Defense Health Care Reimbursement Of Hospitals Not Meeting Champus Civilian Health And Medical Program Of The Uniformed Services Copayment Requirements
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Defense Health Care Reimbursement Of Hospitals Not Meeting Champus Civilian Health And Medical Program Of The Uniformed Services Copayment Requirements
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Author :
language : en
Publisher:
Release Date : 1988
Defense Health Care Reimbursement Of Hospitals Not Meeting Champus Civilian Health And Medical Program Of The Uniformed Services Copayment Requirements written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1988 with categories.
Public Law 100-180, enacted on December 4, 1987, required GAO to review the practices under various insurance plans and federal programs with respect to payments for charges for medical services to hospitals that do not impose a legal obligation on patients to pay for such services. GAO was also required to evaluate CHAMPUS practices regarding such payments and to make recommendations it considered appropriate for changing these practices. CHAMPUS beneficiaries are required to pay legislatively established deductible and coinsurance amounts (copayments) for services they receive from civilian health care providers. The providers are responsible for collecting the copayments. CHAMPUS does not routinely monitor the collection of these copayments, but when it becomes aware that a provider waives patient copayments, it denies the provider's claim for reimbursement. Of the plans and programs GAO reviewed, only CHAMPUS and Medicare were aware of dealing with hospitals that did not bill patients for copayments. CHAMPUS denies reimbursement to such hospitals, while Medicare reimburses them. A major concern when a provider waives the patient's copayment is that the provider will increase the amount charged the insurance company to recoup lost revenues. Medicare officials believed that its prospective payment system for hospitals protected the program from paying such increased charges. Keywords: Civilian Health and Medical Program of the Uniformed Services.
Defense Health Care
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Author : United States. General Accounting Office
language : en
Publisher:
Release Date : 1988
Defense Health Care written by United States. General Accounting Office and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1988 with United States categories.
Defense Health Care
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Author : United States. General Accounting Office
language : en
Publisher:
Release Date : 1988
Defense Health Care written by United States. General Accounting Office and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1988 with United States categories.
Pursuant to a legislative requirement, GAO reviewed Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) payment procedures for hospitals that failed to require patients to pay for their medical services. GAO compared CHAMPUS practices to other insurance plans and programs, and found that: (1) the 13 private and federally funded health benefits plans it reviewed denied payments to hospitals that did not require patients to pay for medical services; (2) only CHAMPUS and Medicare dealt with hospitals that did not bill patients for copayments; (3) CHAMPUS denied reimbursement to hospitals that failed to bill their patients for copayments, while Medicare reimbursed such hospitals; (4) hospitals that waived patients' copayments often increased the amount they charged to the insurance companies to recoup lost revenues; (5) CHAMPUS reimbursement to hospitals that do not bill patients for copayments could financially benefit; and (6) CHAMPUS reimbursement would relieve hospitals of the burden of funding the total care of beneficiaries. GAO identified four options that Congress may wish to consider in dealing with this issue, and recommended the one it believes to be most appropriate.
Monthly Catalog Of United States Government Publications
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language : en
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Monthly Catalog Of United States Government Publications written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on with Government publications categories.
Monthly Catalogue United States Public Documents
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Author :
language : en
Publisher:
Release Date : 1989
Monthly Catalogue United States Public Documents written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1989 with Government publications categories.
Joint Resolution Designating September 21 1990 As National Pow Mia Recognition Day And Recognizing The National League Of Families Pow Mia Flag
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Author : United States
language : en
Publisher:
Release Date : 1990
Joint Resolution Designating September 21 1990 As National Pow Mia Recognition Day And Recognizing The National League Of Families Pow Mia Flag written by United States and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1990 with National POW/MIA Recognition Day categories.
Budget Of The United States Government
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Author : United States
language : en
Publisher:
Release Date : 1992
Budget Of The United States Government written by United States and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1992 with Budget categories.
Budget Of The United States Government
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Author : United States. Office of Management and Budget
language : en
Publisher:
Release Date : 1991
Budget Of The United States Government written by United States. Office of Management and Budget and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1991 with Budget categories.
Federal Register
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Author :
language : en
Publisher:
Release Date : 1988-06-20
Federal Register written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1988-06-20 with Administrative law categories.
Journal Of The House Of Representatives Of The United States
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Author : United States. Congress. House
language : en
Publisher:
Release Date : 1995
Journal Of The House Of Representatives Of The United States written by United States. Congress. House and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995 with Legislation categories.
Some vols. include supplemental journals of "such proceedings of the sessions, as, during the time they were depending, were ordered to be kept secret, and respecting which the injunction of secrecy was afterwards taken off by the order of the House."