About | HeinOnline Law Journal Library | HeinOnline Law Journal Library | HeinOnline
LOG IN
LOG IN

HRD-76-142 1 (1976-06-29)

handle is hein.gao/gaobaabfl0001 and id is 1 raw text is: - UNITED STATES GENERAL ACCOUNTING OFFICE WASHINGTON, D.C. 20548 LM098127 HUMAN RESOURCES ojvtsforl B-164031(3) Z V 1976 The Honorable The Secretary of Health, Education, and Welfare Dear Mr. Secretary: During i!.74 and 1975, we reviewed the Medicaid systems in Colorado, Maryland, and Massachusetts to idfer-tfy and repdrt the reasons for social service or administratively necessary days spent in a hospital when patients no longer require hospitcal!Pre. in this letter, we refer to all such days as adzministratively necessary (AN) days. We also obtained data on Medicare AN hospital days for a 6-month period in Colorado and for 5 weeks for one Medicare inter- mediary in Massachusetts. For selected 6-month periods in 1974 and 1975, the Medicaid AN days were 0.5 percent, 0.9 percent, and 2.6 percent of total hospital days in Colorado, Maryland, and Massachusetts, respectively. They cost the Medicaid program about $1.3 million more than the care would have cost in lower cost facilities. Medicare AN days were also about 0.5 percent of total hospital days in both Colorado (for the period October 1, 1974, through March 31, 1975) and one fiscal intermediary in Massachusetts (for the period necember 3, 1974, through January 31, 1975). The cost to the Medicare program was about $184,000. Even though the percent of total Medicare and Medicaid AN hospital days relative to total hospital days is small, the cost of AN hoopital days represents a large dollar expenditure. and the Department of Health, Education, and Welfare '(HEW) should try to reduce the number of AN days. MEDICAID PAYMENTS FOR AN HOSPITAL DAYS According to a Social and Rehabilitation Service official, title XIX of the Social Security Act does not specificallv provide for or prohibit the payment of inpatient hospital days Sincurred foi administrative reasons. BEST DOCUMENT AVAILABLE HRD-76-142

What Is HeinOnline?

HeinOnline is a subscription-based resource containing thousands of academic and legal journals from inception; complete coverage of government documents such as U.S. Statutes at Large, U.S. Code, Federal Register, Code of Federal Regulations, U.S. Reports, and much more. Documents are image-based, fully searchable PDFs with the authority of print combined with the accessibility of a user-friendly and powerful database. For more information, request a quote or trial for your organization below.



Contact us for annual subscription options:

Contact Us

Already a HeinOnline Subscriber?

Log In

profiles profiles most