Information On Use Of Medicare Reimbursement Method To Determine Hospital Payments Under The Civilian Health And Medical Program Of The Uniformed Services
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Information On Use Of Medicare Reimbursement Method To Determine Hospital Payments Under The Civilian Health And Medical Program Of The Uniformed Services
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Author : United States. General Accounting Office
language : en
Publisher:
Release Date : 1977
Information On Use Of Medicare Reimbursement Method To Determine Hospital Payments Under The Civilian Health And Medical Program Of The Uniformed Services 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 1977 with Medicare categories.
Information On Use Of Medicare Reimbursement Method To Determine Hospital Payments Under The Civilian Health And Medical Program Of The Uniformed Services Department Of Defense
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Author : United States. General Accounting Office
language : en
Publisher:
Release Date : 1977
Information On Use Of Medicare Reimbursement Method To Determine Hospital Payments Under The Civilian Health And Medical Program Of The Uniformed Services Department Of Defense 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 1977 with Medicare categories.
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.
Annual Report Of The General Accounting Office
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Author : United States. General Accounting Office
language : en
Publisher:
Release Date : 1976
Annual Report Of The General Accounting Office 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 1976 with Finance, Public categories.
Defense Health Programs Savings Available By Using Two Medicare Cost Containment Techniques
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Author : GENERAL ACCOUNTING OFFICE WASHINGTON DC HUMAN RESOURCES DIV.
language : en
Publisher:
Release Date : 1986
Defense Health Programs Savings Available By Using Two Medicare Cost Containment Techniques written by GENERAL ACCOUNTING OFFICE WASHINGTON DC HUMAN RESOURCES DIV. and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1986 with categories.
We have completed a survey to determine if the Civilian Health and Medical Porgram of the Uniformed Services (CHAMPUS) could better contain costs for professional services by adopting two cost containment techniques used by the Medicare program: a fee schedule for outpatient laboratory services and an economic index for physician services. After analyzing payment records for five states, we estimate that CHAMPUS could have saved $2.3 million, or 2.4 percent of the professional service costs spent in those states, if these two techniques had been in effect during the 6-month period October 1984 through March 1985. Adopting these techniques would increase somewhat the amount paid by many families using CHAMPUS-an average of $2.4 per family for laboratory services and an average of $2.85 per family for physician services for the 6-month period. When dependents of active duty personnel, retirees, and dependents of retired and decreased members seek outpatient medical care, they can either (1) receive the care at no cost at a military hospital or clinic or (2) go to a private health care provider and be reimbursed under CHAMPUS.
Department Of Defense Appropriations For Fiscal Year 1979
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Author : United States. Congress. Senate. Committee on Appropriations. Subcommittee on Department of Defense
language : en
Publisher:
Release Date : 1978
Department Of Defense Appropriations For Fiscal Year 1979 written by United States. Congress. Senate. Committee on Appropriations. Subcommittee on Department of Defense and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1978 with United States categories.
Annual Report Comptroller General Of The United States
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Author : United States. General Accounting Office
language : en
Publisher:
Release Date : 1976
Annual Report Comptroller General Of The United States 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 1976 with Finance, Public categories.
Monthly Catalog Of United States Government Publications
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Author :
language : en
Publisher:
Release Date : 1978
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 1978 with Government publications categories.
Health Care Financing Review
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Author :
language : en
Publisher:
Release Date : 1994
Health Care Financing Review written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1994 with Medical care categories.
Status Of Open Recommendations
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Author : United States. General Accounting Office
language : en
Publisher:
Release Date : 1987
Status Of Open Recommendations 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 1987 with Administrative agencies categories.