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 5
... allowable and do specify the types of things that should be looked at . The biggest problem that you run up against is that everything is defined with the use of the term " reasonable . " Mr. STARK . So , if one Blue Cross provider is ...
... allowable and do specify the types of things that should be looked at . The biggest problem that you run up against is that everything is defined with the use of the term " reasonable . " Mr. STARK . So , if one Blue Cross provider is ...
Page 6
... class air travel , and so forth , that your regulations would be pretty clear on whether that was an allowable cost or not ? Mr. DENSMORE . Yes , sir , we would question those costs , also . Mr. STARK . Thank you . HEW does not have 6.
... class air travel , and so forth , that your regulations would be pretty clear on whether that was an allowable cost or not ? Mr. DENSMORE . Yes , sir , we would question those costs , also . Mr. STARK . Thank you . HEW does not have 6.
Page 7
... allowable and others are not allowable . Mr. STARK . That is just direct allocation on a dollar billing basis or on a unit billing basis ? How do you allocate the overhead among those ? Mr. DENSMORE . It would be allocated on the basis ...
... allowable and others are not allowable . Mr. STARK . That is just direct allocation on a dollar billing basis or on a unit billing basis ? How do you allocate the overhead among those ? Mr. DENSMORE . It would be allocated on the basis ...
Page 11
... report and supporting data , after audit by the HEW Audit Agency , serve as the basis for final settlement by SSA of the contractor's allowable administrative costs . In performing examinations of claimed administrative costs , HEW Audit ...
... report and supporting data , after audit by the HEW Audit Agency , serve as the basis for final settlement by SSA of the contractor's allowable administrative costs . In performing examinations of claimed administrative costs , HEW Audit ...
Page 12
... allowable in 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 ...
... allowable in 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 ...
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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