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 11
... 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 companies , and one State agency . In ...
... 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 companies , and one State agency . In ...
Page 12
... agreements . 3. To ascertain whether the contractor has complied with contractual and intermediary manual requirements governing specific items of cost . 4. To identify the underlying causes of significant errors or problems noted and ...
... agreements . 3. To ascertain whether the contractor has complied with contractual and intermediary manual requirements governing specific items of cost . 4. To identify the underlying causes of significant errors or problems noted and ...
Page 29
... agreements are then prepared . This has been a problem in the past , where maybe the Audit Agency . picked out a ... agreement on an issue of cost a final determination is issued which may then be appealed to the Armed Services Board ...
... agreements are then prepared . This has been a problem in the past , where maybe the Audit Agency . picked out a ... agreement on an issue of cost a final determination is issued which may then be appealed to the Armed Services Board ...
Page 49
... agreement reached this spring , the state ill join Blue Cross and the Wisconsin Hospital Association ( WHA ) on July 1 to strengthen the committee set up four years ago by Blue Cross and the WHA to review hospital rates . The agreement ...
... agreement reached this spring , the state ill join Blue Cross and the Wisconsin Hospital Association ( WHA ) on July 1 to strengthen the committee set up four years ago by Blue Cross and the WHA to review hospital rates . The agreement ...
Page 82
... agreements executed for all years reflected an allowance of 99.0 percent as of June 30 , 1976 . ACTIONS BCA's responsibilities as prime contractor for establishing costing standards and furnishing guidance to the Plan are discharged ...
... agreements executed for all years reflected an allowance of 99.0 percent as of June 30 , 1976 . ACTIONS BCA's responsibilities as prime contractor for establishing costing standards and furnishing guidance to the Plan are discharged ...
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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