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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Pagina 16
... 21 tary ) - 22 2 2 2 + 23 24 " ( 1 ) practice their professions at a common phys- ical location ; or where a substantial number of the pa- tients of one or more practitioners are referred to such 12 1 2 3 4 5 6 7 8 9 16.
... 21 tary ) - 22 2 2 2 + 23 24 " ( 1 ) practice their professions at a common phys- ical location ; or where a substantial number of the pa- tients of one or more practitioners are referred to such 12 1 2 3 4 5 6 7 8 9 16.
Pagina 17
... practice their profession as a partnership , professional serv- 20 ice corporation , or other legal entity , if members of the sup- 21 porting staff are employees of such legal entity and in case 22 there is an office manager , or ...
... practice their profession as a partnership , professional serv- 20 ice corporation , or other legal entity , if members of the sup- 21 porting staff are employees of such legal entity and in case 22 there is an office manager , or ...
Pagina 45
... practice , or procedure will promote efficiency or economy in the administration of such program ; or " ( B ) such regulation , practice , or procedure is contrary to the applicable provisions of law , or does not carry out the ...
... practice , or procedure will promote efficiency or economy in the administration of such program ; or " ( B ) such regulation , practice , or procedure is contrary to the applicable provisions of law , or does not carry out the ...
Pagina 46
... practice , or proce- 3 dare ; except that → 4 5 6 7 8 9 10 11 12 13 “ ( i ) in the case of any existing regulation , the Sec- retary may , at any time after such suspension by the Inspector General , issue an order revoking such suspen ...
... practice , or proce- 3 dare ; except that → 4 5 6 7 8 9 10 11 12 13 “ ( i ) in the case of any existing regulation , the Sec- retary may , at any time after such suspension by the Inspector General , issue an order revoking such suspen ...
Pagina 47
... practice , or pro- 8 cedure pursuant to subsection ( e ) he shall promptly notify 9 the Committee on Finance of the Senate and the Committee on Ways and Means of the House of Representatives of 11 such order and shall submit to each ...
... practice , or pro- 8 cedure pursuant to subsection ( e ) he shall promptly notify 9 the Committee on Finance of the Senate and the Committee on Ways and Means of the House of Representatives of 11 such order and shall submit to each ...
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Termeni și expresii frecvente
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...