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
... private plane is barely noticeable . Indeed , an intermediary who prevents three or four unnecessary surgery procedures or the unnecessary expansion of a hospital bed ( 1 ) can save the public much more than the cost of WITNESSES.
... private plane is barely noticeable . Indeed , an intermediary who prevents three or four unnecessary surgery procedures or the unnecessary expansion of a hospital bed ( 1 ) can save the public much more than the cost of WITNESSES.
Page 4
... procedures . According to Bureau personnel , headquarters expends about 33 staff - years of effort and the regional offices about 43 staff - years of effort and the regional offices about 43 staff - years of effort monitoring ...
... procedures . According to Bureau personnel , headquarters expends about 33 staff - years of effort and the regional offices about 43 staff - years of effort and the regional offices about 43 staff - years of effort monitoring ...
Page 11
... procedures for recovering overpayments from both terminated and actively participating providers . As to carriers , we are focusing on the adequacy of processing controls to prevent duplicate payment of claims ; the propriety of ...
... procedures for recovering overpayments from both terminated and actively participating providers . As to carriers , we are focusing on the adequacy of processing controls to prevent duplicate payment of claims ; the propriety of ...
Page 12
... procedures for screening out unallowable costs . 2. The significance of the amounts . 3. The nature of the items charged . 4. The likelihood that an account or cost center may contain unallowable costs , unreasonable costs , or costs ...
... procedures for screening out unallowable costs . 2. The significance of the amounts . 3. The nature of the items charged . 4. The likelihood that an account or cost center may contain unallowable costs , unreasonable costs , or costs ...
Page 15
... procedures on a contractor - by - contractor basis . In response to information made available to us by the Oversight Subcommittee staff , we initiated a limited special audit in April 1976 at 21 Blue Cross contractors to review auto ...
... procedures on a contractor - by - contractor basis . In response to information made available to us by the Oversight Subcommittee staff , we initiated a limited special audit in April 1976 at 21 Blue Cross contractors to review auto ...
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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