Medicare Administration Costs: Hearing 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
... accordance with part 1-15.2 of the Federal procurement regulations as interpreted and modified by the medicare agreements . 3. To ascertain whether the contractor has complied with contractual and intermediary manual requirements ...
... accordance with part 1-15.2 of the Federal procurement regulations as interpreted and modified by the medicare agreements . 3. To ascertain whether the contractor has complied with contractual and intermediary manual requirements ...
Page 29
... accordance with budget pro- jections . Where actual experience deviates from authorized limitations contractors are required to submit variance analyses explaining the causes for the variances . These variances may be resolved by ...
... accordance with budget pro- jections . Where actual experience deviates from authorized limitations contractors are required to submit variance analyses explaining the causes for the variances . These variances may be resolved by ...
Page 44
... accordance with Wisconsin Administrative Code . " When Suycott was presented with some specific examples of advertising that violated the code together with Blue Cross admissions , he admitted that there were some violations . " Well ...
... accordance with Wisconsin Administrative Code . " When Suycott was presented with some specific examples of advertising that violated the code together with Blue Cross admissions , he admitted that there were some violations . " Well ...
Page 136
... accordance with the carrier's position as a contractor of Government for the administration of the Medicare program . Mr. MALONE . I had one other question , if I could . In your statement on the home health plans , in your auditing pro ...
... accordance with the carrier's position as a contractor of Government for the administration of the Medicare program . Mr. MALONE . I had one other question , if I could . In your statement on the home health plans , in your auditing pro ...
Page 142
... accordance with the definition of reasonable- ness and allocability provided in the FPR . Question 2. The manpower and procedures used by BHI to audit administrative charges by intermediaries . Answer . The basic responsibility for ...
... accordance with the definition of reasonable- ness and allocability provided in the FPR . Question 2. The manpower and procedures used by BHI to audit administrative charges by intermediaries . Answer . The basic responsibility for ...
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Common terms and phrases
activities administrative costs agree agreement allocation amount Article Audit Agency 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