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
... carriers are Blue Shield plans . The contracts provide for reimbursement of the carriers ' and in- termediaries ' costs of administering medicare , which totaled about $ 335 million for the first 9 months of fiscal year 1976 . The ...
... carriers are Blue Shield plans . The contracts provide for reimbursement of the carriers ' and in- termediaries ' costs of administering medicare , which totaled about $ 335 million for the first 9 months of fiscal year 1976 . The ...
Page 8
... carrier contracts state that salaries , executive or otherwise , must be reason- able for the services rendered and commensurate with compensation paid under the contractor's established policy . In addition , salaries should conform ...
... carrier contracts state that salaries , executive or otherwise , must be reason- able for the services rendered and commensurate with compensation paid under the contractor's established policy . In addition , salaries should conform ...
Page 9
... carrier's organization . The test of reasonableness would be difficult to apply to the exec- utive salaries which concern the subcommittee . Blue Cross / Blue Shield plans are usually not located close to each other , and size and ...
... carrier's organization . The test of reasonableness would be difficult to apply to the exec- utive salaries which concern the subcommittee . Blue Cross / Blue Shield plans are usually not located close to each other , and size and ...
Page 11
... carrier for physician and other reimbursement , that participate as claims processing and paying agents under ... carriers , we are focusing on the adequacy of processing controls to prevent duplicate payment of claims ; the propriety of ...
... carrier for physician and other reimbursement , that participate as claims processing and paying agents under ... carriers , we are focusing on the adequacy of processing controls to prevent duplicate payment of claims ; the propriety of ...
Page 12
... carriers are reim- bursed in accordance with the " Principles of Reimbursement for Administrative Costs " prescribed for the medicare program . These cost principles are contained in the program regulations and in the agreements with ...
... carriers are reim- bursed in accordance with the " Principles of Reimbursement for Administrative Costs " prescribed for the medicare program . These cost principles are contained in the program regulations and in the agreements with ...
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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