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New York Hotel Trades Council and Hotel Association of New York City, Inc., Health Benefits Fund Reported Unallowable Costs on Its Final 2009 Medicare Cost Report.

机译：纽约商业交易委员会和纽约市酒店协会健康福利基金在其最终的2009年医疗保险费用报告中报告了不允许的费用。

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The New York Hotel Trades Council and Hotel Association of New York City, Inc., Health Benefits Fund (the Fund) is an HCPP that provides Medicare Part B services to eligible New York City hotel industry employees and their families. In addition, the Fund offers non-Medicare services to other plan members. The Fund provides services to plan members at four health centers and contracts with outside providers for services not offered by the health centers. On its final cost report for calendar year (CY) 2009, the Fund reported Medicare Part B costs totaling $8,204,307 for services provided to 3,180 plan members. CMS requested that we perform a limited scope review to determine if Medicare Part B costs reported by the Fund were for Medicare-eligible services provided to Medicare-eligible plan members, excluded costs for services billed to Medicare by contracted providers, and excluded Medicare coinsurance. Our objective was to determine whether Medicare Part B costs reported by the Fund on its final CY 2009 cost report were reasonable and allowable.

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年度 2012
页码 1-15
总页数 15
原文格式 PDF
正文语种 eng
中图分类工业技术;
关键词
Medicare; Government contracts; Costs; Health insurance; Eligibility; Employees; New York Hotel Trades Council and Hotel Association; Unallowable costs;

机译：医疗保险;政府合同;费用;健康保险;资格;员工;纽约酒店行业协会和酒店协会;不允许的费用;

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New York Hotel Trades Council and Hotel Association of New York City, Inc., Health Benefits Fund Reported Unallowable Costs on Its Final 2009 Medicare Cost Report.

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