Medicare: Improving Quality of Care Assessment and Assurance : Report to the Chairman, Subcommittee on Health, Committee on Ways and Means, House of Representatives |
Avis des internautes - Rédiger un commentaire
Aucun commentaire n'a été trouvé aux emplacements habituels.
Autres éditions - Tout afficher
Medicare: Potential Effects of Shifting the Home Health Benefit from Part A ... United States. General Accounting Office Affichage du livre entier - 1988 |
Medicare: Past Overuse of Intensive Care Services Inflates Hospital Payments ... United States. General Accounting Office Affichage du livre entier - 1986 |
Expressions et termes fréquents
accuracy additional Administrator admission agencies appropriate assessment assigned beneficiaries bills carriers changes chapter charges claims clinical codes comparative completed contract coordination cost criteria currently denied designed determine developed diagnostic discharge discussed effectiveness efforts evaluation examine example existing findings forms funding HCFA health services home health hospital identify improve indicator initial inpatient intermediaries involved issues limited measures medical records medical review Medicare Medicare Quality methods monitoring mortality Office Ongoing outcomes outpatient patient payment Peer Review Organizations percent performed physical therapy physician plans possible problems procedures professional PROS quality assurance quality of care quality problems rates Recommendation Reimbursement Resources responsibilities review activities sample screens selected skilled nursing facility specific standards status stay Structure studies SuperPRO survey Table tion types utilization Х Х Х
Fréquemment cités
Page 97 - Amendments of 1967) respecting — (1) the accessibility, acceptability, planning, organization, distribution, technology, utilization, quality, and financing of health services and systems; (2) the supply and distribution, education and training, quality, utilization, organization, and costs of health manpower...
Page 19 - Nothing in this title shall be construed to authorize any Federal officer or employee to exercise any supervision or control over the practice of medicine or the manner in which medical services are provided...
Page 19 - Nothing in this title shall be construed as authorizing the Secretary or any other officer or employee of the United States to interfere in any way with the practice of medicine or with relationships between practitioners of medicine and their patients, or to exercise any supervision or control over the administration or operation of any hospital. (2) The term "period of disability...
Page 53 - DEPARTMENT OF HEALTH AND HUMAN SERVICES BEFORE THE SUBCOMMITTEE ON HUMAN RESOURCES AND INTERGOVERNMENTAL RELATIONS COMMITTEE ON GOVERNMENT OPERATIONS US HOUSE OF REPRESENTATIVES DECEMBER 10, 1987 RELEASE ONLY UPON DELIVERY Food and Drug Administration Rockville MO 20857 Introduction Mr.
Page 19 - ... aggregate amount expended in fiscal year 1988 for direct and administrative costs (adjusted for inflation and for any direct or administrative costs incurred as a result of review functions added with respect to a subsequent fiscal year) of such reviews), (ii) in the case of hospitals...
Page 28 - Other types of abuse include, but are not limited to "excessive charges for services or supplies," "claims for services not medically necessary, or if medically necessary, not to the extent rendered...
Page 43 - Medicare payment; and (4) the necessity and appropriateness of care for which payment is sought on an "outlier...
Page 18 - Secretary, with the concurrence of the members of the appropriate program review team appointed pursuant to section 1862(d) (4) who are physicians or other professional personnel in the health care field, to be substantially in excess of the needs of individuals or to be harmful to individuals or to be of a grossly inferior quality.
Page 49 - Hospital acquired decubitus ulcer 19 f. Care resulting in serious or life-threatening complications, not related to admitting signs and symptoms, including but not limited to the neurological, endocrine, cardiovascular, renal or respiratory body systems (eg. resulting in dialysis. unplanned transfer to special care unit, lengthened hospital stay).
Page 48 - Temperature on day before or day of discharge greater than 101 degrees oral (rectal 102 degrees). c. Pulse less than 50 (or 45 if the patient is on a beta blocker), or greater than 120 within 24 hours of discharge.
Informations bibliographiques
| Titre | Medicare: Improving Quality of Care Assessment and Assurance : Report to the Chairman, Subcommittee on Health, Committee on Ways and Means, House of Representatives |
| Auteur | United States. General Accounting Office |
| Éditeur | The Office, 1988 |
| Longueur | 176 pages |
| Exporter la citation | BiBTeX EndNote RefMan |