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 4
... budget and on - site reviews by the Bureau of Health Insurance and audits by the department's audit agency . The Bureau's Division of Contractor Operations provides policy guidance to regional office personnel for on - site reviews and ...
... budget and on - site reviews by the Bureau of Health Insurance and audits by the department's audit agency . The Bureau's Division of Contractor Operations provides policy guidance to regional office personnel for on - site reviews and ...
Page 12
... budgets and the prior year cost report . These overall checks are preliminary to the selection of accounts , cost accumulations , and allocation methods for detailed examination . The administrative costs of intermediaries and carriers ...
... budgets and the prior year cost report . These overall checks are preliminary to the selection of accounts , cost accumulations , and allocation methods for detailed examination . The administrative costs of intermediaries and carriers ...
Page 25
... budget processes under five major categories . The first , which accounts for 48 percent of contractor costs in fiscal year 1975 , is called " clerical claims review . " This includes preliminary screening of claims and submitting ...
... budget processes under five major categories . The first , which accounts for 48 percent of contractor costs in fiscal year 1975 , is called " clerical claims review . " This includes preliminary screening of claims and submitting ...
Page 27
... budget process- Mr. STARK . Why isn't it that this is the place to use a little gentle persuasion , first of all , when you have people who have been ques- tioned by audit for past unreasonableness , to call the auditors in ? Wouldn't ...
... budget process- Mr. STARK . Why isn't it that this is the place to use a little gentle persuasion , first of all , when you have people who have been ques- tioned by audit for past unreasonableness , to call the auditors in ? Wouldn't ...
Page 28
... BUDGET PROCESS The principal mechanisms for enforcing adherence to the reimburse- ment regulations and for controlling costs are the budget process and the audit of final cost proposals . I would like to briefly describe these processes ...
... BUDGET PROCESS The principal mechanisms for enforcing adherence to the reimburse- ment regulations and for controlling costs are the budget process and the audit of final cost proposals . I would like to briefly describe these processes ...
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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