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 |
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Page 41
... are unambiguous , prac- tical , and easy to evaluate in actual clinical situations and that the unit values assigned generally reflect the 92-202 O - 77-4 40 relative time and effort required to perform various procedures 41.
... are unambiguous , prac- tical , and easy to evaluate in actual clinical situations and that the unit values assigned generally reflect the 92-202 O - 77-4 40 relative time and effort required to perform various procedures 41.
Page 56
... and not less often than annually for persons specified in subparagraph ( A ) ( ii ) and ( A ) ( iii ) ; " ( 38 ) establish procedures to assure accurate determinations of eligibility and provide that the error 55 1 2 3 4 5 6 7 8 .9 56.
... and not less often than annually for persons specified in subparagraph ( A ) ( ii ) and ( A ) ( iii ) ; " ( 38 ) establish procedures to assure accurate determinations of eligibility and provide that the error 55 1 2 3 4 5 6 7 8 .9 56.
Page 57
... procedures to assure that ( A ) 95 percent of claims for which no further written information or substantiation is required to make pay- ment , be paid within thirty days of receipt of the claim from a provider , and that 99 percent of ...
... procedures to assure that ( A ) 95 percent of claims for which no further written information or substantiation is required to make pay- ment , be paid within thirty days of receipt of the claim from a provider , and that 99 percent of ...
Page 59
... procedures specified in section 1902 ( a ) ยท ( 39 ) ( B ) ; and " ( D ) the State is making timely and complete reports to the Secretary on the operation of its medi- cal assistance program within the time period includ- ing the ...
... procedures specified in section 1902 ( a ) ยท ( 39 ) ( B ) ; and " ( D ) the State is making timely and complete reports to the Secretary on the operation of its medi- cal assistance program within the time period includ- ing the ...
Page 72
... procedures to avoid unfair treatment , I would certainly be agreeable to modifying S. 1470. The staff advised me that they will have an outline for possible expansion of hospital costs initially covered by S. 1470 by the time markup on ...
... procedures to avoid unfair treatment , I would certainly be agreeable to modifying S. 1470. The staff advised me that they will have an outline for possible expansion of hospital costs initially covered by S. 1470 by the time markup on ...
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Common terms and phrases
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