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
Page 11
... ( ii ) certified as being currently necessary by an appropriate planning agency , and " ( iii ) underutilized , 18 the adjusted per diem payment rate shall not apply to 19 that portion of the hospital's routine operating costs ...
... ( ii ) certified as being currently necessary by an appropriate planning agency , and " ( iii ) underutilized , 18 the adjusted per diem payment rate shall not apply to 19 that portion of the hospital's routine operating costs ...
Page 12
10 1 unusually greater routine operating costs , then the adjusted 2 per diem payment rate shall not apply to that portion of 3 the hospital's routine operating costs attributable to the 4 greater intensity of care required .
10 1 unusually greater routine operating costs , then the adjusted 2 per diem payment rate shall not apply to that portion of 3 the hospital's routine operating costs attributable to the 4 greater intensity of care required .
Page 43
9 16 " ( ii ) The reasonable cost of the services will consist of 10 the reasonable cost of routine services and ancillary services . 11 The reasonable cost of routine services furnished during any 12 calendar year by a hospital under ...
9 16 " ( ii ) The reasonable cost of the services will consist of 10 the reasonable cost of routine services and ancillary services . 11 The reasonable cost of routine services furnished during any 12 calendar year by a hospital under ...
Page 46
44 1 purposes of determining payment for inpatient hospital serv- 2 3 4 6 ices ( including the application of reimbursement limits speci- fied in section 1861 ( aa ) ) , the total reimbursement received for routine services from all ...
44 1 purposes of determining payment for inpatient hospital serv- 2 3 4 6 ices ( including the application of reimbursement limits speci- fied in section 1861 ( aa ) ) , the total reimbursement received for routine services from all ...
Page 47
... per patient - pay paid for routine 20 services during the previous calendar year under this title 21 to skilled nursing and intermediate care facilities located in 22 the State in which the hospital is located .
... per patient - pay paid for routine 20 services during the previous calendar year under this title 21 to skilled nursing and intermediate care facilities located in 22 the State in which the hospital is located .
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Common terms and phrases
accounting addition administration agency allow amended American amount anesthesiologists apply approach appropriate approval areas assistance Association average basis beds believe benefits bill capital Chairman changes charge clinical Committee concern considered containment continue determining direct effective efficient efforts established expenditures expenses facilities Federal Financing fiscal health care hospital costs improve incentives increase individual industry institutions legislation less limit major Medicare and Medicaid ment million nursing operating organization participating patients payment percent performed persons physicians planning practice present problems procedures proposed reasonable recognize recommend reform regulations reimbursement responsibility result routine Secretary Section Security Senator TALMADGE Social Social Security Administration specific staff statement Subcommittee suggest term tion utilization wage