Medicare-medicaid Administrative and Reimbursement Reform Act: Hearing Before the Subcommittee on Health of the Committee on Finance, United States Senate, Ninety-fifth Congress, First Session, on S. 1470 ...U.S. Government Printing Office, 1977 - 638 pages |
From inside the book
Results 11-15 of 100
Page 24
... Secretary following a request submitted to 9 him within sixty days of the deemed approval or disapproval , 10 for a review and reconsideration based upon the record . With 11 respect to any organization which is reimbursed on a per 12 ...
... Secretary following a request submitted to 9 him within sixty days of the deemed approval or disapproval , 10 for a review and reconsideration based upon the record . With 11 respect to any organization which is reimbursed on a per 12 ...
Page 27
... Secretary . 23 13 66 ( b ) To expedite processing of claims from participat- 14 ing physicians , the Secretary shall establish procedures and 15 develop appropriate forms under which— 16 17 18 19 20 21 22 223 22 225 23 24 25 " ( 1 ) ...
... Secretary . 23 13 66 ( b ) To expedite processing of claims from participat- 14 ing physicians , the Secretary shall establish procedures and 15 develop appropriate forms under which— 16 17 18 19 20 21 22 223 22 225 23 24 25 " ( 1 ) ...
Page 30
... Secretary for similar services in the same 3 locality in administering this part on December 31 , 1970 , or 4 ( II ) the prevailing charge level that , on the basis of statis- 5 tical data and methodology acceptable to the Secretary , 6 ...
... Secretary for similar services in the same 3 locality in administering this part on December 31 , 1970 , or 4 ( II ) the prevailing charge level that , on the basis of statis- 5 tical data and methodology acceptable to the Secretary , 6 ...
Page 31
... Secretary , do not generally vary significantly in 11 quality from one supplier to another , the charges incurred 12 after December 31 , 1972 , determined to be reasonable may 13 not exceed the lowest charge levels at which such ...
... Secretary , do not generally vary significantly in 11 quality from one supplier to another , the charges incurred 12 after December 31 , 1972 , determined to be reasonable may 13 not exceed the lowest charge levels at which such ...
Page 32
... Secretary shall determine separate statewide 4 prevailing charge levels for each State that , on the basis of 5 statistical data and methodology acceptable to the Secretary , 6 would cover 50 percent of the customary charges made for 7 ...
... Secretary shall determine separate statewide 4 prevailing charge levels for each State that , on the basis of 5 statistical data and methodology acceptable to the Secretary , 6 would cover 50 percent of the customary charges made for 7 ...
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agency allow amended American American Hospital Association anesthesia anesthesiologists appropriate areas average basis beds believe benefits bill Blue Cross budget capital expenditures Chairman charge clinical Committee concern Congress cost containment determining effective eligibility employees established facilities Federal fiscal health care costs Health Care Financing health insurance health planning health services Hospital Association hospital costs implementation incentives increase industry inpatient institutions laboratory legislation limit long-term Medicaid programs Medicare and Medicaid ment million nurse anesthetists nursing homes outpatient participating pathologists pathology patients payment percent performed physi physicians pital practice problems procedures proposed psychiatric psychotherapy radiologists radiology reasonable cost recommend regulations reim relative value scales relative value schedules result revenues routine operating costs Secretary CALIFANO Senator DOLE Senator TALMADGE ServiceMaster skilled nursing Social Security Act Social Security Administration staff statement Subcommittee tion utilization wage