Medicare Reimbursement Issues: Hearings Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, Ninety-fourth Congress, Second Session, August 3, September 15, and 16, 1976U.S. Government Printing Office, 1976 - Всего страниц: 610 |
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Часто встречающиеся слова и выражения
administrative agencies amendments anesthesiologist areas Arkansas asset turnover average basis believe beneficiaries bill Blue Cross budget bursement capital Chairman clinics coinsurance Committee Congress Connecticut Consumer Price Index cost containment cost control cost increases cost of hospital DAN ROSTENKOWSKI determined developed diem economic effective efficiency established expenditures facilities factors Federal fees health care costs health care services health insurance health planning health services HMOs hospital costs hospital reimbursement hospital services implementation incentive industry inflation institutions legislation limit malpractice Medicare and Medicaid Medicare program Medicare reimbursement ment nursing homes patient day payment system percent physician assistants physician extenders present prevailing charge problems procedures proposed prospective rate PSRO reasonable charge reduce regulations reim result ROSTENKOWSKI routine operating costs rural Section Social Security Social Security Act Social Security Administration statement Subcommittee third party tion utilization utilization review wage
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Стр. 242 - Post-Hospital Extended Care Services (i) The term "post-hospital extended care services" means extended care services furnished an individual after transfer from a hospital in which he was an inpatient for not less than 3 consecutive days before his discharge from the hospital in connection with such transfer. For purposes of the preceding sentence, items and services shall be deemed to have been furnished to an individual after transfer from a hospital, and he shall...
Стр. 320 - In determining reasonable charges, the carriers will consider the customary charges for similar services generally made by the physician or other person or organization furnishing the covered services and also the prevailing charges in the locality for similar services.
Стр. 386 - ... through representatives of their own choosing, without restraint, coercion, or interference on the part of the producers.
Стр. 4 - The reasonable cost of any services shall be determined in accordance with regulations establishing the method or methods to be used, and the items to be included, in determining such costs for various types or classes of institutions, agencies, and services...
Стр. 346 - In the case of physician services the prevailing charge level determined for purposes of clause (ii) of the preceding sentence for any fiscal year beginning after June 30, 1973, may not exceed (in the aggregate) the level determined under such clause for the fiscal year ending June 30, 1973, except to the extent that the Secretary finds, on the basis of appropriate economic index data, that such higher level is justified by economic changes.
Стр. viii - ADVISORY FROM THE COMMITTEE ON WAYS AND MEANS SUBCOMMITTEE ON HEALTH FOR IMMEDIATE RELEASE CONTACT: (202) 225-3943 April 9, 1996 No. HL-17 Thomas Announces Hearing On Long-Term Care Options Congressman Bill Thomas (R-CA), Chairman of the Subcommittee on Health of the Committee on Ways and Means, today announced that the Subcommittee will hold a hearing on long-term care options.
Стр. 346 - Secretary, would cover 75 percent of the customary charges made for similar services in the same locality...
Стр. 342 - such action as may be necessary to assure that, where payment under this part for a service is on a charge basis, (i) such charge will be reasonable and not higher than the charge applicable, for a comparable service and under comparable circumstances, to the policyholders and subscribers of the carrier...
Стр. 522 - The Secretary of Health, Education, and Welfare shall arrange for the conduct of a study or studies concerning (A) appropriate and equitable methods of reimbursement for physicians' services under titles XVIII and XIX of the Social Security Act in hospitals which have a teaching program approved as specified in section 1861 (b) (6) of such Act, (B) the extent to which funds expended under such titles are supporting the training of medical specialties which are in excess supply, (C) how such funds...
Стр. 522 - ... services under titles XVIII and XIX of the Social Security Act in hospitals which have a teaching program approved as specified in section 1861(b)(6) of such Act, (B) the extent to which funds expended under such titles are supporting the training of medical specialties which are in excess supply, (C) how such funds could be expended in ways which support more rational distribution of physician manpower both geographically and by specialty, (D) the extent to which such funds support or encourage...