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 2
... processing of medicare bills . Therefore , we would like to discuss today some of these larger issues : 1. What should be the role of a group of tax - exempt , nonprofit organizations when directly administering medicare and , in all ...
... processing of medicare bills . Therefore , we would like to discuss today some of these larger issues : 1. What should be the role of a group of tax - exempt , nonprofit organizations when directly administering medicare and , in all ...
Page 5
... processing , provider reimbursement , beneficiary activi- ties , and administrative and fiscal management . The annual reports are general and do not provide an indepth analysis of the contractor's operations . An evaluation of the ...
... processing , provider reimbursement , beneficiary activi- ties , and administrative and fiscal management . The annual reports are general and do not provide an indepth analysis of the contractor's operations . An evaluation of the ...
Page 11
... 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 insurance ...
... 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 insurance ...
Page 15
... processing costs applicable directly to their own lines of business ; ( 2 ) communi- cation expenses allocated on a general rather than a specific basis ; and ( 3 ) general and administrative expenses which we think would be ...
... processing costs applicable directly to their own lines of business ; ( 2 ) communi- cation expenses allocated on a general rather than a specific basis ; and ( 3 ) general and administrative expenses which we think would be ...
Page 25
... processing of claims ; principally data entry , computer processing and programing . The third major grouping , which accounted for 16 percent 25.
... processing of claims ; principally data entry , computer processing and programing . The third major grouping , which accounted for 16 percent 25.
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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