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医疗保险计划;评估中介机构和承保人绩效的标准和准则——医疗保健财务管理局。带意见征求期的一般通知。

Medicare program; criteria and standards for evaluating intermediary and carrier performance--HCFA. General notice with comment period.

出版信息

Fed Regist. 1991 Sep 20;56(183):47758-63.

Abstract

This notice describes the criteria and standards to be used for evaluating the performance of fiscal intermediaries and carriers in the administration of the Medicare program beginning October 1, 1991. The results of these evaluations are considered whenever HCFA enters into, renews, or terminates an intermediary agreement or carrier contract or takes other contract actions (e.g., assigning or reassigning providers of services to an intermediary; or designating regional or national intermediaries, etc.). This notice is published in accordance with sections 1816(f) and 1842(b)(2) of the Social Security Act, which require us to publish for public comment in the Federal Register whose criteria and standards against which we evaluate intermediaries and carriers.

摘要

本通知描述了自1991年10月1日起,用于评估医疗保险计划管理中财政中介机构和承保机构绩效的标准。每当医疗保健财务管理局(HCFA)签订、续签或终止中介协议或承保机构合同,或采取其他合同行动(例如,将服务提供者分配或重新分配给中介机构;或指定区域或全国性中介机构等)时,都会考虑这些评估结果。本通知是根据《社会保障法》第1816(f)条和第1842(b)(2)条发布的,这两条要求我们在《联邦公报》上公布以供公众评论,我们据此评估中介机构和承保机构的标准。

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