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 11
... 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 reasonable charge payments to physicians and medical ...
... 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 reasonable charge payments to physicians and medical ...
Page 122
... termination of the economic stabilization program . We projected costs and use trends in a certain fashion and I must tell you our actuaries were badly mistaken and we lost a great deal of money as a result of those miscalculations . If ...
... termination of the economic stabilization program . We projected costs and use trends in a certain fashion and I must tell you our actuaries were badly mistaken and we lost a great deal of money as a result of those miscalculations . If ...
Page 126
... terminated . In other words . there is a kind of don't - rock - the boat approach that covers for the weak sister or ... termination . There have been a number of plans dropped because of merger considerations . We are now merging five ...
... terminated . In other words . there is a kind of don't - rock - the boat approach that covers for the weak sister or ... termination . There have been a number of plans dropped because of merger considerations . We are now merging five ...
Page 127
... termination as a device to solve performance prob- lems isn't as simple as it may appear to be . I think Mr. Tierney ... terminate a contractor in effect you are just taking the top 10 or 12 executives in a large plan and the board and ...
... termination as a device to solve performance prob- lems isn't as simple as it may appear to be . I think Mr. Tierney ... terminate a contractor in effect you are just taking the top 10 or 12 executives in a large plan and the board and ...
Page 146
... termination of existing Plan subcontracts as of June 30 , 1975 . I shall call you after January 1 , 1975 to arrange a meeting for the purpose of agreeing on a contract renegotiation schedule and reviewing the issues to be addressed in ...
... termination of existing Plan subcontracts as of June 30 , 1975 . I shall call you after January 1 , 1975 to arrange a meeting for the purpose of agreeing on a contract renegotiation schedule and reviewing the issues to be addressed in ...
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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