...necessary, the establishment of groups outside hospitals to make reviews of utilization; (e) Serving as a channel of communication of information relating to the administration of the supplementary medical Insurance benefits provisions desertbcd In Subpart B of this part; and (f ) Otherwise...

...necessary, the establishment of groups outside hospitals to make reviews of utilization; (e) Serving as a channel of communication of information relating to the administration of the supplementary medical insurance benefits provisions described in Subpart B of this part; and (f ) Otherwise...

...outside hospitals (meeting the requirements of section 1861 (k) (2) to make reviews of utilization ; "(3) serve as a channel of communication of information relating to the administration of this part ; and "(4) otherwise assist, in such manner as the contract may provide, in discharging administrative...

...outside hospitals (meeting the requirements of section 1861 (k)(2)) to make reviews of utilization; (3) serve as a channel of communication of information relating to the administration of this part; and (2) No such contract shall be entered into with anv carrier unless the Secretary finds...

...outside hospitals (meeting the requirements of section 1861 (k) (2)) to make reviews of utilization ; (3) serve as a channel of communication of information relating to the administration of this part; and (4) otherwise assist, in such manner as the contract may provide, in discharging administrative...

...resources for delivery of health care services is essential. Experience in applying a {riven sot (if benefits to the conditions and environment of local...medicare program reimbursement. The complexities of medicare program administration must be dealt with by the carrier through communication in a manner...

...services and the coding conventions must be described, maintained and updated. Extensive kno¿aledge of community resources for delivery of health care...rates and amounts of payment are to be effective. Governmcnt must be assured that it receives accurate and effective information concerning professional...

...health insurance and prepayment programs also is a necessary resource in carrying out the resjmnsibility of claims examination. Medicare program carriers utilize...medicare program reimbursement. The complexities of medicare program administration must be dealt with by the carrier through communication in a manner...

...outside hospitals (meeting the requirements of section 1861(k) (2) to make reviews of utilization; (3) Serve as a channel of communication of information relating to the administration of this part ; and (4) Otherwise assist, in such manner as the contract may provide, in discharging administrative...

...outside hospitals (meeting the requirements of section 1861 (k) (2) to make reviews of utilization ; (3) serve as a channel of communication of information relating to the administration of this part ; and (4) othenvisc assist, in such manner as the contract may provide, in discharging administrative...