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GAO Reports by subject "Medical services rates"

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Date Report No. Title
Date Sept. 12, 1985 Report No. HRD-85-109 Title

Health: Additional Changes to the Medicare Reimbursement Rates for Major Joint Procedures Are Needed

UNITED WASHINGTON, D.C. 20548 HUMAN RESOlJRCLb DIVISION . Mr. ccl~~ Mr. -===zp kkuugh MI. hTa;r Q September 12, C. McClain Haddow Acting Administrator, Health Care Financing Administration Department of Health and Human Services Dear Mr. Haddow: Additional Changes to the Medicare Reimbursement Rates for Major Joint Procedures Are Needed (GAO/HRD-85-109) Subject: In a June 10, 1985, Notice of Propo...
Date July 18, 1985 Report No. HRD-85-74 Title

Health: Use of Unaudited Hospital Cost Data Resulted in Overstatement of Medicare's Prospective Payment System Rates

q-3 3Y THECOMPTROLLERGENERAL Report ToThe Congress - OF THEUNITEDSTATES Use Of Unaudited Hospital Cost Data Resulted In Overstatement Of Medicare’s Prospective Payment System Rates When the Department of Health and Human Services (HHS) computed Medicare’s prospective payment rates for inpatient hospital services, it used unaudited cost reports. Because unaudited cost reports frequently include...
Date May 14, 1985 Report No. 126949 Title

Health: Medicare Payments to Hospitals

United States General Accounting D.C. Offlce Washington, FOR RELEASE ON DELIVERY Expected at 1O:OO AM. EDT Tuesday, May 14, 1985 STATEMENT OF MICHAEL ZIMMERMAN, ASSOCIATE DIRECTOR HUMAN RESOURCES DIVISION BEFORE THE COMMITTEE ON WAYS AND MEANS SUBCOMMITTEE ON HEALTH UNITED STATES HOUSE OF REPRESENTATIVES ON +IEDICARE PAYMEYTS TO HOSPITALS -c 1Mr. Chalrnan '17e are related (1) and members pleased o...
Date Sept. 28, 1984 Report No. HRD-84-90 Title

Health: Excessive Respiratory Therapy Cost and Utilization Data Used in Setting Medicare's Prospective Payment Rates

UNITED STATES GENERAL ACCOUNTING OFFJCE WASHINGTON, D.C. 20546 NUMAN RUOURCU DIVISION September 28, 1984 B-216611 The Honorable The Secretary Margaret M. Heckler of Health and Human Services llllllllllll I 125312 Dear Madam Secretary: Subject: Excessive Respiratory Therapy Cost and Utilization Data Used in Setting Medicare's Prospective Payment Rates (GAO/HRD-84-90) Until October 1, 1983, Medicare...
Date July 12, 1984 Report No. HRD-84-67 Title

Health: Payment Rates for Ambulatory Surgery Centers Are Higher Than Intended by HCFA

I ‘I 8 . I 1. 1.1. . . b&U11 IllaL VA 1 IL,r WASHINGTON, D.C. 20548 HUMAN RmURCES DIVISION July ~2, 198-a Carolyne K. Davis, Ph.D., Administrator Health Care Financing Administration Department of Health and Human Services Dear Dr. Davis: II I’ I II III’ I II i IIlIll’i 1 MlllRl II lllll l 125078 J Subject: Payment Rates For Ambulatory Surgery Centers Are Higher Than Intended By The Health...
Date Feb. 4, 1983 Report No. 120522 Title

Health: Prospective Payment Systems for Nursing Home Care

UNITED STATES GENERAL ACCOUNTING OFFICE WASHINGTON, D.C. 20548 FOR RELEASE ON DELIVERY EXPECTED AT 9:30 FRIDAY, A.M. 1983 FEBRUARY 4, STATEMENT OF MICHAEL ZIMMERMAN, ASSOCIATE DIRECTOR HUMAN RESOURCES DIVISION BEFORE THE SENATE SPECIAL COMMITTEE ON AGING ON ISSUES ASSOCIATED WITH PROSPECTIVE PAYMENT SYSTEMS FOR NURSING HOME CARE' _. HI lllIllllllllll 120522 Mr. Chairman to be here today and Member...
Date Jan. 13, 1983 Report No. HRD-83-36 Title

Health: Improper Hospital Charges for Priority Tests Claimed for Medicare Reimbursement

UNITED STATES GENERAL ACCOUNTING OFFICE WASHINGTON, D C 20548 HUMC N RtSOURCCS DIVISION Carolyne K. Davis, Ph.D. Administrator Health Care Financing Admlnlstratlon Department of Health and Human Services Dedr Dr. DdVlb SubJect Improper Hospital Tests Claimed for (GAO/HRD-83-36) Charges Medicare for Priority Reimbursement' Our office 15 currently revlewlng dncllldry bervice utlllzdtlon III 16 selec...
Date Oct. 14, 1982 Report No. HRD-83-9 Title

Health: Audit of Medicaid Costs Reported by Autumn Hills Convalescent Centers, Inc., Houston, TX

BY -k-If US. GENERAL ACCOUNTING OFFICE Report To The Chairman, Committee On Aging House Of Representatives Select Audit Of Medicaid Costs Reported By Autumn Hills Convalescent Centers, Inc., Houston, Texas Although the central office costs reported by A tumn Hills for 1978 and 1980 included signi s icent amounts of unallowable and questionable costs, under Texas’ ratesetting methodology these am...
Date April 19, 1982 Report No. HRD-82-58 Title

Health: Inquiry About Alleged Discriminatory Medicare Part B Reimbursement in New Jersey

UNITED sT'A%SGENERALACCOUNTlNG WASHINGTON, D.C. 20548 RELEASED The Honorable Matthew House of Representatives Dear Mr. Rinaldo: Inquiry About Alleged Part B Reimbursement Discriminatory in New Jersey Medicare (HRD-82-58) J. Rinaido Subject: This is in response to your request for a study of allegations of discriminatory rate reimbursement to New Jersey senior citizens Medical Insurance program ('M...
Date Jan. 20, 1982 Report No. HRD-82-32 Title

Do Aged Medicare Patients Receive More Costly Routine Nursing Services: Evidence Inconclusive

I , BY THECOMPTROLLERGENERAL Report ToThe Congress OF THEUNITED STATES Do Aged Medicare Patients Receive More Costly Routine Nursing Services? Evidence Inconclusive Medicare now assumes that it is more costly for hospitals to provide routine nursing services to aged than to nonaged inpatients and pays hospitals a premium. This is called the Medicare routine nursing salary cost differential. Howeve...
Date Dec. 22, 1981 Report No. HRD-82-24 Title

Health: Information on Medicare's Hospital Inpatient Routine Operating Cost Reimbursement Limits for Duluth-Superior

UNITED sTC;TES#GENERALACCOUNTING OFFICE WASHINGTON, D.C. 2OW B-205816 DmxruslR 2& 1981 The Honorable United States Dear Senator Subject: Rudy Boschwitz Senate Nlllllllllll II 117103 Boschwitz: Information on Medicare's Hospital Inpatient Routine Operating Cost Reimbursement Limits for Duluth-Superior (HRD-82-24) This is in rssponse to your referral of a letter from Mr. Thomas G . Bell III, a membe...
Date Dec. 22, 1981 Report No. HRD-82-23 Title

Health: Information on Medicare's Hospital Inpatient Routine Operating Cost Reimbursement Limits for Duluth-Superior

UNITED STATES GENERAL ACC~UNTIP~G OFFICE WASHlNGtON. D.C. 20548 B-205816 The Honorable James Oberstar House of Representatives :Dear Mr. Oberstar: Information on Medicare's Hospital Inpatient Routine Operating Cost Reimbursement Limits for Duluth-Superior (HRD-82-23) Subject: This is in response to your referral of a letter from Mr. Thomas G. Bell III, a member of the Board of Trustee& of Miller-D...
Date Dec. 16, 1981 Report No. AFMD-82-2 Title

Financial Management: Government Loses Revenue Because of Low Medical Care Charges to Liable Third Parties

*I BY THECOMPTROLLERGENERAL &I/ w . . %o Report ToThe Congress OF THEUNITEDSTATES Government LosesRevenue BecauseOf LowMedical Care Charges ToLiable ThirdPurties The Government provides free medical care to eligible beneficiaries, such as service members and veterans. When a beneficiary requires treatment becausa of injuries caused by the negligence of another, the Government is authorized by law ...
Date Sept. 19, 1980 Report No. HRD-80-72 Title

Health: Rising Hospital Costs Can Be Restrained by Regulating Payments and Improving Management

BY THECOMPTROLLER GEiEl-iAL Report ToThe Congress OF THEUNITED STATES Rising Hospital Costs Can Be Restrained By Regulating Payments And Improving Management Cost-based retrospective payment for hospital services is inherently inflationary. Yet, because retrospective payment is the prevalent reimbursement method used by third-party payers, both government and private, most hospital payments today ...
Date April 3, 1979 Report No. 120174 Title

Health: Implementation of Reimbursement Procedures for Outpatient Dialysis Treatments Under the End Stage Renal Disease Program of Medicare

- ~EDSTATES GENERAL ACCOUNTING OFFICE DC. 20.548 \ WASHINGTON, HUMAN RESOURCES DIVISION April 3, 1979 Mr. Leonard Schaeffer, Health Care Financing Department of Health, Welfare Dear Mr. Schaeffer: Administrator Administration Education, Ne have recently completed a survey of the implementation of reimbursement procedures for outpatient dialysis treatments under the end stage renal disease program/...
Date May 31, 1978 Report No. HRD-78-111 Title

Health: Information on Assignment Rates Under Medicare

DOCUBINT RESUME 05993 - (81526572 (Restricted) [Information on Assignment Rates under Medicare]. HRD-78-111; B-164031(4). May 31, 1978. 2 pp. + enclosure (15 pp.). Report to Rep. John E. Soss, Chairman, House Committee on Interstate and Foreign Commerce: Oversight and Investigations Subcommittee; Rep. Anthony Moffett; by Elmer 8. Staats, Comptroller Gcneral. Issue Area: Health Programs: Reimbursem...
Date Sept. 30, 1977 Report No. HRD-77-151 Title

Health: Reasons for Difference in Premium Rates of Kaiser Plans of Northern and Southern California for the Federal Employees Health Benefits Program

DCCUMENT FESUE 03778 - [B27940241 t tett -/ -/ / Reasons for Difference in Premium Rates of aiser Plans of Northern and Southern California fcr te Federal Employees Health Benefits Program. HRD-77-151; B-164562. September 30, 1977. eleased October 13, 1977. 2 pp. + 2 appendices (14 pp.). Report to Rep. Gladys Noon Speliman, Chairman, House Committee on Post Office and Civil Service: Ccmpensaticn a...
Date Sept. 8, 1977 Report No. 103501 Title

Health: Cost Related Medicaid Reimbursements to Nursing Homes in the State of Kansas (Code 106121)

DCCUHNIT RESUmB 03501 - [A2553689] (Restricted) [cost Related Medicaid Reimbursements to Nursing Homes in the State of Kansas (Code 106121)]. September 8, 1977. 5 pp. Report to Gene Hyde, acting Regional Administrator, Health Care Financing Administration; by Devid A. Hanna, Regional manager, Field Operations Div.: Begional Office (Kansas City). Issue Area: Health Programs: Health Providers (1202)...
Date Sept. 8, 1977 Report No. 103500 Title

Health: Costs Related Medicaid Reimbursements to Nursing Homes in the State of Kansas

DCCUMENT RESUME 03500 - (A2113905] (Restricted) (Cost RelateJ Medicaid Reimbursements to Nursing State of Kansas]. September 8, 1977. 5 pp. lomes in the Report to Gene Hyde, Acting Regional Administrator, Health Care Financing Administration; by David A. Hainna, Regional Manager, Field Operations riv.: Regional Office (Kansas City). Issue Area: Health Programs: Reimbursement Policies and Utilizati...
Date July 27, 1977 Report No. HRD-77-128 Title

Health: Information on Use of Medicare Reimbursement Method to Determine Hospital Payments under the Civilian Health and Medical Program of the Uniformed Services

DOCUMENT RESUME 02850 A20931941 I estrt-d4 Information on Use of Medicare Reimbursement Method to Determine Hospital Payments under the Civilian Health and Medical Program of the Uniformed Services. HRD-77-128; B-133142. Jujy 27, 1977. 3 pp. + 2 appendices (17 pp.). Report to Rep. George H. Mahon, Chairman, House Committee on Appropriations; Sen. John L. McClellan, Chairman, Senate Committee o App...
Date May 10, 1977 Report No. 102225 Title

Health: Treatment of Ineligible Veterans in Veterans Administration Hospitals

DOCUBIET BISIUE 02225 - [A1152437] (Restricted) [Treatment of Ineligible Titerans in Veterans Administration Hospitals]. Say 10, 1977. 3 pp. Report to Wallace B. Busbee, Director, Veterans Administrrtion: Internal Audit Service; by George D. Peck, Assistant Director, Human Resories and Development Div. Issue Area: Health Prograss (1200). Contact: Human Resources and Developmest Div. Budget Functio...
Date March 8, 1977 Report No. FGMSD-76-102 Title

Health: Loss of Millions of Dollars in Revenue Because of Inadequate Charges for Medical Care

DOCUMENT RESUME 00508 - LA0751626] Loss of Millions of Dollars in Revenue Because of Inadequate Charges for Hedical Care. B-133142; FGNSD-76-102. March 8, 1977. 17 pp. Report to the Congress; by Robert F. Keller, Acting ccmptroller General. Issue Area: Accounting and Financial Reptorting (1208); Health Programs: ReimbursemGnt Policies and Utilization Controls (2800). Contact: Financial and General...
Date Jan. 26, 1976 Report No. MWD-76-89 Title

Income Security: Implementation of Section 1903(g) of the Social Security Act by the Department of Health, Education, and Welfare

January 26, 1976 Chairman, Subcommittee and lnvesticjations Committee on IEntcrstate Foreign Commerce House of kpresentatives Dear fdr, Chairman: on Qversigttil; and r,,~ 2, ";9/) f::' , This is ii ,I (,,/I,/~" .\ a$so to confirm ber 18, 1975, Social Security fkpartment of to your letter dated October 31 Y 7975, and iniort!!ation presented orally to hour staff on Decemregardin:! the implerrzntstio...
Date Sept. 30, 1975 Report No. MWD-76-7 Title

Government Operations: Performance of the Social Security Administration Compared With That of Private Fiscal Intermediaries in Dealing With Institutional Providers of Medicare Services

GAO compared performance and cost of the Division of Direct Reimbursement with that of four contract intermediariss. It found that the average cost of a bill processed by the Division in 1973 was greater than that of the four private insurance companies. Higher salaries and lower productivity appear to be major reasons for higher costs of the Division, which, unlike the private intermediaries, had...