Medicare-Medicaid Anti-fraud Act: Hearing Before the Subcommittee on Health and the Environment of the Committee on Interstate and Foreign Commerce, House of Representatives, Ninety-fourth Congress, Second Session ... September 22, 1976U.S. Government Printing Office, 1976 - 149 pagini |
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Abuse Control Act is amended activities administration ambulatory care review American Medical Association ANDY SCHNEIDER anti-fraud appropriate areas assignment audit Auditor authority believe beneficiaries bill BROYHILL BUSSMAN CARTER Chairman claims Colorado concern Congress cost Department of Health DIAMOND doctor effective eligibles entity established expenditures factoring agents Federal fraud and abuse funds furnishing gram HCDA Health Insurance hospital hospital shared services identify inpatient Inspector investigation legislation management information system medicaid fraud Medicaid mills medicaid program medical assistance medicare and medicaid ment MORRILL operation organizations paragraph patient days payment percent person physicians practice practitioners present problem prohibition proposed provider fraud PSRO PSRO's pursuant regulations request responsibility ROGERS SCHEUER Secretary Senate shared health facilities Social Security Act staff statement subcommittee subsection testimony thereof TIERNEY tion Title XIX agencies title XVIII U.S. attorneys utilization review WEIKEL Welfare
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Pagina 1 - Department of Medical Care Organization, School of Public Health, University of Michigan, Ann Arbor, MI 48109. 'Wholistic Approach...
Pagina 14 - In case a skilled nursing home is organized as a corporation, of each officer and director of the corporation, and (c) In case a skilled nursing...
Pagina 138 - III of the Public Health Service Act is amended by adding at the end thereof the following new part: "PART I — NATIONAL ACCIDENT PREVENTION CENTER "PURPOSE AND ESTABLISHMENT OF CENTER "SEC.
Pagina 14 - ... facility or who is the owner (in whole or in part) of any mortgage, deed of trust, note, or other obligation secured (in whole or in part) by such...
Pagina 10 - ... from receiving any such payment if (but only if) such agent does so pursuant to an agency agreement under which the compensation to be paid to the agent for his services for or in connection with the billing or collection of payments due such...
Pagina 147 - The training and increased utilization of physician assistants, especially nurse clinicians. 5. The development of multi-institutional arrangements for the sharing of support services necessary to all health service institutions. 6. The promotion of activities to achieve needed improvements in the quality of health services, including needs identified by the review activities of Professional Standards Review Organizations under Part B of Title XI of the Social Security Act.
Pagina 148 - Inspector General Act of 1978". PURPOSE; ESTABLISHMENT SEC. 2. In order to create independent and objective units — (1) to conduct and supervise audits and investigations relating to programs and operations...
Pagina 52 - Administration' (hereinafter 2 in this section referred to as the 'Inspector General'), who 3 shall be appointed or reappointed by the President, by and 4 with the advice and consent of the Senate.
Pagina 87 - Oreg., and the president of the American Association of Professional Standards Review Organizations. With me today is our Washington representative, Mr.
Pagina 83 - Senate by the, Subcommittee on Long Term Care of the Special Committee on Aging, the report entitled "Nursing Home Care in the United States, Failure in Public Policy...