incident is in an HEW audit report , not a GAO report , so we ...
... operation or a paid vacation than a meeting - was paid for . The Blue Cross people say they need it , how does that get resolved ? Who wins ? Mr. DENSMORE . That particular incident is in an HEW audit report , not a GAO report , so we ...
Page 11
... operations . For example , with respect to the intermediaries we are reviewing the process by which provider costs reports are audited and settled and the effectiveness of procedures for recovering overpayments from both terminated and ...
... operations . For example , with respect to the intermediaries we are reviewing the process by which provider costs reports are audited and settled and the effectiveness of procedures for recovering overpayments from both terminated and ...
Page 13
... operations , the reports covered our examination of $ 1,031 million of contractors ' administrative costs proposed for final reimbursement settlement . Of this amount , we recommended net downward financial adjust- ments of $ 16.4 ...
... operations , the reports covered our examination of $ 1,031 million of contractors ' administrative costs proposed for final reimbursement settlement . Of this amount , we recommended net downward financial adjust- ments of $ 16.4 ...
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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