Sample records for fee-based information services

  1. No More Free Lunch: Commercial Fee-Based Information Services--Past, Present and Future.

    ERIC Educational Resources Information Center

    Wright, A. J.

    This discussion of nongovernmental public- and private-sector fee-based information services in the changing library, social, and technological environment includes descriptions of the relationships between libraries and commercial firms, types of fee-based information services, and the services provided by commercial information vendors. Brief…

  2. An Academic Library's Experience with Fee-Based Services.

    ERIC Educational Resources Information Center

    Hornbeck, Julia W.

    1983-01-01

    Profile of fee-based information services offered by the Information Exchange Center of Georgia Institute of Technology notes history and background, document delivery to commercial clients and on-campus faculty, online and manual literature searching, staff, cost analysis, fee schedule, operating methods, client relations, marketing, and current…

  3. 75 FR 18887 - FBI Criminal Justice Information Services Division User Fees

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-13

    .... SUMMARY: This notice establishes the user fee schedule for fingerprint- based and name-based criminal... fingerprint-based and other identification services as authorized by federal law. These fees apply to federal, state and any other authorized entities requesting fingerprint identification records and name checks...

  4. Fee-Based Services and the Public Library: An Administrative Perspective.

    ERIC Educational Resources Information Center

    Gaines, Ervin J.; Huttner, Marian A.

    1983-01-01

    This article enumerates factors which created demand for fee-based information service (commercial databases, competition for proprietary information in business world, effectiveness of librarians) and relates experiences at two public libraries. Sources of business, value of advertising, techniques of selling, and hiring and deployment of staff…

  5. The Pricing of Information--A Search-Based Approach to Pricing an Online Search Service.

    ERIC Educational Resources Information Center

    Boyle, Harry F.

    1982-01-01

    Describes innovative pricing structure consisting of low connect time fee, print fees, and search fees, offered by Chemical Abstracts Service (CAS) ONLINE--an online searching system used to locate chemical substances. Pricing options considered by CAS, the search-based pricing approach, and users' reactions to pricing structures are noted. (EJS)

  6. Mr. Ngao's proposal: introducing client fees. Case scenarios for training and group discussion.

    PubMed

    1992-01-01

    In this supplement to the issue of "The Family Planning Manager" devoted to fees, a hypothetical case scenario is presented to illustrate the introduction of client fees to a family planning program. Managers are instructed to prepare a plan that includes the necessary information for deciding what to charge for, who to charge, and how much to charge; identifies the administrative changes involved in charging fees; and outlines steps that clinic managers should take before introducing client fees. Decisions should be based on factors such as the objectives of fee charging, client willingness and ability to pay, client perception of the quality of current services, services for which clients would be most willing to pay, estimated cost of providing services, and the cost of new administrative procedures inherent in a fee-for-service approach. Administrative procedures for collecting, handling, and accounting for cash; reporting income and expenses; and implementing a fair and flexible system of waivers and exemptions must be defined. Clients should be informed well in advance of fee introduction, and staff trained to manage potential client complaints.

  7. 76 FR 78950 - FBI Criminal Justice Information Services Division; Revised User Fee Schedule

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-20

    ... fingerprint-based Criminal History Record Information (CHRI) checks for noncriminal justice purposes. DATES... user fees for authorized agencies requesting noncriminal fingerprint-based CHRI checks at 28 CFR 20.31(e). The FBI will periodically review the process of fingerprint- based CHRI checks to determine the...

  8. Starting a Fee-Based Systematic Review Service.

    PubMed

    Knehans, Amy; Dell, Esther; Robinson, Cynthia

    2016-01-01

    The George T. Harrell Health Sciences Library at Penn State College of Medicine began a fee-based systematic review service, a model for cost recovery, in October 2013. This article describes the library's experience in establishing, introducing, and promoting the new service, which follows the Institute of Medicine's recommended standards for performing systematic reviews. The goal is to share this information with librarians who are contemplating starting such a service.

  9. 75 FR 69477 - Options Price Reporting Authority; Notice of Filing and Immediate Effectiveness of Proposed...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-12

    ...-Based Professional Subscriber Fees Charged by OPRA for its Basic Service November 8, 2010. Pursuant to... Options Last Sale Reports and Quotation Information (``OPRA Plan'').\\3\\ The proposed amendment would revise the device-based professional subscriber fees charged by OPRA in respect of its Basic Service. A...

  10. Quality of asthma care under different primary care models in Canada: a population-based study.

    PubMed

    To, Teresa; Guan, Jun; Zhu, Jingqin; Lougheed, M Diane; Kaplan, Alan; Tamari, Itamar; Stanbrook, Matthew B; Simatovic, Jacqueline; Feldman, Laura; Gershon, Andrea S

    2015-02-14

    Previous research has shown variations in quality of care and patient outcomes under different primary care models. The objective of this study was to use previously validated, evidence-based performance indicators to measure quality of asthma care over time and to compare quality of care between different primary care models. Data were obtained for years 2006 to 2010 from the Ontario Asthma Surveillance Information System, which uses health administrative databases to track individuals with asthma living in the province of Ontario, Canada. Individuals with asthma (n=1,813,922) were divided into groups based on the practice model of their primary care provider (i.e., fee-for-service, blended fee-for-service, blended capitation). Quality of asthma care was measured using six validated, evidence-based asthma care performance indicators. All of the asthma performance indicators improved over time within each of the primary care models. Compared to the traditional fee-for-service model, the blended fee-for-service and blended capitation models had higher use of spirometry for asthma diagnosis and monitoring, higher rates of inhaled corticosteroid prescription, and lower outpatient claims. Emergency department visits were lowest in the blended fee-for-service group. Quality of asthma care improved over time within each of the primary care models. However, the amount by which they improved differed between the models. The newer primary care models (i.e., blended fee-for-service, blended capitation) appear to provide better quality of asthma care compared to the traditional fee-for-service model.

  11. 32 CFR 204.5 - Fees.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... the price for a good, resource, or service that is based on competition in open markets, and creates... current, accurate, and complete data, to provide reimbursement conforming to statutory requirements. These... 5 of DoD 7000.14-R. (b) Information resources. The fees for services provided by data processing...

  12. The Directory of Fee-Based Information Services, 1978-79.

    ERIC Educational Resources Information Center

    Warnken, Kelly

    This directory lists information brokers, freelance librarians, independent information specialists, public and institutional libraries that offer information services, and information service companies in 29 states, the District of Columbia, and three Canadian provinces. Arranged alphabetically by state and then by broker/company name, the…

  13. 75 FR 81110 - Schedule of Fees for Access to NOAA Environmental Data, Information, and Related Products and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-27

    ... Related Products and Services AGENCY: National Environmental Satellite, Data and Information Service..., information, and related products and services to users. NESDIS is revising the fee schedule to ensure that... related products and services. NESDIS is authorized under 15 U.S.C. 1534 to assess fees, up to fair market...

  14. Financing a Career Information System.

    ERIC Educational Resources Information Center

    Franklin, Paul L.

    This practical introduction and guide to the financing of a state-based system of career information is intended for policy makers and practitioners engaged in implementing career information services. Chapter 1 is an introduction to both career information systems and their financing with concentration on service fees as the base for attaining…

  15. 29 CFR 2201.7 - Fees for copying, searching, and review.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Fees for copying, searching, and review. 2201.7 Section... REGULATIONS IMPLEMENTING THE FREEDOM OF INFORMATION ACT § 2201.7 Fees for copying, searching, and review. (a..., searching and reviewing will be based on the direct costs of these services, including the average hourly...

  16. 29 CFR 2201.7 - Fees for copying, searching, and review.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 9 2011-07-01 2011-07-01 false Fees for copying, searching, and review. 2201.7 Section... REGULATIONS IMPLEMENTING THE FREEDOM OF INFORMATION ACT § 2201.7 Fees for copying, searching, and review. (a..., searching and reviewing will be based on the direct costs of these services, including the average hourly...

  17. 29 CFR 2201.7 - Fees for copying, searching, and review.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 9 2013-07-01 2013-07-01 false Fees for copying, searching, and review. 2201.7 Section... REGULATIONS IMPLEMENTING THE FREEDOM OF INFORMATION ACT § 2201.7 Fees for copying, searching, and review. (a..., searching and reviewing will be based on the direct costs of these services, including the average hourly...

  18. 29 CFR 2201.7 - Fees for copying, searching, and review.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 9 2012-07-01 2012-07-01 false Fees for copying, searching, and review. 2201.7 Section... REGULATIONS IMPLEMENTING THE FREEDOM OF INFORMATION ACT § 2201.7 Fees for copying, searching, and review. (a..., searching and reviewing will be based on the direct costs of these services, including the average hourly...

  19. Home Health Care for California's Injured Workers: Options for Implementing a Fee Schedule.

    PubMed

    Wynn, Barbara O; Boustead, Anne

    2015-07-15

    The California Department of Industrial Relations/Division of Worker's Compensation asked RAND to provide technical assistance in developing a fee schedule for home health services provided to injured workers. The fee schedule needs to address the full spectrum of home health services ranging from skilled nursing and therapy services to unskilled personal care or chore services that may be provided by family members. RAND researchers consulted with stakeholders in the California workers' compensation system to outline issues the fee schedule should address, reviewed home health fee schedules used by other payers, and conducted interviews with WC administrators from other jurisdictions to elicit their experiences. California stakeholders identified unskilled attendant services as most problematic in determining need and payment rates, particularly services furnished by family members. RAND researchers concentrated on fee schedule options that would result in a single fee schedule covering the full range of home health care services furnished to injured workers and made three sets of recommendations. The first set pertains to obtaining additional information that would highlight the policy issues likely to occur with the implementation of the fee schedule and alternatives for assessing an injured worker's home health care needs. Another approach conforms most closely with the Labor Code requirements. It would integrate the fee schedules used by Medicare, In-Home Health Supportive Services, and the federal Office of Workers' Compensation. The third approach would base the home health fee schedule on rules used by the federal Office of Workers' Compensation.

  20. 39 CFR Appendix A to Part 265 - Fees for Computer Searches

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 39 Postal Service 1 2013-07-01 2013-07-01 false Fees for Computer Searches A Appendix A to Part 265 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION RELEASE OF INFORMATION Pt. 265, App. A Appendix A to Part 265—Fees for Computer Searches When requested information must be...

  1. 39 CFR Appendix A to Part 265 - Fees for Computer Searches

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 39 Postal Service 1 2012-07-01 2012-07-01 false Fees for Computer Searches A Appendix A to Part 265 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION RELEASE OF INFORMATION Pt. 265, App. A Appendix A to Part 265—Fees for Computer Searches When requested information must be...

  2. 39 CFR Appendix A to Part 265 - Fees for Computer Searches

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 39 Postal Service 1 2011-07-01 2011-07-01 false Fees for Computer Searches A Appendix A to Part 265 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION RELEASE OF INFORMATION Pt. 265, App. A Appendix A to Part 265—Fees for Computer Searches When requested information must be...

  3. 39 CFR Appendix A to Part 265 - Fees for Computer Searches

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 39 Postal Service 1 2014-07-01 2014-07-01 false Fees for Computer Searches A Appendix A to Part 265 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION RELEASE OF INFORMATION Pt. 265, App. A Appendix A to Part 265—Fees for Computer Searches When requested information must be...

  4. 39 CFR Appendix A to Part 265 - Fees for Computer Searches

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Fees for Computer Searches A Appendix A to Part 265 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION RELEASE OF INFORMATION Pt. 265, App. A Appendix A to Part 265—Fees for Computer Searches When requested information must be...

  5. 12 CFR 4.40 - Fees for services.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY ORGANIZATION AND FUNCTIONS, AVAILABILITY AND RELEASE OF INFORMATION, CONTRACTING OUTREACH PROGRAM, POST-EMPLOYMENT RESTRICTIONS FOR SENIOR EXAMINERS Release of Non-Public OCC Information § 4.40 Fees for services. (a) Fees for records search...

  6. 12 CFR 4.40 - Fees for services.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY ORGANIZATION AND FUNCTIONS, AVAILABILITY AND RELEASE OF INFORMATION, CONTRACTING OUTREACH PROGRAM, POST-EMPLOYMENT RESTRICTIONS FOR SENIOR EXAMINERS Release of Non-Public OCC Information § 4.40 Fees for services. (a) Fees for records search...

  7. 12 CFR 4.40 - Fees for services.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY ORGANIZATION AND FUNCTIONS, AVAILABILITY AND RELEASE OF INFORMATION, CONTRACTING OUTREACH PROGRAM, POST-EMPLOYMENT RESTRICTIONS FOR SENIOR EXAMINERS Release of Non-Public OCC Information § 4.40 Fees for services. (a) Fees for records search...

  8. 12 CFR 4.40 - Fees for services.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY ORGANIZATION AND FUNCTIONS, AVAILABILITY AND RELEASE OF INFORMATION, CONTRACTING OUTREACH PROGRAM, POST-EMPLOYMENT RESTRICTIONS FOR SENIOR EXAMINERS Release of Non-Public OCC Information § 4.40 Fees for services. (a) Fees for records search...

  9. 20 CFR 402.175 - Fees for providing information and related services for non-program purposes.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... related services for non-program purposes. (a) General. Section 1106(c) of the Social Security Act permits... (including costs of duplication) of providing information and related services under section 1106(c) of the... described in paragraph (c) of this section. (c) Fee schedule. Our fee schedule for non-program related...

  10. RVU costing applications.

    PubMed

    Berlin, M F; Faber, B P; Berlin, L M; Budzynski, M R

    1997-11-01

    Relative value unit (RVU) cost accounting which uses the resource-based relative value scale (RBRVS), can be used to determine the cost to produce given services and determine appropriate physician fees. The calculations derived from RVU costing have additional applications, such as analyzing fee schedules, evaluating the profitability of third-party payer reimbursement, calculating a floor capitation rate, and allocating capitation payments within the group. The ability to produce this information can help group practice administrators determine ways to manage the cost of providing services, set more realistic fees, and negotiate more profitable contracts.

  11. 9 CFR 390.6 - Fee schedule.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Fee schedule. 390.6 Section 390.6 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE FOOD SAFETY AND INSPECTION SERVICE ADMINISTRATIVE PROVISIONS FREEDOM OF INFORMATION AND PUBLIC INFORMATION § 390.6 Fee...

  12. 76 FR 57681 - Modification of Interlibrary Loan Fee Schedule

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-16

    ... Agricultural Library. The revised fee schedule is based on the method of payment used (traditional invoicing through the National Technical Information Service (NTIS) or payment through the Online Computer Library... Branch, National Agricultural Library, 10301 Baltimore Avenue, Beltsville, MD 20705-2351. Telephone (301...

  13. 39 CFR 266.8 - Schedule of fees.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 39 Postal Service 1 2012-07-01 2012-07-01 false Schedule of fees. 266.8 Section 266.8 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION PRIVACY OF INFORMATION § 266.8 Schedule of fees. (a) Policy. The purpose of this section is to establish fair and equitable fees to permit...

  14. 39 CFR 266.8 - Schedule of fees.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 39 Postal Service 1 2014-07-01 2014-07-01 false Schedule of fees. 266.8 Section 266.8 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION PRIVACY OF INFORMATION § 266.8 Schedule of fees. (a) Policy. The purpose of this section is to establish fair and equitable fees to permit...

  15. 39 CFR 266.8 - Schedule of fees.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Schedule of fees. 266.8 Section 266.8 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION PRIVACY OF INFORMATION § 266.8 Schedule of fees. (a) Policy. The purpose of this section is to establish fair and equitable fees to permit...

  16. 39 CFR 266.8 - Schedule of fees.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 39 Postal Service 1 2013-07-01 2013-07-01 false Schedule of fees. 266.8 Section 266.8 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION PRIVACY OF INFORMATION § 266.8 Schedule of fees. (a) Policy. The purpose of this section is to establish fair and equitable fees to permit...

  17. 39 CFR 266.8 - Schedule of fees.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 39 Postal Service 1 2011-07-01 2011-07-01 false Schedule of fees. 266.8 Section 266.8 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION PRIVACY OF INFORMATION § 266.8 Schedule of fees. (a) Policy. The purpose of this section is to establish fair and equitable fees to permit...

  18. 7 CFR 91.37 - Standard hourly fee rate for laboratory testing, analysis, and other services.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 3 2012-01-01 2012-01-01 false Standard hourly fee rate for laboratory testing... AGRICULTURE (CONTINUED) COMMODITY LABORATORY TESTING PROGRAMS SERVICES AND GENERAL INFORMATION Fees and Charges § 91.37 Standard hourly fee rate for laboratory testing, analysis, and other services. (a) The...

  19. 7 CFR 91.37 - Standard hourly fee rate for laboratory testing, analysis, and other services.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 3 2014-01-01 2014-01-01 false Standard hourly fee rate for laboratory testing... AGRICULTURE (CONTINUED) COMMODITY LABORATORY TESTING PROGRAMS SERVICES AND GENERAL INFORMATION Fees and Charges § 91.37 Standard hourly fee rate for laboratory testing, analysis, and other services. (a) The...

  20. 7 CFR 91.37 - Standard hourly fee rate for laboratory testing, analysis, and other services.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 3 2013-01-01 2013-01-01 false Standard hourly fee rate for laboratory testing... AGRICULTURE (CONTINUED) COMMODITY LABORATORY TESTING PROGRAMS SERVICES AND GENERAL INFORMATION Fees and Charges § 91.37 Standard hourly fee rate for laboratory testing, analysis, and other services. (a) The...

  1. 7 CFR 91.37 - Standard hourly fee rate for laboratory testing, analysis, and other services.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 3 2011-01-01 2011-01-01 false Standard hourly fee rate for laboratory testing... AGRICULTURE (CONTINUED) COMMODITY LABORATORY TESTING PROGRAMS SERVICES AND GENERAL INFORMATION Fees and Charges § 91.37 Standard hourly fee rate for laboratory testing, analysis, and other services. (a) The...

  2. 77 FR 75014 - Schedule of Fees for Access to NOAA Environmental Data, Information, and Related Products and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-19

    ... Related Products and Services AGENCY: National Environmental Satellite, Data and Information Service..., information, and related products and services to users. NESDIS is revising the fee schedule that has been in... environmental data, information, and related products and services. NESDIS is authorized under 15 U.S.C. 1534 to...

  3. 76 FR 416 - Application and Renewal Fees Imposed on Surety Companies and Reinsuring Companies Increase in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-04

    ... and Reinsuring Companies Increase in Fees Imposed AGENCY: Financial Management Service, Fiscal Service..., Financial Management Service, is increasing the fees it imposes on and collects from surety companies and... INFORMATION: The fees imposed and collected, as referred to in 31 CFR 223.22, cover the costs incurred by the...

  4. The Business Information Services: Old-Line Online Moves to the Web.

    ERIC Educational Resources Information Center

    O'Leary, Mick

    1997-01-01

    Although the availability of free information on the World Wide Web has placed traditional, fee-based proprietary online services on the defensive, most major online business services are now on the Web. Highlights several business information providers: Profound, NewsNet and ProQuest Direct, Dow Jones and Wall Street Journal Interactive Edition,…

  5. 9 CFR 390.6 - Fee schedule.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 9 Animals and Animal Products 2 2012-01-01 2012-01-01 false Fee schedule. 390.6 Section 390.6 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE FOOD SAFETY AND INSPECTION SERVICE ADMINISTRATIVE PROVISIONS FREEDOM OF INFORMATION AND PUBLIC INFORMATION § 390.6 Fee schedule. Department regulations provide for...

  6. 9 CFR 390.6 - Fee schedule.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 9 Animals and Animal Products 2 2013-01-01 2013-01-01 false Fee schedule. 390.6 Section 390.6 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE FOOD SAFETY AND INSPECTION SERVICE ADMINISTRATIVE PROVISIONS FREEDOM OF INFORMATION AND PUBLIC INFORMATION § 390.6 Fee schedule. Department regulations provide for...

  7. 9 CFR 390.6 - Fee schedule.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 2 2011-01-01 2011-01-01 false Fee schedule. 390.6 Section 390.6 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE FOOD SAFETY AND INSPECTION SERVICE ADMINISTRATIVE PROVISIONS FREEDOM OF INFORMATION AND PUBLIC INFORMATION § 390.6 Fee schedule. Department regulations provide for...

  8. 9 CFR 390.6 - Fee schedule.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 9 Animals and Animal Products 2 2014-01-01 2014-01-01 false Fee schedule. 390.6 Section 390.6 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE FOOD SAFETY AND INSPECTION SERVICE ADMINISTRATIVE PROVISIONS FREEDOM OF INFORMATION AND PUBLIC INFORMATION § 390.6 Fee schedule. Department regulations provide for...

  9. 12 CFR 4.17 - Fees for services.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... EXAMINERS Availability of Information Under the Freedom of Information Act § 4.17 Fees for services. (a... expenditures that the OCC incurs in providing services (including searching for, reviewing, and duplicating...(c). The OCC may contract with a commercial service to search for, duplicate, or disseminate records...

  10. 7 CFR 91.39 - Premium hourly fee rates for overtime and legal holiday service.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... overtime work. When analytical testing in a Science and Technology facility requires the services of... (CONTINUED) COMMODITY LABORATORY TESTING PROGRAMS SERVICES AND GENERAL INFORMATION Fees and Charges § 91.39 Premium hourly fee rates for overtime and legal holiday service. (a) When analytical testing in a Science...

  11. 7 CFR 91.39 - Premium hourly fee rates for overtime and legal holiday service.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... overtime work. When analytical testing in a Science and Technology facility requires the services of... (CONTINUED) COMMODITY LABORATORY TESTING PROGRAMS SERVICES AND GENERAL INFORMATION Fees and Charges § 91.39 Premium hourly fee rates for overtime and legal holiday service. (a) When analytical testing in a Science...

  12. 7 CFR 91.39 - Premium hourly fee rates for overtime and legal holiday service.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... overtime work. When analytical testing in a Science and Technology facility requires the services of... (CONTINUED) COMMODITY LABORATORY TESTING PROGRAMS SERVICES AND GENERAL INFORMATION Fees and Charges § 91.39 Premium hourly fee rates for overtime and legal holiday service. (a) When analytical testing in a Science...

  13. 7 CFR 91.39 - Premium hourly fee rates for overtime and legal holiday service.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... overtime work. When analytical testing in a Science and Technology facility requires the services of... (CONTINUED) COMMODITY LABORATORY TESTING PROGRAMS SERVICES AND GENERAL INFORMATION Fees and Charges § 91.39 Premium hourly fee rates for overtime and legal holiday service. (a) When analytical testing in a Science...

  14. 78 FR 13570 - Freedom of Information Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-28

    ... Practice to update its fee schedule for provision of services in disseminating information and records to the public to reflect changes in the types of services that are provided, changes in the costs of providing services, and to add other fees for new services. DATES: Comments must be submitted on or before...

  15. 75 FR 75170 - APHIS User Fee Web Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-02

    ...] APHIS User Fee Web Site AGENCY: Animal and Plant Health Inspection Service, USDA. ACTION: Notice... recover the costs of providing certain services. This notice announces the availability of a Web site that contains information about the Agency's user fees. ADDRESSES: The Agency's user fee Web site is located at...

  16. Legal considerations for document delivery services.

    PubMed

    Bunting, A

    1994-04-01

    Health sciences libraries that provide fee-based information services must consider and develop policies and procedures for complying with legal requirements. This paper reviews the provisions of copyright law that pertain to document delivery, including two court decisions concerning copyright. Also discussed are recent actions by publishers to reinforce their view of libraries' responsibilities for royalty fees for articles copied and their use of licenses to impose additional restrictions on the use of and reproduction of materials.

  17. Theory and Practice in the Design of Physician Payment Incentives

    PubMed Central

    Robinson, James C.

    2001-01-01

    Combining the economic literature on principal-agent relationships with examples of marketplace innovations allows analysis of the evolution of methods for paying physicians. Agency theory and the economic principles of performance-based compensation are applied in the context of imperfect information, risk aversion, multiple interrelated tasks, and team production efficiencies. Fee-for-service and capitation are flawed methods of motivating physicians to achieve specific goals. Payment innovations that blend elements of fee-for-service, capitation, and case rates can preserve the advantages and attenuate the disadvantages of each. These innovations include capitation with fee-for-service carve-outs, department budgets with individual fee-for-service or “contact” capitation, and case rates for defined episodes of illness. The context within which payment incentives are embedded, includes such nonprice mechanisms as screening and monitoring and such organizational relationships as employment and ownership. The analysis has implications for health services research and public policy with respect to physician payment incentives. PMID:11439463

  18. The link between past informal payments and willingness of the Hungarian population to pay formal fees for health care services: results from a contingent valuation study.

    PubMed

    Baji, Petra; Pavlova, Milena; Gulácsi, László; Farkas, Miklós; Groot, Wim

    2014-11-01

    We examine the willingness of health care consumers to pay formal fees for health care use and how this willingness to pay is associated with past informal payments. We use data from a survey carried out in Hungary in 2010 among a representative sample of 1,037 respondents. The contingent valuation method is used to elicit the willingness to pay official charges for health care services covered by the social health insurance if certain quality attributes (regarding the health care facility, access to the services and health care personnel) are guaranteed. A bivariate probit model is applied to examine the relationship between willingness to pay and past informal payments. We find that 66% of the respondents are willing to pay formal fees for specialist examinations and 56% are willing to pay for planned hospitalizations if these services are provided with certain quality and access attributes. The act of making past informal payments for health care services is positively associated with the willingness to pay formal charges. The probability that a respondent is willing to pay official charges for health care services is 22% points higher for specialist examinations and 45% points higher for hospitalization if the respondent paid informally during the last 12 months. The introduction of formal fees should be accompanied by adequate service provision to assure acceptance of the fees. Furthermore, our results suggest that the problem of informal patient payments may remain even after the implementation of user fees.

  19. 5 CFR 1204.12 - Fees.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Administrative Personnel MERIT SYSTEMS PROTECTION BOARD ORGANIZATION AND PROCEDURES AVAILABILITY OF OFFICIAL INFORMATION Procedures for Obtaining Records Under the Freedom of Information Act § 1204.12 Fees. (a) General. The Board will charge the requester fees for services provided in processing requests for information...

  20. 5 CFR 1204.12 - Fees.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Administrative Personnel MERIT SYSTEMS PROTECTION BOARD ORGANIZATION AND PROCEDURES AVAILABILITY OF OFFICIAL INFORMATION Procedures for Obtaining Records Under the Freedom of Information Act § 1204.12 Fees. (a) General. The Board will charge the requester fees for services provided in processing requests for information...

  1. 5 CFR 1204.12 - Fees.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Administrative Personnel MERIT SYSTEMS PROTECTION BOARD ORGANIZATION AND PROCEDURES AVAILABILITY OF OFFICIAL INFORMATION Procedures for Obtaining Records Under the Freedom of Information Act § 1204.12 Fees. (a) General. The Board will charge the requester fees for services provided in processing requests for information...

  2. 5 CFR 1204.12 - Fees.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Administrative Personnel MERIT SYSTEMS PROTECTION BOARD ORGANIZATION AND PROCEDURES AVAILABILITY OF OFFICIAL INFORMATION Procedures for Obtaining Records Under the Freedom of Information Act § 1204.12 Fees. (a) General. The Board will charge the requester fees for services provided in processing requests for information...

  3. 5 CFR 1204.12 - Fees.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Administrative Personnel MERIT SYSTEMS PROTECTION BOARD ORGANIZATION AND PROCEDURES AVAILABILITY OF OFFICIAL INFORMATION Procedures for Obtaining Records Under the Freedom of Information Act § 1204.12 Fees. (a) General. The Board will charge the requester fees for services provided in processing requests for information...

  4. 28 CFR 549.72 - Services provided without fees.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... care; (f) Diagnosis or treatment of chronic infectious diseases; (g) Mental health care; or (h... MEDICAL SERVICES Fees for Health Care Services § 549.72 Services provided without fees. We will not charge a fee for: (a) Health care services based on staff referrals; (b) Staff-approved follow-up treatment...

  5. 28 CFR 549.72 - Services provided without fees.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... care; (f) Diagnosis or treatment of chronic infectious diseases; (g) Mental health care; or (h... MEDICAL SERVICES Fees for Health Care Services § 549.72 Services provided without fees. We will not charge a fee for: (a) Health care services based on staff referrals; (b) Staff-approved follow-up treatment...

  6. 28 CFR 549.72 - Services provided without fees.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... care; (f) Diagnosis or treatment of chronic infectious diseases; (g) Mental health care; or (h... MEDICAL SERVICES Fees for Health Care Services § 549.72 Services provided without fees. We will not charge a fee for: (a) Health care services based on staff referrals; (b) Staff-approved follow-up treatment...

  7. 28 CFR 549.72 - Services provided without fees.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... care; (f) Diagnosis or treatment of chronic infectious diseases; (g) Mental health care; or (h... MEDICAL SERVICES Fees for Health Care Services § 549.72 Services provided without fees. We will not charge a fee for: (a) Health care services based on staff referrals; (b) Staff-approved follow-up treatment...

  8. 28 CFR 549.72 - Services provided without fees.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... care; (f) Diagnosis or treatment of chronic infectious diseases; (g) Mental health care; or (h... MEDICAL SERVICES Fees for Health Care Services § 549.72 Services provided without fees. We will not charge a fee for: (a) Health care services based on staff referrals; (b) Staff-approved follow-up treatment...

  9. 75 FR 1683 - Application and Renewal Fees Imposed on Surety Companies and Reinsuring Companies; Increase in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-12

    ... and Reinsuring Companies; Increase in Fees Imposed AGENCY: Financial Management Service, Fiscal... Treasury, Financial Management Service, is increasing the fees it imposes on and collects from surety.... SUPPLEMENTARY INFORMATION: The fees imposed and collected, as referred to in 31 CFR 223.22, cover the costs...

  10. 7 CFR 91.38 - Additional fees for appeal of analysis.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... LABORATORY TESTING PROGRAMS SERVICES AND GENERAL INFORMATION Fees and Charges § 91.38 Additional fees for appeal of analysis. (a) The applicant for appeal sample testing will be charged a fee at the hourly rate for laboratory service that appears in this paragraph. The new fiscal year for Science and Technology...

  11. 7 CFR 91.38 - Additional fees for appeal of analysis.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... LABORATORY TESTING PROGRAMS SERVICES AND GENERAL INFORMATION Fees and Charges § 91.38 Additional fees for appeal of analysis. (a) The applicant for appeal sample testing will be charged a fee at the hourly rate for laboratory service that appears in this paragraph. The new fiscal year for Science and Technology...

  12. 7 CFR 91.38 - Additional fees for appeal of analysis.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... LABORATORY TESTING PROGRAMS SERVICES AND GENERAL INFORMATION Fees and Charges § 91.38 Additional fees for appeal of analysis. (a) The applicant for appeal sample testing will be charged a fee at the hourly rate for laboratory service that appears in this paragraph. The new fiscal year for Science and Technology...

  13. 39 CFR 265.9 - Schedule of fees.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION RELEASE OF INFORMATION § 265.9... information that will be used for the furtherance of the organization's commercial interests, rather than for... section also apply to information stored within micrographic systems. (c) Four categories of fees to be...

  14. 39 CFR 265.9 - Schedule of fees.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION RELEASE OF INFORMATION § 265.9... information that will be used for the furtherance of the organization's commercial interests, rather than for... section also apply to information stored within micrographic systems. (c) Four categories of fees to be...

  15. 39 CFR 265.9 - Schedule of fees.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION RELEASE OF INFORMATION § 265.9... information that will be used for the furtherance of the organization's commercial interests, rather than for... section also apply to information stored within micrographic systems. (c) Four categories of fees to be...

  16. 39 CFR 265.9 - Schedule of fees.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION RELEASE OF INFORMATION § 265.9... information that will be used for the furtherance of the organization's commercial interests, rather than for... section also apply to information stored within micrographic systems. (c) Four categories of fees to be...

  17. Searching fee and non-fee toxicology information resources: an overview of selected databases.

    PubMed

    Wright, L L

    2001-01-12

    Toxicology profiles organize information by broad subjects, the first of which affirms identity of the agent studied. Studies here show two non-fee databases (ChemFinder and ChemIDplus) verify the identity of compounds with high efficiency (63% and 73% respectively) with the fee-based Chemical Abstracts Registry file serving well to fill data gaps (100%). Continued searching proceeds using knowledge of structure, scope and content to select databases. Valuable sources for information are factual databases that collect data and facts in special subject areas organized in formats available for analysis or use. Some sources representative of factual files are RTECS, CCRIS, HSDB, GENE-TOX and IRIS. Numerous factual databases offer a wealth of reliable information; however, exhaustive searches probe information published in journal articles and/or technical reports with records residing in bibliographic databases such as BIOSIS, EMBASE, MEDLINE, TOXLINE and Web of Science. Listed with descriptions are numerous factual and bibliographic databases supplied by 11 producers. Given the multitude of options and resources, it is often necessary to seek service desk assistance. Questions were posed by telephone and e-mail to service desks at DIALOG, ISI, MEDLARS, Micromedex and STN International. Results of the survey are reported.

  18. Legal considerations for document delivery services.

    PubMed Central

    Bunting, A

    1994-01-01

    Health sciences libraries that provide fee-based information services must consider and develop policies and procedures for complying with legal requirements. This paper reviews the provisions of copyright law that pertain to document delivery, including two court decisions concerning copyright. Also discussed are recent actions by publishers to reinforce their view of libraries' responsibilities for royalty fees for articles copied and their use of licenses to impose additional restrictions on the use of and reproduction of materials. PMID:8004023

  19. 7 CFR 91.37 - Standard hourly fee rate for laboratory testing, analysis, and other services.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Standard hourly fee rate for laboratory testing, analysis, and other services. 91.37 Section 91.37 Agriculture Regulations of the Department of Agriculture... AGRICULTURE (CONTINUED) COMMODITY LABORATORY TESTING PROGRAMS SERVICES AND GENERAL INFORMATION Fees and...

  20. Online access to journal abstracts and articles.

    PubMed

    Giedd, J N; Smith, K G

    1997-01-01

    Advances in information technology now offer several options for child and adolescent psychopharmacologists to navigate the increasingly complex terrain of scientific literature and keep abreast of the rapidly changing advances in our field. MEDLINE, the world's largest database of medical literature, can be accessed and searched by a variety of free or fee-based services. In addition to efficient retrieval of citations and abstracts based on subject, author, or title, many of these services now provide, for a fee, the entire text and graphics of articles (displayed on computer screen, faxed, or mailed). There are also current awareness services to alert the user when new requested literature become available as well as services to send via e-mail the tables of contents of requested journals (sometimes prior to paper publication). For online citation and abstract retrieval, we found that free services, such as PubMed, performed as good or better than fee-based services. Physicians' Online, sponsored by the pharmaceutical industry, offered the lowest price for full-text manuscript delivery. In this article, we review literature search, delivery, and update services and offer some tips on how to most effectively use these resources.

  1. 77 FR 50521 - Agency Information Collection Activities: Request for an Individual Fee Waiver, Form Number I-912...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-21

    ... DEPARTMENT OF HOMELAND SECURITY U.S. Citizenship and Immigration Services [OMB Control Number 1615... Security, U.S. Citizenship and Immigration Services (USCIS) will be submitting the following information... Immigration Services (USCIS) to make a determination that the applicant is unable to pay the application fee...

  2. 45 CFR 61.13 - Fees applicable to requests for information.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Fees applicable to requests for information. 61.13 Section 61.13 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION HEALTHCARE... PRACTITIONERS Disclosure of Information by the Healthcare Integrity and Protection Data Bank § 61.13 Fees...

  3. 45 CFR 61.13 - Fees applicable to requests for information.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 1 2011-10-01 2011-10-01 false Fees applicable to requests for information. 61.13 Section 61.13 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION HEALTHCARE... PRACTITIONERS Disclosure of Information by the Healthcare Integrity and Protection Data Bank § 61.13 Fees...

  4. 45 CFR 61.13 - Fees applicable to requests for information.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 1 2012-10-01 2012-10-01 false Fees applicable to requests for information. 61.13 Section 61.13 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION HEALTHCARE... PRACTITIONERS Disclosure of Information by the Healthcare Integrity and Protection Data Bank § 61.13 Fees...

  5. NASIC at MIT. Final Report, 1 March 1974 through 28 February 1975.

    ERIC Educational Resources Information Center

    Benenfeld, Alan R.; And Others

    Computer-based reference search services were provided to users on a fee-for-service basis at the Massachusetts Institute of Technology as the first, and experimental, note in the development of the Northeast Academic Science Information Center (NASIC). Development of a training program for information specialists and training materials is…

  6. Value-based formulas for purchasing. PEHP's designated service provider program: value-based purchasing through global fees.

    PubMed

    Emery, D W

    1997-01-01

    In many circles, managed care and capitation have become synonymous; unfortunately, the assumptions informing capitation are based on a flawed unidimensional model of risk. PEHP of Utah has rejected the unidimensional model and has therefore embraced a multidimensional model of risk that suggests that global fees are the optimal purchasing modality. A globally priced episode of care forms a natural unit of analysis that enhances purchasing clarity, allows providers to more efficiently focus on the Marginal Rate of Technical Substitution, and conforms to the multidimensional reality of risk. Most importantly, global fees simultaneously maximize patient choice and provider cost consciousness.

  7. COMPARISON OF MEDICAL COSTS AND CARE OF APPENDECTOMY PATIENTS BETWEEN FEE-FOR-SERVICE AND SET FEE FOR DIAGNOSIS-RELATED GROUP SYSTEMS IN 20 CHINESE HOSPITALS.

    PubMed

    Zhang, Yin-hua; He, Guo-ping; Liu, Jing-wei

    2016-09-01

    The objective of this study was to compare the fee-for-service and set fee for diagnosis-related group systems with regard to quality of medical care and cost to appendectomy patients. We conducted a retrospective study of 208 inpatients (from 20 hospitals) who undergone appendectomy in Changsha, China during 2013. Data were obtained from databases of medical insurance information systems directly connected to the hospital information systems. We collected and compared patient ages, length of study, and total medical costs for impatient appendectomies between patients using fee-for-service and set fee for diagnosisrelated group systems. One hundred thirty-three patients used the fee for service system and 75 used the set fee diagnosis related group system. For those using the diagnosis-related group system, the mean length of hospitalization (6.2 days) and mean number of prescribed antimicrobials (2.4) per patient were significantly lower than those of the patients who used the fee-for-service system (7.3 days and 3.0, respectively; p = 0.018; p < 0.05) and were accompanied by lower medical costs and cost of antimicrobials (RMB 2,518 versus RMB 4,484 and RMB476 versus RMB1,108, respectively; p = 0.000, p = 0.000). There were no significant differences in post-surgical complications between the two systems. The diagnosis-related group system had significantly medical costs for appendectomy compared to the fee-for-service system, without sacrificing quality of medical care.

  8. 12 CFR 403.9 - Fees.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... SECURITY INFORMATION § 403.9 Fees. The following specific fees shall be applicable with respect to services... records, per hour or fraction thereof: (i) Professional $11.00 (ii) Clerical 6.00 (b) Computer service charges per second for actual use of computer central processing unit .25 (c) Copies made by photostat or...

  9. 12 CFR 403.9 - Fees.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... SECURITY INFORMATION § 403.9 Fees. The following specific fees shall be applicable with respect to services... records, per hour or fraction thereof: (i) Professional $11.00 (ii) Clerical 6.00 (b) Computer service charges per second for actual use of computer central processing unit .25 (c) Copies made by photostat or...

  10. 12 CFR 403.9 - Fees.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... SECURITY INFORMATION § 403.9 Fees. The following specific fees shall be applicable with respect to services... records, per hour or fraction thereof: (i) Professional $11.00 (ii) Clerical 6.00 (b) Computer service charges per second for actual use of computer central processing unit .25 (c) Copies made by photostat or...

  11. 12 CFR 403.9 - Fees.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... SECURITY INFORMATION § 403.9 Fees. The following specific fees shall be applicable with respect to services... records, per hour or fraction thereof: (i) Professional $11.00 (ii) Clerical 6.00 (b) Computer service charges per second for actual use of computer central processing unit .25 (c) Copies made by photostat or...

  12. 12 CFR 403.9 - Fees.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... SECURITY INFORMATION § 403.9 Fees. The following specific fees shall be applicable with respect to services... records, per hour or fraction thereof: (i) Professional $11.00 (ii) Clerical 6.00 (b) Computer service charges per second for actual use of computer central processing unit .25 (c) Copies made by photostat or...

  13. 20 CFR 403.150 - Is there a fee for our services?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Section 403.150 Employees' Benefits SOCIAL SECURITY ADMINISTRATION TESTIMONY BY EMPLOYEES AND THE PRODUCTION OF RECORDS AND INFORMATION IN LEGAL PROCEEDINGS § 403.150 Is there a fee for our services? (a..., or testimony. Make fees payable to the Social Security Administration by check or money order. (b...

  14. Business Information Centres: New Resources Are Not Used.

    ERIC Educational Resources Information Center

    Drummond, Janet

    1984-01-01

    Presents findings from survey of Canadian information centers specializing in business, economics, or finance (corporate library, government department library, fee-based service, commercial database, association information center). Questions focused on three broad categories: human resources organization, relative use of different types of…

  15. 49 CFR 360.1 - Fees for records search, review, copying, certification, and related services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...) Certificate of the Director, Office of Data Analysis and Information Systems, as to the authenticity of... request for ADP data. (2) The fee for computer searches will be set at the current rate for computer service. Information on those charges can be obtained from the Office of Data Analysis and Information...

  16. 7 CFR 1810.1 - Information concerning interest rates, amortization, guarantee fee, annual charge, and fixed period.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 12 2010-01-01 2010-01-01 false Information concerning interest rates, amortization... UTILITIES SERVICE, AND FARM SERVICE AGENCY, DEPARTMENT OF AGRICULTURE GENERAL REGULATIONS INTEREST RATES, TERMS, CONDITIONS, AND APPROVAL AUTHORITY Interest Rates, Amortization, Guarantee Fee, Annual Charge...

  17. Fee-for-Service Is Dead. Long Live Fee for Service?

    PubMed

    Greene, Jan

    2017-09-01

    The move to a value-based payment system was supposed to end perverse incentives that pay doctors more for delivering often unnecessary services. But things are changing slowly and the market is still 95% fee for service. There's talk of reworking the Medicare fee schedule so docs are paid more for the things that work, and less for those that don't.

  18. 7 CFR 56.28 - Types of service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    .... Charges or fees are based on time, travel, and expenses needed to perform the work. [69 FR 76375, Dec. 21... of shell eggs. Requests are made not on a regular basis. Charges or fees are based on the time, travel, and expenses needed to perform the work. This service also may be called the fee grading service...

  19. 7 CFR 56.28 - Types of service.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    .... Charges or fees are based on time, travel, and expenses needed to perform the work. [69 FR 76375, Dec. 21... of shell eggs. Requests are made not on a regular basis. Charges or fees are based on the time, travel, and expenses needed to perform the work. This service also may be called the fee grading service...

  20. 7 CFR 56.28 - Types of service.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    .... Charges or fees are based on time, travel, and expenses needed to perform the work. [69 FR 76375, Dec. 21... of shell eggs. Requests are made not on a regular basis. Charges or fees are based on the time, travel, and expenses needed to perform the work. This service also may be called the fee grading service...

  1. 7 CFR 56.28 - Types of service.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    .... Charges or fees are based on time, travel, and expenses needed to perform the work. [69 FR 76375, Dec. 21... of shell eggs. Requests are made not on a regular basis. Charges or fees are based on the time, travel, and expenses needed to perform the work. This service also may be called the fee grading service...

  2. 7 CFR 56.28 - Types of service.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    .... Charges or fees are based on time, travel, and expenses needed to perform the work. [69 FR 76375, Dec. 21... of shell eggs. Requests are made not on a regular basis. Charges or fees are based on the time, travel, and expenses needed to perform the work. This service also may be called the fee grading service...

  3. 32 CFR 93.6 - Fees.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... SERVICE OF PROCESS; RELEASE OF OFFICIAL INFORMATION IN LITIGATION; AND TESTIMONY BY NSA PERSONNEL AS WITNESSES § 93.6 Fees. Consistent with the guidelines in § 93.1(e), NSA may charge reasonable fees to... providing such information, and may include: (a) The costs of time expended by NSA employees to process and...

  4. 32 CFR 93.6 - Fees.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... SERVICE OF PROCESS; RELEASE OF OFFICIAL INFORMATION IN LITIGATION; AND TESTIMONY BY NSA PERSONNEL AS WITNESSES § 93.6 Fees. Consistent with the guidelines in § 93.1(e), NSA may charge reasonable fees to... providing such information, and may include: (a) The costs of time expended by NSA employees to process and...

  5. 32 CFR 93.6 - Fees.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... SERVICE OF PROCESS; RELEASE OF OFFICIAL INFORMATION IN LITIGATION; AND TESTIMONY BY NSA PERSONNEL AS WITNESSES § 93.6 Fees. Consistent with the guidelines in § 93.1(e), NSA may charge reasonable fees to... providing such information, and may include: (a) The costs of time expended by NSA employees to process and...

  6. 32 CFR 93.6 - Fees.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... SERVICE OF PROCESS; RELEASE OF OFFICIAL INFORMATION IN LITIGATION; AND TESTIMONY BY NSA PERSONNEL AS WITNESSES § 93.6 Fees. Consistent with the guidelines in § 93.1(e), NSA may charge reasonable fees to... providing such information, and may include: (a) The costs of time expended by NSA employees to process and...

  7. 32 CFR 93.6 - Fees.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... SERVICE OF PROCESS; RELEASE OF OFFICIAL INFORMATION IN LITIGATION; AND TESTIMONY BY NSA PERSONNEL AS WITNESSES § 93.6 Fees. Consistent with the guidelines in § 93.1(e), NSA may charge reasonable fees to... providing such information, and may include: (a) The costs of time expended by NSA employees to process and...

  8. 41 CFR 102-79.80 - May Executive agencies assess fees for antenna placements against telecommunication service...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... assess fees for antenna placements against telecommunication service providers for antenna site outleases... antenna placements against telecommunication service providers for antenna site outleases on major..., upon approval from GSA, may charge fees based on market value to telecommunication service providers...

  9. 41 CFR 102-79.80 - May Executive agencies assess fees for antenna placements against telecommunication service...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... assess fees for antenna placements against telecommunication service providers for antenna site outleases... antenna placements against telecommunication service providers for antenna site outleases on major..., upon approval from GSA, may charge fees based on market value to telecommunication service providers...

  10. 41 CFR 102-79.80 - May Executive agencies assess fees for antenna placements against telecommunication service...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... assess fees for antenna placements against telecommunication service providers for antenna site outleases... antenna placements against telecommunication service providers for antenna site outleases on major..., upon approval from GSA, may charge fees based on market value to telecommunication service providers...

  11. 41 CFR 102-79.80 - May Executive agencies assess fees for antenna placements against telecommunication service...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... assess fees for antenna placements against telecommunication service providers for antenna site outleases... antenna placements against telecommunication service providers for antenna site outleases on major..., upon approval from GSA, may charge fees based on market value to telecommunication service providers...

  12. 41 CFR 102-79.80 - May Executive agencies assess fees for antenna placements against telecommunication service...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... assess fees for antenna placements against telecommunication service providers for antenna site outleases... antenna placements against telecommunication service providers for antenna site outleases on major..., upon approval from GSA, may charge fees based on market value to telecommunication service providers...

  13. 36 CFR 1007.9 - Fees.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Trust elects to provide such services. (5) The following definitions shall apply to this part: (i) The... information submitted by a requester and from reasonable inferences based on the identity of the requester and...

  14. 8 CFR 103.17 - Biometric service fee.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... BENEFITS; BIOMETRIC REQUIREMENTS; AVAILABILITY OF RECORDS Biometric Requirements § 103.17 Biometric service... 8 Aliens and Nationality 1 2012-01-01 2012-01-01 false Biometric service fee. 103.17 Section 103... biometric information at a DHS office, other designated collection site overseas, or a registered State or...

  15. 8 CFR 103.17 - Biometric service fee.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... BENEFITS; BIOMETRIC REQUIREMENTS; AVAILABILITY OF RECORDS Biometric Requirements § 103.17 Biometric service... 8 Aliens and Nationality 1 2013-01-01 2013-01-01 false Biometric service fee. 103.17 Section 103... biometric information at a DHS office, other designated collection site overseas, or a registered State or...

  16. 8 CFR 103.17 - Biometric service fee.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... BENEFITS; BIOMETRIC REQUIREMENTS; AVAILABILITY OF RECORDS Biometric Requirements § 103.17 Biometric service... 8 Aliens and Nationality 1 2014-01-01 2014-01-01 false Biometric service fee. 103.17 Section 103... biometric information at a DHS office, other designated collection site overseas, or a registered State or...

  17. 7 CFR 91.40 - Fees for courier service and facsimile of the analysis report.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... (CONTINUED) COMMODITY LABORATORY TESTING PROGRAMS SERVICES AND GENERAL INFORMATION Fees and Charges § 91.40... the shortest round trip route from laboratory to sample retrieval site. Pursuant to the requirements...

  18. 7 CFR 91.40 - Fees for courier service and facsimile of the analysis report.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... (CONTINUED) COMMODITY LABORATORY TESTING PROGRAMS SERVICES AND GENERAL INFORMATION Fees and Charges § 91.40... the shortest round trip route from laboratory to sample retrieval site. Pursuant to the requirements...

  19. 7 CFR 91.40 - Fees for courier service and facsimile of the analysis report.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... (CONTINUED) COMMODITY LABORATORY TESTING PROGRAMS SERVICES AND GENERAL INFORMATION Fees and Charges § 91.40... the shortest round trip route from laboratory to sample retrieval site. Pursuant to the requirements...

  20. 7 CFR 91.40 - Fees for courier service and facsimile of the analysis report.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... (CONTINUED) COMMODITY LABORATORY TESTING PROGRAMS SERVICES AND GENERAL INFORMATION Fees and Charges § 91.40... the shortest round trip route from laboratory to sample retrieval site. Pursuant to the requirements...

  1. 7 CFR 91.40 - Fees for courier service and facsimile of the analysis report.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... (CONTINUED) COMMODITY LABORATORY TESTING PROGRAMS SERVICES AND GENERAL INFORMATION Fees and Charges § 91.40... the shortest round trip route from laboratory to sample retrieval site. Pursuant to the requirements...

  2. Informal payments for healthcare services and short-term effects of the introduction of visit fee on these payments in Hungary.

    PubMed

    Baji, Petra; Pavlova, Milena; Gulácsi, László; Zsófia, Homolyáné Csete; Groot, Wim

    2012-01-01

    The objective of this paper is to study the short-term effects of the introduction of the visit fee in Hungary in 2007 on informal patient payments. We present the pattern of informal payments in primary, out-patient specialist and in in-patient care in the period before and shortly after the visit fee was introduced. We also analyse whether in the short run, the introduction of visit fee decreased the probability of paying informally. For the analysis, we use a dataset for a representative sample of 2500 respondents collected in 2007 shortly after the introduction of the visit fee, which contains data on informal payments for healthcare services. According to our results, 9% of the patients paid informally during their last visit to GP (2 Euros on average), 14% paid informally for specialist care (35 Euros on average) and 50% paid informally for hospitalisation (58 Euros on average). We find a significant reduction in the probability of paying informally only for elderly patients in case of in-patient care. Our results suggest that informal payments are widely spread in Hungary, especially in in-patient care. The short run potential of the introduction of the visit fee to reduce informal payments seems to be minor. Copyright © 2011 John Wiley & Sons, Ltd.

  3. 7 CFR 91.38 - Additional fees for appeal of analysis.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Additional fees for appeal of analysis. 91.38 Section... LABORATORY TESTING PROGRAMS SERVICES AND GENERAL INFORMATION Fees and Charges § 91.38 Additional fees for appeal of analysis. (a) The applicant for appeal sample testing will be charged a fee at the hourly rate...

  4. 7 CFR 91.38 - Additional fees for appeal of analysis.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 3 2013-01-01 2013-01-01 false Additional fees for appeal of analysis. 91.38 Section... LABORATORY TESTING PROGRAMS SERVICES AND GENERAL INFORMATION Fees and Charges § 91.38 Additional fees for appeal of analysis. (a) The applicant for appeal sample testing will be charged a fee at the hourly rate...

  5. 20 CFR 402.175 - Fees for providing information and related services for non-program purposes.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Act; and (2) Full cost of an employee's time includes fringe benefits and overhead costs such as rent... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Fees for providing information and related services for non-program purposes. 402.175 Section 402.175 Employees' Benefits SOCIAL SECURITY...

  6. 17 CFR 200.80 - Commission records and information.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Commission's contract copying service at fees found in appendix E to this section. (5) Records available with..., NE., Washington, DC. Copying machines, which are available to requestors on a self-service or... that are available for inspection in the Washington, DC Headquarters. Fees and levels of service are...

  7. 17 CFR 200.80 - Commission records and information.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Commission's contract copying service at fees found in appendix E to this section. (5) Records available with..., NE., Washington, DC. Copying machines, which are available to requestors on a self-service or... that are available for inspection in the Washington, DC Headquarters. Fees and levels of service are...

  8. 20 CFR 10.806 - How are the maximum fees defined?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... AMENDED Information for Medical Providers Medical Fee Schedule § 10.806 How are the maximum fees defined? For professional medical services, the Director shall maintain a schedule of maximum allowable fees... Procedural Terminology (HCPCS/CPT) code which represents the relative skill, effort, risk and time required...

  9. 20 CFR 10.806 - How are the maximum fees defined?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... AMENDED Information for Medical Providers Medical Fee Schedule § 10.806 How are the maximum fees defined? For professional medical services, the Director shall maintain a schedule of maximum allowable fees.../Current Procedural Terminology (HCPCS/CPT) code which represents the relative skill, effort, risk and time...

  10. 20 CFR 10.806 - How are the maximum fees defined?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... AMENDED Information for Medical Providers Medical Fee Schedule § 10.806 How are the maximum fees defined? For professional medical services, the Director shall maintain a schedule of maximum allowable fees... Procedural Terminology (HCPCS/CPT) code which represents the relative skill, effort, risk and time required...

  11. 20 CFR 10.806 - How are the maximum fees defined?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... AMENDED Information for Medical Providers Medical Fee Schedule § 10.806 How are the maximum fees defined? For professional medical services, the Director shall maintain a schedule of maximum allowable fees... Procedural Terminology (HCPCS/CPT) code which represents the relative skill, effort, risk and time required...

  12. 20 CFR 10.806 - How are the maximum fees defined?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... AMENDED Information for Medical Providers Medical Fee Schedule § 10.806 How are the maximum fees defined? For professional medical services, the Director shall maintain a schedule of maximum allowable fees.../Current Procedural Terminology (HCPCS/CPT) code which represents the relative skill, effort, risk and time...

  13. Effects of user fee exemptions on the provision and use of maternal health services: a review of literature.

    PubMed

    Hatt, Laurel E; Makinen, Marty; Madhavan, Supriya; Conlon, Claudia M

    2013-12-01

    User fee removal has been put forward as an approach to increasing priority health service utilization, reducing impoverishment, and ultimately reducing maternal and neonatal mortality. However, user fees are a source of facility revenue in many low-income countries, often used for purchasing drugs and supplies and paying incentives to health workers. This paper reviews evidence on the effects of user fee exemptions on maternal health service utilization, service provision, and outcomes, including both supply-side and demand-side effects. We reviewed 19 peer-reviewed research articles addressing user fee exemptions and maternal health services or outcomes published since 1990. Studies were identified through a USAID-commissioned call for evidence, key word search, and screening process. Teams of reviewers assigned criteria-based quality scores to each paper and prepared structured narrative reviews. The grade of the evidence was found to be relatively weak, mainly from short-term, non-controlled studies. The introduction of user fee exemptions appears to have resulted in increased rates of facility-based deliveries and caesarean sections in some contexts. Impacts on maternal and neonatal mortality have not been conclusively demonstrated; exemptions for delivery care may contribute to modest reductions in institutional maternal mortality but the evidence is very weak. User fee exemptions were found to have negative, neutral, or inconclusive effects on availability of inputs, provider motivation, and quality of services. The extent to which user fee revenue lost by facilities is replaced can directly affect service provision and may have unintended consequences for provider motivation. Few studies have looked at the equity effects of fee removal, despite clear evidence that fees disproportionately burden the poor. This review highlights potential and documented benefits (increased use of maternity services) as well as risks (decreased provider motivation and quality) of user fee exemption policies for maternal health services. Governments should link user fee exemption policies with the replacement of lost revenue for facilities as well as broader health system improvements, including facility upgrades, ensured supply of needed inputs, and improved human resources for health. Removing user fees may increase uptake but will not reduce mortality proportionally if the quality of facility-based care is poor. More rigorous evaluations of both demand- and supply-side effects of mature fee exemption programmes are needed.

  14. Creating Fee-Based Online Services: A New Role for Academic Librarians.

    ERIC Educational Resources Information Center

    Trehub, Aaron

    1999-01-01

    Discussion of the impact of the Internet on libraries focuses on librarians as creators and marketers of new online services. Describes two fee-based online services at the University of Illinois at Urbana-Champaign and concludes that academic libraries have the ability to create new online services, especially reference services. (Author/LRW)

  15. Projection of future pharmacy service fees using the dispensing claims in hospital and clinic outpatient pharmacies: national health insurance database between 2006 and 2012.

    PubMed

    Ha, Dongmun; Song, Inmyung; Lee, Eui-Kyung; Shin, Ju-Young

    2018-05-03

    Predicting pharmacy service fees is crucial to sustain the health insurance budget and maintain pharmacy management. However, there is no evidence on how to predict pharmacy service fees at the population level. This study compares the status of pharmacy services and constructs regression model to project annual pharmacy service fees in Korea. We conducted a time-series analysis by using sample data from the national health insurance database from 2006 and 2012. To reflect the latest trend, we categorized pharmacies into general hospital, special hospital, and clinic outpatient pharmacies based on the major source of service fees, using a 1% sample of the 2012 data. We estimated the daily number of prescriptions, pharmacy service fees, and drugs costs according to these three types of pharmacy services. To forecast pharmacy service fees, a regression model was constructed to estimate annual fees in the following year (2013). The dependent variable was pharmacy service fees and the independent variables were the number of prescriptions and service fees per pharmacy, ratio of patients (≥ 65 years), conversion factor, change of policy, and types of pharmacy services. Among the 21,283 pharmacies identified, 5.0% (1064), 4.6% (974), and 77.5% (16,340) were general hospital, special hospital, and clinic outpatient pharmacies, respectively, in 2012. General hospital pharmacies showed a higher daily number of prescriptions (111.9), higher pharmacy service fees ($25,546,342), and higher annual drugs costs ($215,728,000) per pharmacy than any other pharmacy (p <  0.05). The regression model to project found the ratio of patients aged 65 years and older and the conversion factor to be associated with an increase in pharmacy service fees. It also estimated the future rate of increase in pharmacy service fees to be between 3.1% and 7.8%. General hospital outpatient pharmacies spent more on annual pharmacy service fees than any other type of pharmacy. The forecast of annual pharmacy service fees in Korea was similar to that of Australia, but not that of the United Kingdom.

  16. 46 CFR 503.69 - Fees.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... COMMISSION GENERAL AND ADMINISTRATIVE PROVISIONS PUBLIC INFORMATION Access to Any Record of Identifiable Personal Information § 503.69 Fees. (a) General. The following Commission services are available, with... smaller. (2) The certification and validation (with Federal Maritime Commission seal) of documents filed...

  17. 36 CFR 1120.51 - Charges for services, generally.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... BARRIERS COMPLIANCE BOARD PUBLIC AVAILABILITY OF INFORMATION Copies of Records and Fees for Services § 1120... requested records. (b) Categories of requesters. For the purpose of standard FOIA fee assessment, the four categories of requesters are: Commercial use requesters; educational and non-commercial scientific...

  18. 36 CFR 1120.51 - Charges for services, generally.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... BARRIERS COMPLIANCE BOARD PUBLIC AVAILABILITY OF INFORMATION Copies of Records and Fees for Services § 1120... requested records. (b) Categories of requesters. For the purpose of standard FOIA fee assessment, the four categories of requesters are: Commercial use requesters; educational and non-commercial scientific...

  19. 36 CFR 1120.51 - Charges for services, generally.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... BARRIERS COMPLIANCE BOARD PUBLIC AVAILABILITY OF INFORMATION Copies of Records and Fees for Services § 1120... requested records. (b) Categories of requesters. For the purpose of standard FOIA fee assessment, the four categories of requesters are: Commercial use requesters; educational and non-commercial scientific...

  20. 78 FR 42972 - Notice of Intent To Collect Fees on the John Day River, Oregon

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-18

    ...) to Tumwater Falls (River Mile 10) stretch of the John Day River, between Service Creek, Oregon, and... business hours. SUPPLEMENTARY INFORMATION: The Service Creek to Tumwater Falls stretch of the John Day... float within the Service Creek to Tumwater Falls stretch of the John Day River. All fees collected would...

  1. 45 CFR 60.14 - Fees applicable to requests for information.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Fees applicable to requests for information. 60.14 Section 60.14 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION NATIONAL PRACTITIONER DATA BANK FOR ADVERSE INFORMATION ON PHYSICIANS AND OTHER HEALTH CARE PRACTITIONERS Disclosure of...

  2. 77 FR 57012 - Schedule of Fees for Consular Services, Department of State and Overseas Embassies and Consulates

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-17

    ... (Schedule) for a number of different visa fees. The Department of State adopts the rule as final, without... made changes to the Schedule of Fees for Consular Services for visa fees and provided 60 days for... April 13, 2012. Non-Petition based Nonimmigrant Visa Application (except E category): from $140 to $160...

  3. 76 FR 59898 - Branded Prescription Drug Fee; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-28

    ... Branded Prescription Drug Fee; Correction AGENCY: Internal Revenue Service (IRS), Treasury. ACTION... prescription drug fee imposed by the Affordable Care Act. FOR FURTHER INFORMATION CONTACT: Celia Gabrysh, (202... as follows: 1. On Page 51311, column 2, under the part heading PART 51--BRANDED PRESCRIPTION DRUGS...

  4. 78 FR 17612 - Health Insurance Providers Fee; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-22

    ... Health Insurance Providers Fee; Correction AGENCY: Internal Revenue Service (IRS), Treasury. ACTION... guidance on the annual fee imposed on covered entities engaged in the business of providing health insurance for United States health risks. FOR FURTHER INFORMATION CONTACT: Charles J. Langley, Jr. at (202...

  5. 36 CFR Appendix A to Subpart A of... - Fees and Charges for Services Provided to Requesters of Records

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... LIBRARY OF CONGRESS DISCLOSURE OR PRODUCTION OF RECORDS OR INFORMATION Availability of Library of Congress... based on the direct cost to the Library, including labor, material, and computer time. (b) Duplication... established by the Library's Photoduplication Service, or in the case of machine media duplication, by the...

  6. 36 CFR Appendix A to Subpart A of... - Fees and Charges for Services Provided to Requesters of Records

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... LIBRARY OF CONGRESS DISCLOSURE OR PRODUCTION OF RECORDS OR INFORMATION Availability of Library of Congress... based on the direct cost to the Library, including labor, material, and computer time. (b) Duplication... established by the Library's Photoduplication Service, or in the case of machine media duplication, by the...

  7. 36 CFR Appendix A to Subpart A of... - Fees and Charges for Services Provided to Requesters of Records

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... LIBRARY OF CONGRESS DISCLOSURE OR PRODUCTION OF RECORDS OR INFORMATION Availability of Library of Congress... based on the direct cost to the Library, including labor, material, and computer time. (b) Duplication... established by the Library's Photoduplication Service, or in the case of machine media duplication, by the...

  8. 36 CFR Appendix A to Subpart A of... - Fees and Charges for Services Provided to Requesters of Records

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... LIBRARY OF CONGRESS DISCLOSURE OR PRODUCTION OF RECORDS OR INFORMATION Availability of Library of Congress... based on the direct cost to the Library, including labor, material, and computer time. (b) Duplication... established by the Library's Photoduplication Service, or in the case of machine media duplication, by the...

  9. 36 CFR Appendix A to Subpart A of... - Fees and Charges for Services Provided to Requesters of Records

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... LIBRARY OF CONGRESS DISCLOSURE OR PRODUCTION OF RECORDS OR INFORMATION Availability of Library of Congress... based on the direct cost to the Library, including labor, material, and computer time. (b) Duplication... established by the Library's Photoduplication Service, or in the case of machine media duplication, by the...

  10. 45 CFR 5.43 - Fee schedule.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION FREEDOM OF INFORMATION REGULATIONS Fees § 5.43... punchcards or blueprints), or reproducing other records (such as tapes)—the actual costs of operating the... service is not required by the FOIA. If we agree to provide it, we will charge $10 per certification. (f...

  11. 78 FR 27239 - General Services Administration Acquisition Regulation; Submission for OMB Review; Industrial...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-09

    ... Services Administration Acquisition Regulation; Submission for OMB Review; Industrial Funding Fee and Sales... Budget (OMB) a request to review and approve a reinstatement of a previously approved information collection requirement regarding industrial funding fee and sales reporting. A notice was published in the...

  12. 22 CFR 1102.4 - Fees.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Fees. 1102.4 Section 1102.4 Foreign Relations INTERNATIONAL BOUNDARY AND WATER COMMISSION, UNITED STATES AND MEXICO, UNITED STATES SECTION FREEDOM OF INFORMATION ACT § 1102.4 Fees. (a) The following shall be applicable with respect to services rendered to...

  13. 32 CFR 299.6 - Fees.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... PROGRAM NATIONAL SECURITY AGENCY/CENTRAL SECURITY SERVICE (NSA/CSS) FREEDOM OF INFORMATION ACT PROGRAM... requested. There are no fees associated with a Privacy Act request, except as stated in NSA/CSS Regulation...

  14. 32 CFR 299.6 - Fees.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... PROGRAM NATIONAL SECURITY AGENCY/CENTRAL SECURITY SERVICE (NSA/CSS) FREEDOM OF INFORMATION ACT PROGRAM... requested. There are no fees associated with a Privacy Act request, except as stated in NSA/CSS Regulation...

  15. 32 CFR 299.6 - Fees.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... PROGRAM NATIONAL SECURITY AGENCY/CENTRAL SECURITY SERVICE (NSA/CSS) FREEDOM OF INFORMATION ACT PROGRAM... requested. There are no fees associated with a Privacy Act request, except as stated in NSA/CSS Regulation...

  16. 78 FR 36782 - Agency Information Collection Activities; Submission to OMB for Review and Approval; Public...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-19

    ... relationships between the clinical time spent by physicians and the time that is currently part of the fee... clinical time and fee-schedule time values for surveyed services; (ii) how consistent the relationships are across services and across specialties; (iii) whether the relationships vary across physicians in...

  17. 37 CFR 203.6 - Schedule of fees and methods of payment for services rendered.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    .... COPYRIGHT OFFICE, LIBRARY OF CONGRESS COPYRIGHT OFFICE AND PROCEDURES FREEDOM OF INFORMATION ACT: POLICIES... other services involving the public records or indexes of the Office or for copies of deposited articles... news media. Search fees shall be assessed with respect to all other requests, subject to the...

  18. 77 FR 42696 - Notice of New Fee Sites; Federal Lands Recreation Enhancement Act, (Title VIII, Pub. L. 108-447)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-20

    ... DEPARTMENT OF AGRICULTURE Forest Service Notice of New Fee Sites; Federal Lands Recreation Enhancement Act, (Title VIII, Pub. L. 108-447) AGENCY: Kootenai National Forest, Forest Service, USDA. ACTION... SUPPLEMENTARY INFORMATION: The Federal Recreation Lands Enhancement Act (Title VII, Pub. L. 108-447) directed...

  19. Librarians as Money Makers: The Bottom Line.

    ERIC Educational Resources Information Center

    Warner, Alice Sizer

    1990-01-01

    Discusses the monetary aspects of librarianship, focusing on nontraditional library careers such as intrapreneurship (managing a library within an organization as a business) and entrepreneurship. Fee-based library services are considered, and suggestions for becoming a successful information entrepreneur are offered. (10 references) (MES)

  20. 77 FR 15116 - Notice of Proposed Information Collection: Comment Request; FHA-Insured Mortgage Loan Servicing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-14

    ... Information Collection: Comment Request; FHA- Insured Mortgage Loan Servicing for Performing Loans; MIP Processing, Escrow Administration, Customer Service, Servicing Fees and 235 Loans AGENCY: Office of the Assistant Secretary for Housing, HUD. ACTION: Notice. SUMMARY: The proposed information collection...

  1. HMO membership, treatment, and mortality risk among prostatic cancer patients.

    PubMed Central

    Greenwald, H P; Henke, C J

    1992-01-01

    OBJECTIVES. Treatment and mortality risk were compared between prostate cancer patients receiving care in fee-for-service settings and those receiving care in a health maintenance organization (HMO). METHODS. Two samples were obtained from a population-based tumor registry. Patients in the first sample (n = 201) were interviewed shortly after diagnosis to obtain data on income, education, overall health status, and expenditures for health status, and expenditures for health care. These data were combined with information from the tumor registry on cancer stage, age, treatment, place of residence, and source of care. Only tumor registry data were obtained for most patients in the second sample (n = 962). For both samples, survival time was monitored for up to 80 months. RESULTS. Multivariate analysis of data from the interviewed sample indicated that HMO patients were less likely to receive surgery but more likely to receive radiation therapy than were those in fee-for-service settings. Mortality risk was lower for the HMO patients than for those in fee-for-service plans. Findings based on the second sample were nearly identical. CONCLUSIONS. This study suggests that HMOs may offer important advantages to lower-income patients at risk for specific life-threatening diseases. PMID:1636829

  2. Fee Reduction Tables

    EPA Pesticide Factsheets

    Under PRIA 3, refunds for a portion of the registration service fee are provided following the withdrawal of a PRIA covered application and at the request of an applicant. These tables provide the information for each registering division.

  3. 22 CFR 1102.4 - Fees.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 2 2011-04-01 2009-04-01 true Fees. 1102.4 Section 1102.4 Foreign Relations INTERNATIONAL BOUNDARY AND WATER COMMISSION, UNITED STATES AND MEXICO, UNITED STATES SECTION FREEDOM OF INFORMATION ACT § 1102.4 Fees. (a) The following shall be applicable with respect to services rendered to members of the public under this subpart:...

  4. 37 CFR 203.6 - Schedule of fees and methods of payment for services rendered.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... OFFICE, LIBRARY OF CONGRESS COPYRIGHT OFFICE AND PROCEDURES FREEDOM OF INFORMATION ACT: POLICIES AND... the public records or indexes of the Office or for copies of deposited articles for which a fee is... institutions, non-commercial scientific institutions, and representatives of the news media. Search fees shall...

  5. 37 CFR 203.6 - Schedule of fees and methods of payment for services rendered.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... OFFICE, LIBRARY OF CONGRESS COPYRIGHT OFFICE AND PROCEDURES FREEDOM OF INFORMATION ACT: POLICIES AND... the public records or indexes of the Office or for copies of deposited articles for which a fee is... institutions, non-commercial scientific institutions, and representatives of the news media. Search fees shall...

  6. 37 CFR 203.6 - Schedule of fees and methods of payment for services rendered.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... OFFICE, LIBRARY OF CONGRESS COPYRIGHT OFFICE AND PROCEDURES FREEDOM OF INFORMATION ACT: POLICIES AND... the public records or indexes of the Office or for copies of deposited articles for which a fee is... institutions, non-commercial scientific institutions, and representatives of the news media. Search fees shall...

  7. 76 FR 19029 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-06

    ... commercially should be granted a license or, if currently licensed, to determine the royalty fee the licensed... Service to approve commercial use of the Woodsy Owl symbol and to collect royalty fees for such use. An... plans to market the products. If information is not collected royalty fees would not be collected in...

  8. 32 CFR 1700.6 - Fees for records services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... INTELLIGENCE PROCEDURES FOR DISCLOSURE OF RECORDS PURSUANT TO THE FREEDOM OF INFORMATION ACT § 1700.6 Fees for... for fee waivers or reductions may be appealed to the Director of the Intelligence Staff, or his... Photocopy (standard or legal) Per page .10 Microfiche Per frame .20 Pre-printed (if available) Per 100 pages...

  9. Information Brokers/Free-Lance Librarians: An Alternative Reference Service.

    ERIC Educational Resources Information Center

    Hogan, Matthew

    This paper examines the profession of information brokerage through a look at types of services provided, and through a discussion of major issues, including that of fee for service. The types of information broker and free-lance librarian services are identified: (1) non-profit reference and research services administered by public libraries and…

  10. 7 CFR 62.300 - Fees and other costs for service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    .... Fees for QSVP services shall be based on the time required to provide service calculated to the nearest quarter hour period, including, but not limited to, official assessment time, travel time, and time... costs. Applicants are responsible for paying actual travel costs incurred to provide QSVP services...

  11. 7 CFR 62.300 - Fees and other costs for service.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    .... Fees for QSVP services shall be based on the time required to provide service calculated to the nearest quarter hour period, including, but not limited to, official assessment time, travel time, and time... costs. Applicants are responsible for paying actual travel costs incurred to provide QSVP services...

  12. 7 CFR 62.300 - Fees and other costs for service.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    .... Fees for QSVP services shall be based on the time required to provide service calculated to the nearest quarter hour period, including, but not limited to, official assessment time, travel time, and time... costs. Applicants are responsible for paying actual travel costs incurred to provide QSVP services...

  13. 7 CFR 62.300 - Fees and other costs for service.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    .... Fees for QSVP services shall be based on the time required to provide service calculated to the nearest quarter hour period, including, but not limited to, official assessment time, travel time, and time... costs. Applicants are responsible for paying actual travel costs incurred to provide QSVP services...

  14. 7 CFR 62.300 - Fees and other costs for service.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    .... Fees for QSVP services shall be based on the time required to provide service calculated to the nearest quarter hour period, including, but not limited to, official assessment time, travel time, and time... costs. Applicants are responsible for paying actual travel costs incurred to provide QSVP services...

  15. 78 FR 52209 - Proposed Fee Schedule for Commercial Filming and Still Photography Permits

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-22

    ... fees would be based on sound business management principles and would provide a fair return to the... DEPARTMENT OF THE INTERIOR Bureau of Land Management, Fish and Wildlife Service National Park... Management, U.S. Fish and Wildlife Service, National Park Service, Interior; Forest Service, Agriculture...

  16. 75 FR 80789 - Notice of New Fee Site; Federal Lands Recreation Enhancement Act, (Title VIII, Pub. L. 108-447)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-23

    ... DEPARTMENT OF AGRICULTURE Forest Service Notice of New Fee Site; Federal Lands Recreation Enhancement Act, (Title VIII, Pub. L. 108-447) AGENCY: Rio Grande National Forest, USDA Forest Service. ACTION.... SUPPLEMENTARY INFORMATION: The Federal Recreation Lands Enhancement Act (Title VII, Pub. L. 108-447) directed...

  17. 77 FR 62215 - Notice of Proposed New Fee Site; Federal Lands Recreation Enhancement Act, (Title VIII, Pub. L...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-12

    ... DEPARTMENT OF AGRICULTURE Forest Service Notice of Proposed New Fee Site; Federal Lands Recreation Enhancement Act, (Title VIII, Pub. L. 108-447) AGENCY: Payette National Forest, Forest Service, USDA. ACTION... INFORMATION: The Federal Recreation Lands Enhancement Act (Title VII, Pub. L. 108-447) directed the Secretary...

  18. Do Librarians Really Do That? Or Providing Custom, Fee-Based Services.

    ERIC Educational Resources Information Center

    Whitmore, Susan; Heekin, Janet

    This paper describes some of the fee-based, custom services provided by National Institutes of Health (NIH) Library to NIH staff, including knowledge management, clinical liaisons, specialized database searching, bibliographic database development, Web resource guide development, and journal management. The first section discusses selecting the…

  19. 78 FR 58342 - Proposed Fee Schedule for Commercial Filming and Still Photography Permits

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-23

    ... ; put ``Commercial Filming Fee Schedule'' in the subject line. Mail: Lee Dickinson, Special Park Uses... FURTHER INFORMATION CONTACT: Lee Dickinson, National Park Service at 202-513-7092 or by email at lee...

  20. CIDR

    Science.gov Websites

    internal JHU investigators and external scientists on a fee-for-service basis. Whole Exome and Custom Initiation Application Schedule Service Information and Pricing Services Sample Requirements Pricing SNP Us -Privacy Policy -Site Map Search You are here: CIDR>Service Information and Pricing> Pricing

  1. Reality Investing | Alaska Division of Retirement and Benefits

    Science.gov Websites

    account for you. An annual fee based on your account balance will be assessed to your account quarterly . For instance, if you have a $10,000 account balance, the annual fee to have your account managed for chart below for the fee schedule. Managed Account Service Annual Fees Account Balance Annual Fee Less

  2. Use and Costs Under the Iowa Capitation Drug Program

    PubMed Central

    Yesalis, Charles E.; Norwood, G. Joseph; Lipson, David P.; Helling, Dennis K.; Burmeister, Leon F.; Fisher, Wayne P.

    1981-01-01

    This article evaluates changes in the use of drug services and the corresponding costs when the conventional fee-for-service system for reimbursement of pharmacists under Medicaid is replaced by a capitation system. The fee-for-service system usually covers ingredient costs plus a fixed professional dispensing fee. The capitation system provided a cash payment (which varied by aid category and season of the year) per Medicaid eligible the first of each month. We examined drug use and costs in two experimental rural counties during a 1-year preperiod in which the fee-for-service form of reimbursement was employed, as well as a 2-year postperiod in which the capitation system was used. We compared the results with use and cost patterns in two other rural counties which remained on the fee-for-service system during the same 3-year period. Drug use was similar among control and experimental counties with the exception of nursing home patients; use in this category decreased under capitation and increased under fee-for-service. Using three measures of drug cost: 1) average cost of a day's drug therapy; 2) average drug costs per recipient; and 3) average Medicaid expenditures for drug services per recipient, we observed significant savings under the capitation reimbursement system as compared to the fee-for-service system. We attributed savings under capitation to shifts in prescribing and dispensing behavior, as well as changes in use by nursing home patients. Based upon these findings, the total savings resulting from implementing capitation would be approximately 16 percent when compared to fee-for-service reimbursement. PMID:10309472

  3. 77 FR 77133 - Self-Regulatory Organizations; The Options Clearing Corporation; Notice of Filing and Immediate...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-31

    ... month fee if they elect to subscribe to a service that provides real-time series information data. OCC... and processes to accommodate real-time feeds of Series Information data to Subscribers; however... these costs, OCC plans to charge a $250 per month fee to Subscribers receiving real-time Series...

  4. Removing user fees for basic health services: a pilot study and national roll-out in Afghanistan

    PubMed Central

    Steinhardt, Laura C; Aman, Iqbal; Pakzad, Iqbalshah; Kumar, Binay; Singh, Lakhwinder P; Peters, David H

    2011-01-01

    Background User fees for primary care tend to suppress utilization, and many countries are experimenting with fee removal. Studies show that additional inputs are needed after removing fees, although well-documented experiences are lacking. This study presents data on the effects of fee removal on facility quality and utilization in Afghanistan, based on a pilot experiment and subsequent nationwide ban on fees. Methods Data on utilization and observed structural and perceived overall quality of health care were compared from before-and-after facility assessments, patient exit interviews and catchment area household surveys from eight facilities where fees were removed and 14 facilities where fee levels remained constant, as part of a larger health financing pilot study from 2005 to 2007. After a national user fee ban was instituted in 2008, health facility administrative data were analysed to assess subsequent changes in utilization and quality. Results The pilot study analysis indicated that observed and perceived quality increased across facilities but did not differ by fee removal status. Difference-in-difference analysis showed that utilization at facilities previously charging both service and drug fees increased by 400% more after fee removal, prompting additional inputs from service providers, compared with facilities that previously only charged service fees or had no change in fees (P = 0.001). Following the national fee ban, visits for curative care increased significantly (P < 0.001), but institutional deliveries did not. Services typically free before the ban—immunization and antenatal care—had immediate increases in utilization but these were not sustained. Conclusion Both pilot and nationwide data indicated that curative care utilization increased following fee removal, without differential changes in quality. Concerns raised by non-governmental organizations, health workers and community leaders over the effects of lost revenue and increased utilization require continued effort to raise revenues, monitor health worker and patient perceptions, and carefully manage health facility performance. PMID:22027924

  5. 49 CFR 1002.3 - Updating user fees.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Services, 1 I.C.C.2d 60 (1984) or subsequent cost studies. The base period for measuring changes shall be... material in the Federal Register. (e) Rounding of updated fees. Updated fees shall be rounded in the...

  6. 49 CFR 1002.3 - Updating user fees.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Services, 1 I.C.C.2d 60 (1984) or subsequent cost studies. The base period for measuring changes shall be... material in the Federal Register. (e) Rounding of updated fees. Updated fees shall be rounded in the...

  7. 49 CFR 1002.3 - Updating user fees.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Services, 1 I.C.C.2d 60 (1984) or subsequent cost studies. The base period for measuring changes shall be... material in the Federal Register. (e) Rounding of updated fees. Updated fees shall be rounded in the...

  8. 45 CFR 302.30 - Publicizing the availability of support enforcement services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ..., DEPARTMENT OF HEALTH AND HUMAN SERVICES STATE PLAN REQUIREMENTS § 302.30 Publicizing the availability of... public service announcements. Publicity must include information on any application fees which may be imposed for such services and a telephone number or postal address where further information may be...

  9. 45 CFR 302.30 - Publicizing the availability of support enforcement services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ..., DEPARTMENT OF HEALTH AND HUMAN SERVICES STATE PLAN REQUIREMENTS § 302.30 Publicizing the availability of... public service announcements. Publicity must include information on any application fees which may be imposed for such services and a telephone number or postal address where further information may be...

  10. 45 CFR 302.30 - Publicizing the availability of support enforcement services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ..., DEPARTMENT OF HEALTH AND HUMAN SERVICES STATE PLAN REQUIREMENTS § 302.30 Publicizing the availability of... public service announcements. Publicity must include information on any application fees which may be imposed for such services and a telephone number or postal address where further information may be...

  11. 15 CFR 50.5 - Fee structure for age search and citizenship information.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Foreign Trade BUREAU OF THE CENSUS, DEPARTMENT OF COMMERCE SPECIAL SERVICES AND STUDIES BY THE BUREAU OF... to the $65.00 transcript fee. Note: An additional charge of $20.00 per case is charged for expedited...

  12. Is There Variation in Procedural Utilization for Lumbar Spine Disorders Between a Fee-for-Service and Salaried Healthcare System?

    PubMed

    Schoenfeld, Andrew J; Makanji, Heeren; Jiang, Wei; Koehlmoos, Tracey; Bono, Christopher M; Haider, Adil H

    2017-12-01

    Whether compensation for professional services drives the use of those services is an important question that has not been answered in a robust manner. Specifically, there is a growing concern that spine care practitioners may preferentially choose more costly or invasive procedures in a fee-for-service system, irrespective of the underlying lumbar disorder being treated. (1) Were proportions of interbody fusions higher in the fee-for-service setting as opposed to the salaried Department of Defense setting? (2) Were the odds of interbody fusion increased in a fee-for-service setting after controlling for indications for surgery? Patients surgically treated for lumbar disc herniation, spinal stenosis, and spondylolisthesis (2006-2014) were identified. Patients were divided into two groups based on whether the surgery was performed in the fee-for-service setting (beneficiaries receive care at a civilian facility with expenses covered by TRICARE insurance) or at a Department of Defense facility (direct care). There were 28,344 patients in the entire study, 21,290 treated in fee-for-service and 7054 treated in Department of Defense facilities. Differences in the rates of fusion-based procedures, discectomy, and decompression between both healthcare settings were assessed using multinomial logistic regression to adjust for differences in case-mix and surgical indication. TRICARE beneficiaries treated for lumbar spinal disorders in the fee-for-service setting had higher odds of receiving interbody fusions (fee-for-service: 7267 of 21,290 [34%], direct care: 1539 of 7054 [22%], odds ratio [OR]: 1.25 [95% confidence interval 1.20-1.30], p < 0.001). Purchased care patients were more likely to receive interbody fusions for a diagnosis of disc herniation (adjusted OR 2.61 [2.36-2.89], p < 0.001) and for spinal stenosis (adjusted OR 1.39 [1.15-1.69], p < 0.001); however, there was no difference for patients with spondylolisthesis (adjusted OR 0.99 [0.84-1.16], p = 0.86). The preferential use of interbody fusion procedures was higher in the fee-for-service setting irrespective of the underlying diagnosis. These results speak to the existence of provider inducement within the field of spine surgery. This reality portends poor performance for surgical practices and hospitals in Accountable Care Organizations and bundled payment programs in which provider inducement is allowed to persist. Level III, economic and decision analysis.

  13. An assessment of the effect of user fee policy reform on facility-based deliveries in rural Zambia.

    PubMed

    Chama-Chiliba, Chitalu Miriam; Koch, Steven Fredric

    2016-12-07

    Improving maternal health outcomes by reducing barriers to accessing maternal health services is a key goal for most developing countries. This paper analyses the effect of user fee removal, which was announced for rural areas of Zambia in April 2006, on the use of public health facilities for childbirth. Data from the 2007 Zambia Demographic and Health Survey, including birth histories for the five years preceding the survey, is linked to administrative data and geo-referenced health facility census data. We exploit a difference-in-differences design, due to a differential change in user fees at the district level; fees were removed in 54 rural districts, but not in the 18 remaining urban districts. We use multilevel modelling to estimate the effect of this policy change, based on 4018 births from May 2002 to September 2007, covering a period before and after the policy announcement in April 2006. The difference-in-difference estimates point to statistically insignificant changes in the proportion of women giving birth at home and in public facilities, but significant changes are found for deliveries in private (faith-based) facilities. Thus, the abolition of delivery fees is found to have some effect on where Zambian mothers choose to have their children born. The removal of user fees has not overcome barriers to the utilisation of delivery services at public facilities. User fee removal may also yield unintended consequences deterring the utilisation of delivery services. Therefore, abolishing user fees, alone, may not be sufficient to affect changes in utilisation; instead, other efforts, such as improving service quality, may have a greater impact.

  14. Economic Assessment: A Model for Assessing Ability to Pay.

    ERIC Educational Resources Information Center

    Andre, Patricia; And Others

    1978-01-01

    Accurate assessment of the client's ability to pay is the cornerstone to fee collections in any service organization. York County Counseling Services implemented a new method of fee assessment and collection based on the principles of providing a service worth paying for, accurate assessment of ability to pay, and a budget-payment system. (Author)

  15. 7 CFR 54.27 - Fees and other charges for service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... (CONTINUED) MEATS, PREPARED MEATS, AND MEAT PRODUCTS (GRADING, CERTIFICATION, AND STANDARDS) Regulations... (Hourly Rates). Except as otherwise provided in this section, fees for service shall be based on the time... to the plant on a commitment basis to perform service for other applicants, as provided in § 54.6(c...

  16. 7 CFR 54.27 - Fees and other charges for service.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... (CONTINUED) MEATS, PREPARED MEATS, AND MEAT PRODUCTS (GRADING, CERTIFICATION, AND STANDARDS) Regulations... (Hourly Rates). Except as otherwise provided in this section, fees for service shall be based on the time... to the plant on a commitment basis to perform service for other applicants, as provided in § 54.6(c...

  17. 7 CFR 54.27 - Fees and other charges for service.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... (CONTINUED) MEATS, PREPARED MEATS, AND MEAT PRODUCTS (GRADING, CERTIFICATION, AND STANDARDS) Regulations... (Hourly Rates). Except as otherwise provided in this section, fees for service shall be based on the time... to the plant on a commitment basis to perform service for other applicants, as provided in § 54.6(c...

  18. 7 CFR 54.27 - Fees and other charges for service.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... (CONTINUED) MEATS, PREPARED MEATS, AND MEAT PRODUCTS (GRADING, CERTIFICATION, AND STANDARDS) Regulations... (Hourly Rates). Except as otherwise provided in this section, fees for service shall be based on the time... to the plant on a commitment basis to perform service for other applicants, as provided in § 54.6(c...

  19. 7 CFR 54.27 - Fees and other charges for service.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... (CONTINUED) MEATS, PREPARED MEATS, AND MEAT PRODUCTS (GRADING, CERTIFICATION, AND STANDARDS) Regulations... (Hourly Rates). Except as otherwise provided in this section, fees for service shall be based on the time... to the plant on a commitment basis to perform service for other applicants, as provided in § 54.6(c...

  20. 36 CFR § 1120.51 - Charges for services, generally.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... TRANSPORTATION BARRIERS COMPLIANCE BOARD PUBLIC AVAILABILITY OF INFORMATION Copies of Records and Fees for... requested records. (b) Categories of requesters. For the purpose of standard FOIA fee assessment, the four categories of requesters are: Commercial use requesters; educational and non-commercial scientific...

  1. 77 FR 41678 - Amendment Relating to Reasonable Contract or Arrangement Under Section 408(b)(2)-Fee Disclosure...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-16

    ...This document revises the mailing address and web-based submission procedures for filing certain notices under the Department of Labor (Department) Employee Benefits Security Administration's fiduciary-level fee disclosure regulation under section 408(b)(2) of the Employee Retirement Income Security Act of 1974 (ERISA). Responsible plan fiduciaries of employee pension benefit plans must file these notices with the Department to obtain relief from ERISA's prohibited transaction provisions that otherwise may apply when a covered service provider to the plan fails to disclose information in accordance with the regulation's requirements.

  2. Use of fees to fund local public health services in Western Massachusetts.

    PubMed

    Shila Waritu, A; Bulzacchelli, Maria T; Begay, Michael E

    2015-01-01

    Recent budget cuts have forced many local health departments (LHDs) to cut staff and services. Setting fees that cover the cost of service provision is one option for continuing to fund certain activities. To describe the use of fees by LHDs in Western Massachusetts and determine whether fees charged cover the cost of providing selected services. A cross-sectional descriptive analysis was used to identify the types of services for which fees are charged and the fee amounts charged. A comparative cost analysis was conducted to compare fees charged with estimated costs of service provision. Fifty-nine LHDs in Western Massachusetts. Number of towns charging fees for selected types of services; minimum, maximum, and mean fee amounts; estimated cost of service provision; number of towns experiencing a surplus or deficit for each service; and average size of deficits experienced. Enormous variation exists both in the types of services for which fees are charged and fee amounts charged. Fees set by most health departments did not cover the cost of service provision. Some fees were set as much as $600 below estimated costs. These results suggest that considerations other than costs of service provision factor into the setting of fees by LHDs in Western Massachusetts. Given their limited and often uncertain funding, LHDs could benefit from examining their fee schedules to ensure that the fee amounts charged cover the costs of providing the services. Cost estimates should include at least the health agent's wage and time spent performing inspections and completing paperwork, travel expenses, and cost of necessary materials.

  3. Applying Resource Based Relative Value Scales (RBRVS) to the Champus Program

    DTIC Science & Technology

    1990-12-01

    fee for the related service .[Ref. 6:p. 7] F. EFFECTS OF RBRVS When a Medicare fee schedule is fully implemented, several Important...reimbursement rates increase would be attracted to CHAMPUS. In analyzing the impact of a resource based fee schedule on the Medicare program, the PPRC...procedures performed by physicians into components of work, training costs, and practice costs. The Medicare program is planning to implement a fee

  4. 41 CFR 105-60.305 - Fees.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (Continued) GENERAL SERVICES ADMINISTRATION Regional Offices-General Services Administration 60-PUBLIC AVAILABILITY OF AGENCY RECORDS AND INFORMATIONAL MATERIALS 60.3-Availability of Opinions, Orders, Policies...

  5. 41 CFR 105-60.305 - Fees.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... (Continued) GENERAL SERVICES ADMINISTRATION Regional Offices-General Services Administration 60-PUBLIC AVAILABILITY OF AGENCY RECORDS AND INFORMATIONAL MATERIALS 60.3-Availability of Opinions, Orders, Policies...

  6. The Alignment and Blending of Payment Incentives within Physician Organizations

    PubMed Central

    Robinson, James C; Shortell, Stephen M; Li, Rui; Casalino, Lawrence P; Rundall, Thomas

    2004-01-01

    Objective To analyze the blend of retrospective (fee-for-service, productivity-based salary) and prospective (capitation, nonproductivity-based salary) methods for compensating individual physicians within medical groups and independent practice associations (IPAs) and the influence of managed care on the compensation blend used by these physician organizations. Data Sources Of the 1,587 medical groups and IPAs with 20 or more physicians in the United States, 1,104 responded to a one-hour telephone survey, with 627 providing detailed information on physician payment methods. Study Design We calculated the distribution of compensation methods for primary care and specialty physicians, separately, in both medical groups and IPAs. Multivariate regression methods were used to analyze the influence of market and organizational factors on the payment method developed by physician organizations for individual physicians. Principal Findings Within physician organizations, approximately one-quarter of physicians are paid on a purely retrospective (fee-for-service) basis, approximately one-quarter are paid on a purely prospective (capitation, nonproductivity-based salary) basis, and approximately one-half on blends of retrospective and prospective methods. Medical groups and IPAs in heavily penetrated managed care markets are significantly less likely to pay their individual physicians based on fee-for-service than are organizations in less heavily penetrated markets. Conclusions Physician organizations rely on a wide range of prospective, retrospective, and blended payment methods and seek to align the incentives faced by individual physicians with the market incentives faced by the physician organization. PMID:15333124

  7. 76 FR 41726 - Reporting Ancillary Airline Passenger Revenues

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-15

    ... mishandled bags per unit of checked bags. Fees for checked baggage have changed consumer behavior regarding... delivery services, et cetera. The Department wants to make airline pricing more transparent to consumers..., Commercial Aviation--Consumers Could Benefit from Better Information about Airline-Imposed Fees and...

  8. Release of information: are hospitals taking a hit?

    PubMed

    Bellenghi, G Michael; Coffey, Bonnie; Fournier, Joseph E; McDavid, Jan P

    2008-11-01

    Outsourcing release-of-information requests helps hospitals alleviate administrative and compliance burdens and expense. Recently, state lawmakers have begun to draft legislation reducing the maximum fee that may be charged for copies of electronically stored records. The reduced fees may not cover expenses. If such legislation makes it difficult for outsourcing companies to make a profit from this service, hospitals ultimately could bear the expense and risk.

  9. 32 CFR 811.7 - Collecting and controlling fees.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Collecting and controlling fees. 811.7 Section 811.7 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE SALES AND SERVICES RELEASE, DISSEMINATION, AND SALE OF VISUAL INFORMATION MATERIALS § 811.7 Collecting and...

  10. 47 CFR 63.20 - Electronic filing, copies required; fees; and filing periods for international service providers.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... homepage. For information on electronic filing requirements, see part 1, §§ 1.1000 through 1.10018 of this chapter and the IBFS homepage at http://www.fcc.gov/ibfs. Each application shall be accompanied by the fee...

  11. 14 CFR 389.13 - Fees for services.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 4 2011-01-01 2011-01-01 false Fees for services. 389.13 Section 389.13 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) ORGANIZATION FEES AND CHARGES FOR SPECIAL SERVICES Fees for Special Services § 389.13 Fees for services. Except...

  12. 14 CFR 389.13 - Fees for services.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Fees for services. 389.13 Section 389.13 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) ORGANIZATION FEES AND CHARGES FOR SPECIAL SERVICES Fees for Special Services § 389.13 Fees for services. Except...

  13. Unit Costing of Health Extension Worker Activities in Ethiopia: A Model for Managers at the District and Health Facility Level

    PubMed Central

    Canavan, Maureen E.; Linnander, Erika; Ahmed, Shirin; Mohammed, Halima; Bradley, Elizabeth H.

    2018-01-01

    Background: Over the last decade, Ethiopia has made impressive national improvements in health outcomes, including reductions in maternal, neonatal, infant, and child mortality attributed in large part to their Health Extension Program (HEP). As this program continues to evolve and improve, understanding the unit cost of health extension worker (HEW) services is fundamental to planning for future growth and ensuring adequate financial support to deliver effective primary care throughout the country. Methods: We sought to examine and report the data needed to generate a HEW fee schedule that would allow for full cost recovery for HEW services. Using HEW activity data and estimates from national studies and local systems we were able to estimate salary costs and the average time spent by an HEW per patient/community encounter for each type of services associated with specific users. Using this information, we created separate fee schedules for activities in urban and rural settings with two estimates of non-salary multipliers to calculate the total cost for HEW services. Results: In the urban areas, the HEW fees for full cost recovery of the provision of services (including salary, supplies, and overhead costs) ranged from 55.1 birr to 209.1 birr per encounter. The rural HEW fees ranged from 19.6 birr to 219.4 birr. Conclusion: Efforts to support health system strengthening in low-income settings have often neglected to generate adequate, actionable data on the costs of primary care services. In this study, we have combined time-motion and available financial data to generate a fee schedule that allows for full cost recovery of the provision of services through billable health education and service encounters provided by Ethiopian HEWs. This may be useful in other country settings where managers seek to make evidence-informed planning and resource allocation decisions to address high burden of disease within the context of weak administrative data systems and severe financial constraints. PMID:29764103

  14. 49 CFR 360.1 - Fees for records search, review, copying, certification, and related services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... the following basis, pursuant to the Freedom of Information Act regulations at 49 CFR Part 7: (a) Certificate of the Director, Office of Data Analysis and Information Systems, as to the authenticity of... service. Information on those charges can be obtained from the Office of Data Analysis and Information...

  15. 77 FR 15033 - Privacy Act Systems of Records; APHIS Veterinary Services User Fee System

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-14

    ... UFS tracks the accuracy of expenditures and collections transactions of credit accounts. Information obtained in the credit account application is entered into the Foundation Financial Information System... information about the user's credit account, including charges and payments made, date(s) and type of service...

  16. 22 CFR 72.31 - Fees for consular death and estates services.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Fees for consular death and estates services... PROPERTY AND ESTATES DEATHS AND ESTATES Fees § 72.31 Fees for consular death and estates services. (a) Fees for consular death and estates services are prescribed in the Schedule of Fees, 22 CFR 22.1. (b) The...

  17. 22 CFR 72.31 - Fees for consular death and estates services.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Fees for consular death and estates services... PROPERTY AND ESTATES DEATHS AND ESTATES Fees § 72.31 Fees for consular death and estates services. (a) Fees for consular death and estates services are prescribed in the Schedule of Fees, 22 CFR 22.1. (b) The...

  18. 22 CFR 72.31 - Fees for consular death and estates services.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Fees for consular death and estates services... PROPERTY AND ESTATES DEATHS AND ESTATES Fees § 72.31 Fees for consular death and estates services. (a) Fees for consular death and estates services are prescribed in the Schedule of Fees, 22 CFR 22.1. (b) The...

  19. 22 CFR 72.31 - Fees for consular death and estates services.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Fees for consular death and estates services... PROPERTY AND ESTATES DEATHS AND ESTATES Fees § 72.31 Fees for consular death and estates services. (a) Fees for consular death and estates services are prescribed in the Schedule of Fees, 22 CFR 22.1. (b) The...

  20. The effect of health payment reforms on cost containment in Taiwan hospitals: the agency theory perspective.

    PubMed

    Chang, Li

    2011-01-01

    This study aims to determine whether the Taiwanese government's implementation of new health care payment reforms (the National Health Insurance with fee-for-service (NHI-FFS) and global budget (NHI-GB)) has resulted in better cost containment. Also, the question arises under the agency theory whether the monitoring system is effective in reducing the risk of information asymmetry. This study uses panel data analysis with fixed effects model to investigate changes in cost containment at Taipei municipal hospitals before and after adopting reforms from 1989 to 2004. The results show that the monitoring system does not reduce information asymmetry to improve cost containment under the NHI-FFS. In addition, after adopting the NHI-GB system, health care costs are controlled based on an improved monitoring system in the policymaker's point of view. This may suggest that the NHI's fee-for-services system actually causes health care resource waste. The GB may solve the problems of controlling health care costs only on the macro side.

  1. Understanding Variations in Medicare Consumer Assessment of Health Care Providers and Systems Scores: California as an Example

    PubMed Central

    Farley, Donna O; Elliott, Marc N; Haviland, Amelia M; Slaughter, Mary Ellen; Heller, Amy

    2011-01-01

    Objective To understand reasons why California has lower Consumer Assessment of Healthcare Providers and Systems (CAHPS) scores than the rest of the country, including differing patterns of CAHPS scores between Medicare Advantage (MA) and fee-for-service, effects of additional demographic characteristics of beneficiaries, and variation across MA plans within California. Study Design/Data Collection Using 2008 CAHPS survey data for fee-for-service Medicare beneficiaries and MA members, we compared mean case mix adjusted Medicare CAHPS scores for California and the remainder of the nation. Principal Findings California fee-for-service Medicare had lower scores than non-California fee-for-service on 11 of 14 CAHPS measures; California MA had lower scores only for physician services measures and higher scores for other measures. Adding race/ethnicity and urbanity to risk adjustment improved California standing for all measures in both MA and fee-for-service. Within the MA plans, one large plan accounted for the positive performance in California MA; other California plans performed below national averages. Conclusions This study shows that the mix of fee-for-service and MA enrollees, demographic characteristics of populations, and plan-specific factors can all play a role in observed regional variations. Anticipating value-based payments, further study of successful MA plans could generate lessons for enhancing patient experience for the Medicare population. PMID:21644970

  2. 5 CFR 2411.13 - Fees.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... AUTHORITY AND FEDERAL SERVICE IMPASSES PANEL GENERAL PROVISIONS AVAILABILITY OF OFFICIAL INFORMATION § 2411... distinct work, and distributes that work to an audience. The term `news' means information that is about... newspapers through telecommunications services), such alternative media shall be considered to be news-media...

  3. 5 CFR 2411.13 - Fees.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... AUTHORITY AND FEDERAL SERVICE IMPASSES PANEL GENERAL PROVISIONS AVAILABILITY OF OFFICIAL INFORMATION § 2411... distinct work, and distributes that work to an audience. The term `news' means information that is about... newspapers through telecommunications services), such alternative media shall be considered to be news-media...

  4. Family Planning Services Available to Migratory Farm Workers in the Mid-Continent Streams.

    ERIC Educational Resources Information Center

    Planned Parenthood--World Population, Austin, TX. Southwest Region.

    The information in this directory is designed to promote continuity in family planning services for migrant families in mid-continent streams. It provides professional personnel with a new tool to help meet the distinctive needs of individual migrants. Names, addresses, schedules, methods, and fee information of service agencies (health…

  5. 42 CFR 417.810 - Final settlement.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED...) The HCPP's per capita incurred costs of providing covered Part B services to its Medicare enrollees... receiving health care services on a fee-for-service or other basis; and (iii) Information on enrollment and...

  6. Implementing a Fee-for-Service Cervical Cancer Screening and Treatment Program in Cameroon: Challenges and Opportunities.

    PubMed

    DeGregorio, Geneva; Manga, Simon; Kiyang, Edith; Manjuh, Florence; Bradford, Leslie; Cholli, Preetam; Wamai, Richard; Ogembo, Rebecca; Sando, Zacharie; Liu, Yuxin; Sheldon, Lisa Kennedy; Nulah, Kathleen; Welty, Thomas; Welty, Edith; Ogembo, Javier Gordon

    2017-07-01

    Cervical cancer screening is one of the most effective cancer prevention strategies, but most women in Africa have never been screened. In 2007, the Cameroon Baptist Convention Health Services, a large faith-based health care system in Cameroon, initiated the Women's Health Program (WHP) to address this disparity. The WHP provides fee-for-service cervical cancer screening using visual inspection with acetic acid enhanced by digital cervicography (VIA-DC), prioritizing care for women living with HIV/AIDS. They also provide clinical breast examination, family planning (FP) services, and treatment for reproductive tract infection (RTI). Here, we document the strengths and challenges of the WHP screening program and the unique aspects of the WHP model, including a fee-for-service payment system and the provision of other women's health services. We retrospectively reviewed WHP medical records from women who presented for cervical cancer screening from 2007-2014. In 8 years, WHP nurses screened 44,979 women for cervical cancer. The number of women screened increased nearly every year. The WHP is sustained primarily on fees-for-service, with external funding totaling about $20,000 annually. In 2014, of 12,191 women screened for cervical cancer, 99% received clinical breast exams, 19% received FP services, and 4.7% received treatment for RTIs. We document successes, challenges, solutions implemented, and recommendations for optimizing this screening model. The WHP's experience using a fee-for-service model for cervical cancer screening demonstrates that in Cameroon VIA-DC is acceptable, feasible, and scalable and can be nearly self-sustaining. Integrating other women's health services enabled women to address additional health care needs. The Cameroon Baptist Convention Health Services Women's Health Program successfully implemented a nurse-led, fee-for-service cervical cancer screening program using visual inspection with acetic acid-enhanced by digital cervicography in the setting of a large faith-based health care system in Cameroon. It is potentially replicable in many African countries, where faith-based organizations provide a large portion of health care. The cost-recovery model and concept of offering multiple services in a single clinic rather than stand-alone "silo" cervical cancer screening could provide a model for other low-and-middle-income countries planning to roll out a new, or make an existing, cervical cancer screening services accessible, comprehensive, and sustainable. © AlphaMed Press 2017.

  7. 22 CFR 22.1 - Schedule of fees.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Schedule of Fees for Consular Services: Schedule of Fees for Consular Services Item No. Fee Passport and Citizenship Services 1. Passport Book or Card Execution: Required for first-time applicants and others who... application pay only one execution fee.) $25. 2. Passport Book Application Services for: (a) Applicants age 16...

  8. 22 CFR 22.1 - Schedule of fees.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Schedule of Fees for Consular Services: Schedule of Fees for Consular Services Item No. Fee Passport and Citizenship Services 1. Passport Book or Card Execution: Required for first-time applicants and others who... application pay only one execution fee.) $25. 2. Passport Book Application Services for: (a) Applicants age 16...

  9. 22 CFR 22.1 - Schedule of fees.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Schedule of Fees for Consular Services: Schedule of Fees for Consular Services Item No. Fee Passport and Citizenship Services 1. Passport Book or Card Execution: Required for first-time applicants and others who... application pay only one execution fee.) $25. 2. Passport Book Application Services for: (a) Applicants age 16...

  10. 22 CFR 22.1 - Schedule of fees.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Schedule of Fees for Consular Services: Schedule of Fees for Consular Services Item No. Fee Passport and Citizenship Services 1. Passport Book or Card Execution: Required for first-time applicants and others who... application pay only one execution fee.) $25. 2. Passport Book Application Services for: (a) Applicants age 16...

  11. 43 CFR 3830.20 - Payment of service charges, location fees, initial maintenance fees, annual maintenance fees and...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 43 Public Lands: Interior 2 2012-10-01 2012-10-01 false Payment of service charges, location fees, initial maintenance fees, annual maintenance fees and oil shale fees. 3830.20 Section 3830.20 Public Lands..., initial maintenance fees, annual maintenance fees and oil shale fees. ...

  12. 43 CFR 3830.20 - Payment of service charges, location fees, initial maintenance fees, annual maintenance fees and...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Payment of service charges, location fees, initial maintenance fees, annual maintenance fees and oil shale fees. 3830.20 Section 3830.20 Public Lands..., initial maintenance fees, annual maintenance fees and oil shale fees. ...

  13. 43 CFR 3830.20 - Payment of service charges, location fees, initial maintenance fees, annual maintenance fees and...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 43 Public Lands: Interior 2 2013-10-01 2013-10-01 false Payment of service charges, location fees, initial maintenance fees, annual maintenance fees and oil shale fees. 3830.20 Section 3830.20 Public Lands..., initial maintenance fees, annual maintenance fees and oil shale fees. ...

  14. 43 CFR 3830.20 - Payment of service charges, location fees, initial maintenance fees, annual maintenance fees and...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Payment of service charges, location fees, initial maintenance fees, annual maintenance fees and oil shale fees. 3830.20 Section 3830.20 Public Lands..., initial maintenance fees, annual maintenance fees and oil shale fees. ...

  15. 75 FR 17281 - Changes in Hourly Fee Rates for Science and Technology Laboratory Services-Fiscal Years 2010-2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-06

    ..., residue chemistry, proximate analysis for composition, and biomolecular (DNA-based) testing. A user fee... provide greater clarity of reported test analyses and laboratory determinations. DATES: Effective April 7... analyses and laboratory determinations provided by AMS laboratory services apply only to the submitted...

  16. 30 CFR 256.63 - Service fees.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Service fees. 256.63 Section 256.63 Mineral... IN THE OUTER CONTINENTAL SHELF Assignments, Transfers, and Extensions § 256.63 Service fees. (a) The table in this paragraph (a) shows the fees that you must pay to MMS for the services listed. The fees...

  17. The impact of physician payment methods on raising the efficiency of the healthcare system: an international comparison.

    PubMed

    Simoens, Steven; Giuffrida, Antonio

    2004-01-01

    This article reviews policies on physician payment methods that Organisation for Economic Cooperation and Development (OECD) countries have implemented to promote an efficient deployment of physicians. Countries' experiences show that payment by fee-for-service, capitation and salary influences physician activity levels and productivity. However, the impact of these simple payment methods is complex and may be diluted by clinical, demographic, ethical and organisational factors. Policies that have attempted to curb health expenditure by controlling fee levels have sometimes been eroded by physicians increasing the volume of service supply, or providing services that attract higher fees. Flexible blended payment methods based on the combination of a fixed component, through either capitation or salary, and a variable component, through fee-for-service, may produce a desirable mix of incentives. Integrating such blended payment methods with mechanisms to monitor physician activity may offer potential success.

  18. 7 CFR 3550.153 - Fees.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... DIRECT SINGLE FAMILY HOUSING LOANS AND GRANTS Regular Servicing § 3550.153 Fees. RHS may assess reasonable fees including a tax service fee, fees for late payments, and fees for checks returned for...

  19. HMO penetration, competition, and risk-adjusted hospital mortality.

    PubMed

    Mukamel, D B; Zwanziger, J; Tomaszewski, K J

    2001-12-01

    HMOs have been shown to have an effect on the care provided directly to their enrollees. They may also influence the care provided to individuals in fee-for-service plans through a spill-over effect. The objective of this study was to investigate the associations among HMO market penetration, HMO and hospital competition, and the quality of care received by Medicare fee-for-service patients measured by risk-adjusted hospital mortality rates. The 1990 data for 1,927 hospitals in 134 metropolitan statistical areas (with five or more hospitals) included Medicare fee-for-service risk-adjusted mortality rates from the Medicare Hospital Information Reports, hospital characteristics from the American Hospital Association annual survey, and HMO market penetration and competition calculated from InterStudy and Group Health Association of America data. Statistical regression techniques were used to identify the associations between HMO market penetration, competition, and risk-adjusted mortality, controlling for other hospital characteristics and region. Higher HMO market penetration and to a lesser degree increased HMO competition were associated with better mortality outcomes for fee-for-service Medicare enrollees. Competition between hospitals did not exhibit a significant association. HMOs may have a spill-over effect on quality of care received by individuals enrolled in fee-for-service plans. These findings may be explained by a positive effect on local practice styles or a preferential selection by HMOs for areas with better hospital care.

  20. 75 FR 21583 - Notice of Proposed New Fee Site; Federal Lands Recreation Enhancement Act (Title VIII, Pub. L...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-26

    ... on the level of amenities and services provided, cost of operations and maintenance, market... comment. Funds from fees would be used for the continued operation and maintenance and improvements of..., serving tables, utility tables, information bulletins, fencing, improved roads and a host site. These...

  1. 78 FR 59949 - Annual Factors for Determining Public Housing Agency Administrative Fees for the Section 8...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-30

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5724-N-02] Annual Factors for... Web site of the annual factors for determining the on-going administrative fee for housing agencies... Relay Service during business hours at 1-800-877-8337. SUPPLEMENTARY INFORMATION: The annual factors for...

  2. 76 FR 6475 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-04

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2010-N-0603... Request; Animal Drug User Fees and Fee Waivers and Reductions AGENCY: Food and Drug Administration, HHS. ACTION: Notice. SUMMARY: The Food and Drug Administration (FDA) is announcing that a proposed collection...

  3. Medicare program; revisions to payment policies under the physician fee schedule, clinical laboratory fee schedule & other revisions to Part B for CY 2014. Final rule with comment period.

    PubMed

    2013-12-10

    This major final rule with comment period addresses changes to the physician fee schedule, clinical laboratory fee schedule, and other Medicare Part B payment policies to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. This final rule with comment period also includes a discussion in the Supplementary Information regarding various programs. (See the Table of Contents for a listing of the specific issues addressed in the final rule with comment period.)

  4. Capitation and enhanced fee-for-service models for primary care reform: a population-based evaluation

    PubMed Central

    Glazier, Richard H.; Klein-Geltink, Julie; Kopp, Alexander; Sibley, Lyn M.

    2009-01-01

    Background Primary care reform in Ontario, Canada, included the initiation of a blended capitation model in 2001–2002 and an enhanced fee-for-service model in 2003. Both models involve patient rostering, incentives for preventive care and requirements for after-hours care. We evaluated practice characteristics and patterns of care under both models. Methods Using administrative data, we identified physicians belonging to either the capitation or the enhanced fee-for-service group throughout the period from Sept. 1, 2005, to Aug. 31, 2006, and their enrolled patients. Practices were stratified by location (urban v. rural). We compared the groups in terms of practice characteristics and patterns of care, including comprehensiveness of care, continuity of care, after-hours care, visits to the emergency department and uptake of new patients. Results Patients in the capitation and enhanced fee-for-service practices had similar demographic characteristics. Patients in capitation practices had lower morbidity and comorbidity indices. Comprehensiveness and continuity of care were similar between the 2 groups. Compared with patients in enhanced fee-for-service practices, those in capitation practices had less after-hours care (adjusted rate ratio [RR] 0.68, 95% confidence interval [CI] 0.61–0.75) and more visits to emergency departments (adjusted RR 1.20, 95% CI 1.15–1.25). Overall, physicians in the capitation group enrolled fewer new patients than did physicians in the enhanced fee-for-service group (37.0 v. 52.0 per physician); the same was true of new graduates (60.3 v. 72.1 per physician). Interpretation Physicians enrolled in the capitation model had different practice characteristics than those in the enhanced fee-for-service model. These characteristics appeared to be pre-existing and not due to enrolment in a new model. Although the capitation model provides an alternative to fee-for-service practice, its characteristics should be the focus of future policy development and research. PMID:19468106

  5. 22 CFR 92.43 - Fees for notarial services and authentications.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Fees for notarial services and authentications. 92.43 Section 92.43 Foreign Relations DEPARTMENT OF STATE LEGAL AND RELATED SERVICES NOTARIAL AND RELATED SERVICES Specific Notarial Acts § 92.43 Fees for notarial services and authentications. The fees...

  6. 45 CFR 98.42 - Sliding fee scales.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... provides for cost sharing by families that receive CCDF child care services. (b) A sliding fee scale(s) shall be based on income and the size of the family and may be based on other factors as appropriate. (c... a family of the same size. ...

  7. 7 CFR 160.204 - Fees for extra cost and hourly rate service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Fees for extra cost and hourly rate service. 160.204... STORES REGULATIONS AND STANDARDS FOR NAVAL STORES Specific Fees Payable for Services Rendered § 160.204 Fees for extra cost and hourly rate service. The fees specified in §§ 160.201 and 160.202 apply to the...

  8. It's Not the Principle, It's the Money of the Thing.

    ERIC Educational Resources Information Center

    Budd, John M.

    1989-01-01

    Asserts that, although many arguments in favor of user fees for library services are based on economics, little economic benefit is actually gained by levying charges for some services. A microeconomics model that has been used to demonstrate the benefits of user fees is critiqued, and the issue of accountability is discussed. (23 references) (CLB)

  9. 42 CFR 414.410 - Phased-in implementation of competitive bidding programs.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... variables: (1) The total population of an MSA. (2) The Medicare allowed charges for DMEPOS items per fee-for-service beneficiary in an MSA. (3) The total number of DMEPOS suppliers per fee-for-service beneficiary... area with low population density based on one or more of the following factors— (1) Low utilization of...

  10. 32 CFR 204.3 - Policy and procedures.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... information media in the interest of public understanding of the Armed Forces. (v) Armed Forces participation....19. (vi) Records made available to the public, under the Freedom of Information Act, pursuant to 32.... (vii) Services furnished to non-Federal audio-visual media. Fees for such services are governed by the...

  11. 32 CFR 204.3 - Policy and procedures.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... information media in the interest of public understanding of the Armed Forces. (v) Armed Forces participation....19. (vi) Records made available to the public, under the Freedom of Information Act, pursuant to 32.... (vii) Services furnished to non-Federal audio-visual media. Fees for such services are governed by the...

  12. 32 CFR 204.3 - Policy and procedures.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... information media in the interest of public understanding of the Armed Forces. (v) Armed Forces participation....19. (vi) Records made available to the public, under the Freedom of Information Act, pursuant to 32.... (vii) Services furnished to non-Federal audio-visual media. Fees for such services are governed by the...

  13. 32 CFR 204.3 - Policy and procedures.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... information media in the interest of public understanding of the Armed Forces. (v) Armed Forces participation....19. (vi) Records made available to the public, under the Freedom of Information Act, pursuant to 32.... (vii) Services furnished to non-Federal audio-visual media. Fees for such services are governed by the...

  14. 42 CFR 422.114 - Access to services under an MA private fee-for-service plan.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Access to services under an MA private fee-for... Benefits and Beneficiary Protections § 422.114 Access to services under an MA private fee-for-service plan. (a) Sufficient access. (1) An MA organization that offers an MA private fee-for-service plan must...

  15. 42 CFR 422.114 - Access to services under an MA private fee-for-service plan.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Access to services under an MA private fee-for... Beneficiary Protections § 422.114 Access to services under an MA private fee-for-service plan. (a) Sufficient access. (1) An MA organization that offers an MA private fee-for-service plan must demonstrate to CMS...

  16. 42 CFR 422.114 - Access to services under an MA private fee-for-service plan.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Access to services under an MA private fee-for... Beneficiary Protections § 422.114 Access to services under an MA private fee-for-service plan. (a) Sufficient access. (1) An MA organization that offers an MA private fee-for-service plan must demonstrate to CMS...

  17. 42 CFR 422.114 - Access to services under an MA private fee-for-service plan.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Access to services under an MA private fee-for... Benefits and Beneficiary Protections § 422.114 Access to services under an MA private fee-for-service plan. (a) Sufficient access. (1) An MA organization that offers an MA private fee-for-service plan must...

  18. 42 CFR 422.114 - Access to services under an MA private fee-for-service plan.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 3 2013-10-01 2013-10-01 false Access to services under an MA private fee-for... Benefits and Beneficiary Protections § 422.114 Access to services under an MA private fee-for-service plan. (a) Sufficient access. (1) An MA organization that offers an MA private fee-for-service plan must...

  19. Disease management for chronically ill beneficiaries in traditional Medicare.

    PubMed

    Bott, David M; Kapp, Mary C; Johnson, Lorraine B; Magno, Linda M

    2009-01-01

    We summarize the Centers for Medicare and Medicaid Services' (CMS's) experience with disease management (DM) in fee-for-service Medicare. Since 1999, the CMS has conducted seven DM demonstrations involving some 300,000 beneficiaries in thirty-five programs. Programs include provider-based, third-party, and hybrid models. Reducing costs sufficient to cover program fees has proved particularly challenging. Final evaluations on twenty programs found three with evidence of quality improvement at or near budget-neutrality, net of fees. Interim monitoring covering at least twenty-one months on the remaining fifteen programs suggests that four are close to covering their fees. Characteristics of the traditional Medicare program present a challenge to these DM models.

  20. 76 FR 40849 - Post Office (PO) Box Fee Groups for Merged Locations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-12

    ... POSTAL SERVICE 39 CFR Part 111 Post Office (PO) Box Fee Groups for Merged Locations AGENCY: Postal... Locations.'' Faxed comments are not accepted. FOR FURTHER INFORMATION CONTACT: Nan McKenzie at 202-268-3089... boxes move to a different ZIP Code location because of a merger of two or more ZIP Code locations into a...

  1. 49 CFR 1510.5 - Imposition of security service fees.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 9 2014-10-01 2014-10-01 false Imposition of security service fees. 1510.5... SECURITY ADMINISTRATION, DEPARTMENT OF HOMELAND SECURITY ADMINISTRATIVE AND PROCEDURAL RULES PASSENGER CIVIL AVIATION SECURITY SERVICE FEES § 1510.5 Imposition of security service fees. (a) Each direct air...

  2. Speech-language pathologist-led fiberoptic endoscopic evaluation of swallowing: functional outcomes for patients after stroke.

    PubMed

    Bax, Louise; McFarlane, Mary; Green, Emma; Miles, Anna

    2014-03-01

    Dysphagia is a common complication after stroke and is associated with the development of pneumonia. Early detection of dysphagia and specifically aspiration is, therefore, critical in the prevention of pneumonia. Fiberoptic endoscopic evaluation of swallowing (FEES) is a safe bedside instrumental tool for detecting dysphagia and aspiration and, therefore, has the potential to inform dysphagia management. This study investigated the clinical utility of a speech-language pathologist-led FEES service on functional outcomes for patients after acute stroke. A retrospective file audit was carried out on 220 patients before FEES was introduced and on 220 patients after the implementation of a speech-language pathologist-led FEES service. The primary outcome measure was incidence of pneumonia, and secondary outcome measures included mortality, diet on discharge, discharge destination, duration nil-by-mouth, incidence of nonoral feeding, and length of stay. There was a significant increase in instrumental assessment use in the group that had access to FEES (P < .001). There was a significant reduction of pneumonia rates in the group that had access to FEES (P = .037). Patients were also significantly more likely to leave hospital on standard diets (P = .004) but had longer periods of nonoral feeding (P = .013) and increased length of hospitalization (P < .001). When used selectively, FEES services have potential for improving functional outcomes for patients after stroke. Copyright © 2014 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  3. Achieving Internet-based efficiencies in a rural IDS: a case study.

    PubMed

    Bacus, R; Zunke, R

    2001-09-01

    After suffering payment cuts resulting from the Balanced Budget Act of 1997, Colorado-Fayette Medical Center (CFMC), a not-for-profit, rural integrated delivery system in Texas, wanted to reduce costs by gaining systemwide Internet access for its internal information system at a reasonable price. An application service provider affiliated with the Texas Hospital Association, helped CFMC achieve its goals for the project by performing a needs assessment, installing a wide-area network (WAN) with Internet access, and training staff. The new WAN enabled CFMC to improve its Web presence, allow radiologic image viewing at all sites, negotiate more favorable prices from vendors, implement electronic communication for staff members, and take advantage of on-line education opportunities. CFMC has found that the monthly fee paid to THN is offset by savings on long-distance calls, Internet service provider fees, and marketing and advertising costs.

  4. Using fee-for-service testing to generate revenue for the 21st century public health laboratory.

    PubMed

    Loring, Carol; Neil, R Brock; Gillim-Ross, Laura; Bashore, Matthew; Shah, Sandip

    2013-01-01

    The decrease in appropriations for state public health laboratories (SPHLs) has become a major concern as tax revenues and, subsequently, state and federal funding, have decreased. These reductions have forced SPHLs to pursue revenue-generating opportunities to support their work. We describe the current state of funding in a sampling of SPHLs and the challenges these laboratories face as they implement or expand fee-for-service testing. We conducted surveys of SPHLs to collect data concerning laboratory funding sources, test menus, fee-for-service testing, and challenges to implementing fee-for-service testing. Most SPHLS receive funding through three revenue sources: state appropriation, federal funding, and fee-for-service testing (cash funds). Among SPHLs, state appropriations ranged from $0 to more than $6 per capita, federal funding ranged from $0.10 to $5 per capita, and revenue from fee-for-service testing ranged from $0 to $4 per capita. The tests commonly performed on a fee-for-service basis included assays for sexually transmitted diseases, mycobacterial cultures, newborn screening, and water testing. We found that restrictive legislation, staffing shortages, inadequate software for billing fee-for-service testing, and regulations on how SPHLs use their generated revenue are impediments to implementing fee-for-service testing. Some SPHLs are considering implementing or expanding fee-for-service testing as a way to recapture funds lost as a result of state and federal budget cuts. This analysis revealed many of the obstacles to implementing fee-for-service testing in SPHLs and the potential impact on SPHLs of continued decreases in funding.

  5. Patterns of informal patient payments in Bulgaria, Hungary and Ukraine: a comparison across countries, years and type of services.

    PubMed

    Stepurko, Tetiana; Pavlova, Milena; Gryga, Irena; Gaál, Péter; Groot, Wim

    2017-05-01

    Informal payments for health care are a well-known phenomenon in many health care systems around the world. While informal payments could be an important source of health care financing, they have an adverse impact on efficiency and access to care, and are a major impediment to ongoing health care reforms. This paper aims to study the scale and patterns of informal patient payments for out-patient and in-patient services in three former-socialist countries: Bulgaria, Hungary and Ukraine. The data are collected in 2010 and 2011 based on national representative samples and are analysed in pooled models to explain variations in payments. The results of the cross-country comparison suggest a relatively higher prevalence of informal patient payments in Ukraine and Hungary than in Bulgaria, where patients also have to pay formal user charges in the public sector. Nevertheless, informal payments for hospitalization in Bulgaria are quite extensive. We observe some differences in informal payments across the years. Variations in payment size are mainly explained by the nature, type and need for services, fee awareness and, on some occasions, by household income. Interpreted within the context of structural differences (e.g. reform paths, regulations, funding, user fees, anti-corruption policies), the findings of our study have implications on how to address informal payments for health care. © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  6. 50 CFR 260.72 - Fees for inspection service performed under cooperative agreement.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 50 Wildlife and Fisheries 7 2010-10-01 2010-10-01 false Fees for inspection service performed... CERTIFICATION Inspection and Certification of Establishments and Fishery Products for Human Consumption Fees and Charges § 260.72 Fees for inspection service performed under cooperative agreement. The fees to be charged...

  7. 76 FR 43331 - Labor-Management Relations Information Collection Requests

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-20

    ... FEDERAL MEDIATION AND CONCILIATION SERVICE Labor-Management Relations Information Collection... the following public information collection requests (ICR) to the Office of Management and Budget (OMB... information collection requests are FMCS forms: Arbitrator's Report and Fee Statement (Agency Form R-19...

  8. 42 CFR 414.62 - Fee schedule for clinical psychologist services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Fee schedule for clinical psychologist services... Physicians and Other Practitioners § 414.62 Fee schedule for clinical psychologist services. The fee schedule for clinical psychologist services is set at 100 percent of the amount determined for corresponding...

  9. 22 CFR 22.1 - Schedule of fees.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Schedule of Fees for Consular Services: Schedule of Fees for Consular Services Item No. Fee Passport and Citizenship Services 1. Passport Book Execution: Required for first-time applicants and others who must apply in person [01—Passport Book Execution] $25. 2. Passport Book Application Services for: (a) Applicants...

  10. The impact of user fees on access to health services in low- and middle-income countries.

    PubMed

    Lagarde, Mylene; Palmer, Natasha

    2011-04-13

    Following an international push for financing reforms, many low- and middle-income countries introduced user fees to raise additional revenue for health systems. User fees are charges levied at the point of use and are supposed to help reduce 'frivolous' consumption of health services, increase quality of services available and, as a result, increase utilisation of services. To assess the effectiveness of introducing, removing or changing user fees to improve access to care in low-and middle-income countries We searched 25 international databases, including the Cochrane Effective Practice and Organisation of Care (EPOC) Group's Trials Register, CENTRAL, MEDLINE and EMBASE. We also searched the websites and online resources of international agencies, organisations and universities to find relevant grey literature. We conducted the original searches between November 2005 and April 2006 and the updated search in CENTRAL (DVD-ROM 2011, Issue 1); MEDLINE In-Process & Other Non-Indexed Citations, Ovid (January 25, 2011); MEDLINE, Ovid (1948 to January Week 2 2011); EMBASE, Ovid (1980 to 2011 Week 03) and EconLit, CSA Illumina (1969 - present) on the 26th of January 2011. We included randomised controlled trials, interrupted time-series studies and controlled before-and-after studies that reported an objective measure of at least one of the following outcomes: healthcare utilisation, health expenditures, or health outcomes. We re-analysed studies with longitudinal data. We computed price elasticities of demand for health services in controlled before-and-after studies as a standardised measure. Due to the diversity of contexts and outcome measures, we did not perform meta-analysis. Instead, we undertook a narrative summary of evidence. We included 16 studies out of the 243 identified. Most of the included studies showed methodological weaknesses that hamper the strength and reliability of their findings. When fees were introduced or increased, we found the use of health services decreased significantly in most studies. Two studies found increases in health service use when quality improvements were introduced at the same time as user fees. However, these studies have a high risk of bias. We found no evidence of effects on health outcomes or health expenditure. The review suggests that reducing or removing user fees increases the utilisation of certain healthcare services. However, emerging evidence suggests that such a change may have unintended consequences on utilisation of preventive services and service quality. The review also found that introducing or increasing fees can have a negative impact on health services utilisation, although some evidence suggests that when implemented with quality improvements these interventions could be beneficial. Most of the included studies suffered from important methodological weaknesses. More rigorous research is needed to inform debates on the desirability and effects of user fees.

  11. HMO penetration, competition, and risk-adjusted hospital mortality.

    PubMed Central

    Mukamel, D B; Zwanziger, J; Tomaszewski, K J

    2001-01-01

    OBJECTIVE: HMOs have been shown to have an effect on the care provided directly to their enrollees. They may also influence the care provided to individuals in fee-for-service plans through a spill-over effect. The objective of this study was to investigate the associations among HMO market penetration, HMO and hospital competition, and the quality of care received by Medicare fee-for-service patients measured by risk-adjusted hospital mortality rates. DATA SOURCES: The 1990 data for 1,927 hospitals in 134 metropolitan statistical areas (with five or more hospitals) included Medicare fee-for-service risk-adjusted mortality rates from the Medicare Hospital Information Reports, hospital characteristics from the American Hospital Association annual survey, and HMO market penetration and competition calculated from InterStudy and Group Health Association of America data. STUDY DESIGN: Statistical regression techniques were used to identify the associations between HMO market penetration, competition, and risk-adjusted mortality, controlling for other hospital characteristics and region. PRINCIPAL FINDINGS: Higher HMO market penetration and to a lesser degree increased HMO competition were associated with better mortality outcomes for fee-for-service Medicare enrollees. Competition between hospitals did not exhibit a significant association. CONCLUSIONS: HMOs may have a spill-over effect on quality of care received by individuals enrolled in fee-for-service plans. These findings may be explained by a positive effect on local practice styles or a preferential selection by HMOs for areas with better hospital care. PMID:11775665

  12. 21 CFR 20.45 - Fees to be charged.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PUBLIC INFORMATION... Human Services regulations governing claims collection, will be used in assessing interest... Health and Human Services at 45 CFR part 5. (1) Manual searching for or reviewing of records. When the...

  13. 49 CFR 1002.3 - Updating user fees.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Services, 1 I.C.C.2d 60 (1984) or subsequent cost studies. The base period for measuring changes shall be... material in the Federal Register. (e) All updated fees shall be rounded downward in the following manner...

  14. 22 CFR 92.68 - Foreign Service fees and incidental costs in the taking of evidence.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Foreign Service fees and incidental costs in... SERVICES NOTARIAL AND RELATED SERVICES Depositions and Letters Rogatory § 92.68 Foreign Service fees and incidental costs in the taking of evidence. The fees for the taking of evidence by officers of the Foreign...

  15. 7 CFR 785.5 - Fees for mediation services.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 7 2010-01-01 2010-01-01 false Fees for mediation services. 785.5 Section 785.5... AGRICULTURE SPECIAL PROGRAMS CERTIFIED STATE MEDIATION PROGRAM § 785.5 Fees for mediation services. A requirement that non-USDA parties who elect to participate in mediation pay a fee for mediation services will...

  16. Alternatives for Revitalizing Student Services Programs.

    ERIC Educational Resources Information Center

    Deegan, William L.

    1984-01-01

    Reviews alternatives for revitalizing the programs and management of community college student services. As program development models, considers Miami-Dade Community College's computer-based instructional management system; entrepreneurial fee-based services; and divestment of situational or special-interest services to student groups. In…

  17. In Madagascar, Use Of Health Care Services Increased When Fees Were Removed: Lessons For Universal Health Coverage.

    PubMed

    Garchitorena, Andres; Miller, Ann C; Cordier, Laura F; Ramananjato, Ranto; Rabeza, Victor R; Murray, Megan; Cripps, Amber; Hall, Laura; Farmer, Paul; Rich, Michael; Orlan, Arthur Velo; Rabemampionona, Alexandre; Rakotozafy, Germain; Randriantsimaniry, Damoela; Gikic, Djordje; Bonds, Matthew H

    2017-08-01

    Despite overwhelming burdens of disease, health care access in most developing countries is extremely low. As governments work toward achieving universal health coverage, evidence on appropriate interventions to expand access in rural populations is critical for informing policies. Using a combination of population and health system data, we evaluated the impact of two pilot fee exemption interventions in a rural area of Madagascar. We found that fewer than one-third of people in need of health care accessed treatment when point-of-service fees were in place. However, when fee exemptions were introduced for targeted medicines and services, the use of health care increased by 65 percent for all patients, 52 percent for children under age five, and over 25 percent for maternity consultations. These effects were sustained at an average direct cost of US$0.60 per patient. The pilot interventions can become a key element of universal health care in Madagascar with the support of external donors. Project HOPE—The People-to-People Health Foundation, Inc.

  18. "There is no free here, you have to pay": actual and perceived costs as barriers to intermittent preventive treatment of malaria in pregnancy in Mali.

    PubMed

    Klein, Meredith C; Harvey, Steven A; Diarra, Hawa; Hurley, Emily A; Rao, Namratha; Diop, Samba; Doumbia, Seydou

    2016-03-12

    "There is no free here," the words of a Malian husband, illustrate how perceptions of cost can deter uptake of intermittent preventive treatment of malaria in pregnancy (IPTp). The Malian Ministry of Health (MOH) recommends a minimum of three doses of IPTp at monthly intervals. However, despite a national policy that IPTp be provided free of charge, only 35% of pregnant women receive at least one dose and less than 20% receive two or more doses. This study explored perceptions and experiences of IPTp cost in Mali and their impact on uptake, using qualitative interviews and focus groups with pregnant women, husbands and mothers-in-law. Study team members also interviewed and observed health workers at four health centres, two in Sikasso Region and two in Koulikoro. Despite national-level policies, actual IPTp costs varied widely at study sites-between facilities, and visits. Pregnant women may pay for IPTp, receive it free, or both at different times. Health centres often charge a lump sum for antenatal care (ANC) visits that includes both free and fee-based drugs and services. This makes it difficult for women and families to distinguish between free services and those requiring payment. As a result, some forego free care that, because it is bundled with other fee-based services and medications, appears not to be free. Varying costs also complicate household budgeting for health care, particularly as women often rely on their husbands for money. Finally, while health facilities operating under the cost-recovery model strive to provide free IPTp, their own financial constraints often make this impossible. Both actual and perceived costs are currently barriers to IPTp uptake. Given the confusion around cost of services in the two study regions, more detailed national-level studies of both perceived and actual costs could help inform policy and programme decisions promoting IPTp. These studies should evaluate both quantitatively and qualitatively the cost information provided to and understood by pregnant women and their families. Meanwhile, unbundling free and fee-based services, making clear that IPTp is free, and ensuring that it is provided at no cost could help increase uptake. Free community-based distribution might be another route to increased uptake and adherence.

  19. More physicians: improved availability or induced demand?

    PubMed

    Carlsen, F; Grytten, J

    1998-09-01

    A number of empirical studies have shown that there is a negative association between population:physician ratio and utilization of medical services. However, it is not clear whether this relationship reflects supplier-inducement, the effect of lower prices on patient demand, a supply response to variation in health status, or improved availability. In Norway, patient fees and state reimbursement fees are set centrally. Therefore, the correlation between utilization and population:physician ratio either reflects supplier-inducement, a supply response or an availability effect. We applied a theoretical model which distinguished between an inducement and an availability effect. The model was implemented on a cross-sectional data set which contained information about patient visits and laboratory tests for all fee-for-service primary care physicians in Norway. Since population:physician ratio is potentially endogenous, an instrumental variable approach is used. We found no evidence for inducement either for number of visits or for provision of laboratory services.

  20. 50 CFR 260.69 - Payment fees and charges.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 50 Wildlife and Fisheries 7 2010-10-01 2010-10-01 false Payment fees and charges. 260.69 Section... Fishery Products for Human Consumption Fees and Charges § 260.69 Payment fees and charges. Fees and... services rendered. All fees and charges for any inspection service, performed pursuant to the regulations...

  1. 75 FR 71012 - Description of Office, Procedures, and Public Information

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-22

    ... examples of ``special services'' for which additional fees may be charged. In 12 CFR 1101.4(b)(5)(ii)(H... providing a right to administratively appeal the denial of a request for a waiver or reduction of fees. In... request; (2) The reasons for the determination; (3) If the response is a denial of an initial request or...

  2. 78 FR 60208 - Oil and Gas and Sulphur Operations in the Outer Continental Shelf-Adjustment of Service Fees

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-01

    ... gas resources regulations to update some fees that cover BSEE's cost of processing and filing certain... natural gas on the OCS and to reflect advancements in technology and new information. The BSEE also..., Crude Petroleum and Natural Gas Extraction, and 213111, Drilling Oil and Gas Wells. For these NAICS code...

  3. 13 CFR 108.900 - Fees for management services provided to a Small Business by a NMVC Company or its Associate.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Fees for management services... Small Businesses by NMVC Companies Management Services and Fees § 108.900 Fees for management services... management services that you or your Associate provide to a Small Business during the term of a Financing or...

  4. Physician responsibility for the cost of unnecessary medical services.

    PubMed

    Eisenberg, J M; Rosoff, A J

    1978-07-13

    Most diagnostic and therapeutic services are ordered by physicians, but physicians practicing under fee-for-service conditions have few incentives to contain the costs of medical care. Without such incentives, effective cost control through mechanisms such as Professional Standards Review Organizations have been disappointing. Several legal approaches might be used to increase physicians' responsibility for the cost of unnecessary services--expansion of tort law, implied contact, redesign of insurance mechanisms, equitable estoppel and informed consent. However, increasing physician responsibility will require uniform but flexible definitions of medical necessity, reliable means for predeterming the need for services and effective penalties or incentives. We propose a peer-review system that would incorporate the sharing of financial risk among physician, hospital, insurer and patient in the fee-for-service sector.

  5. 13 CFR 107.900 - Management fees for services provided to a Small Business by Licensee or its Associate.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Management fees for services... Assistance SMALL BUSINESS ADMINISTRATION SMALL BUSINESS INVESTMENT COMPANIES Financing of Small Businesses by Licensees Management Services and Fees § 107.900 Management fees for services provided to a Small Business...

  6. 47 CFR 1.1182 - Schedule of fees for products and services provided by the Commission in connection with...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Schedule of fees for products and services... Procedures for Payment § 1.1182 Schedule of fees for products and services provided by the Commission in connection with competitive bidding procedures. Product or service Fee amount Payment procedure On-line...

  7. Allocating Practice Expense Under the Medicare Fee Schedule

    PubMed Central

    Pope, Gregory C.; Burge, Russel T.

    1993-01-01

    Currently, relative value units for practice expense are determined under the Medicare fee schedule (MFS) using historical physician charges. This seems inconsistent with the goal of a resource-based fee schedule. A specialty resource-based method of determining practice expense payments is presented and simulated here. The method assumes that, for each service, the payment for practice expense should be the same proportion of the total payment as actual physician practice expenses are of total practice revenues. A comparison with the approach developed by the Physician Payment Review Commission (PPRC) shows similar fees, but the specialty-based method proposed here requires no data beyond what is already employed in the MFS. PMID:10130574

  8. 28 CFR 549.73 - Appealing the fee.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT MEDICAL SERVICES Fees for Health Care Services § 549.73 Appealing the fee. You may seek review of issues related to health service fees through the Bureau's Administrative Remedy Program (see 28 CFR part 542). ...

  9. 28 CFR 549.73 - Appealing the fee.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT MEDICAL SERVICES Fees for Health Care Services § 549.73 Appealing the fee. You may seek review of issues related to health service fees through the Bureau's Administrative Remedy Program (see 28 CFR part 542). ...

  10. 28 CFR 549.73 - Appealing the fee.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT MEDICAL SERVICES Fees for Health Care Services § 549.73 Appealing the fee. You may seek review of issues related to health service fees through the Bureau's Administrative Remedy Program (see 28 CFR part 542). ...

  11. 78 FR 74229 - Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, Clinical...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-10

    ...This major final rule with comment period addresses changes to the physician fee schedule, clinical laboratory fee schedule, and other Medicare Part B payment policies to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. This final rule with comment period also includes a discussion in the Supplementary Information regarding various programs. (See the Table of Contents for a listing of the specific issues addressed in the final rule with comment period.)

  12. 45 CFR 2520.55 - When may my organization collect fees for services provided by AmeriCorps members?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false When may my organization collect fees for services... C PROGRAMS § 2520.55 When may my organization collect fees for services provided by AmeriCorps members? You may, where appropriate, collect fees for direct services provided by AmeriCorps members if...

  13. Outsourcing and Insourcing of Information Services: A Case Study of Corporate and Government Libraries in Victoria.

    ERIC Educational Resources Information Center

    Lakey, Kathleen

    1994-01-01

    A survey of 92 corporate and government libraries in Victoria, Australia, reveals that 64.8% were restructured over the last 5 years. Reasons for outsourcing; services being outsourced; the impact of budgets; and the use of service fees are examined. (AEF)

  14. Participation determinants in the DRG payment system of obstetrics and gynecology clinics in South Korea.

    PubMed

    Song, Jung-Kook; Kim, Chang-yup

    2010-03-01

    The Diagnosis Related Group (DRG) payment system, which has been implemented in Korea since 1997, is based on voluntary participation. Hence, the positive impact of this system depends on the participation of physicians. This study examined the factors determining participation of Korean obstetrics & gynecology (OBGYN) clinics in the DRG-based payment system. The demographic information, practice-related variables of OBGYN clinics and participation information in the DRG-based payment system were acquired from the nationwide data from 2002 to 2007 produced by the National Health Insurance Corporation and the Health Insurance Review & Assessment Service. The subjects were 336 OBGYN clinics consisting of 43 DRG clinics that had maintained their participation in 2003-2007 and 293 no-DRG (fee-for-service) clinics that had never been a DRG clinic during the same period. Logistic regression analysis was carried out to determine the factors associated with the participation of OBGYN clinics in the DRG-based payment system. The factors affecting participation of OBGYN clinics in the DRG-based payment system were as follows (p<0.05): (1) a larger number of caesarian section (c/sec) claims, (2) higher cost of a c/sec, (3) less variation in the price of a c/sec, (4) fewer days of admission for a c/sec, and (5) younger pregnant women undergoing a c/sec. These results suggest that OBGYN clinics with an economic practice pattern under a fee-for-service system are more likely to participate in the DRG-based payment system. Therefore, to ensure adequate participation of physicians, a payment system with a stronger financial incentive might be more suitable in Korea.

  15. 42 CFR 4.7 - Fees.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false Fees. 4.7 Section 4.7 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS NATIONAL LIBRARY OF MEDICINE § 4.7 Fees. The Director may charge reasonable fees for any service provided by the Library under this part...

  16. 42 CFR 4.7 - Fees.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false Fees. 4.7 Section 4.7 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS NATIONAL LIBRARY OF MEDICINE § 4.7 Fees. The Director may charge reasonable fees for any service provided by the Library under this part...

  17. 42 CFR 4.7 - Fees.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Fees. 4.7 Section 4.7 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS NATIONAL LIBRARY OF MEDICINE § 4.7 Fees. The Director may charge reasonable fees for any service provided by the Library under this part...

  18. The 1981-82 Student Services Fee Survey.

    ERIC Educational Resources Information Center

    Matross, Ron; And Others

    1981-01-01

    Student perceptions and usage of selected services and organizations that receive student services fee support at the University of Minnesota Twin Cities campus were surveyed. Respondents were 417 continuing, fee-paying, nonforeign, day students. Key findings include: 60 percent said the fee should be increased enough to keep pace with inflation;…

  19. 42 CFR 4.7 - Fees.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Fees. 4.7 Section 4.7 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS NATIONAL LIBRARY OF MEDICINE § 4.7 Fees. The Director may charge reasonable fees for any service provided by the Library under this part...

  20. 42 CFR 4.7 - Fees.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Fees. 4.7 Section 4.7 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS NATIONAL LIBRARY OF MEDICINE § 4.7 Fees. The Director may charge reasonable fees for any service provided by the Library under this part...

  1. 76 FR 76737 - Emergency Clearance: Public Information Collection Requirements Submitted to the Office of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-08

    ... information collection burden. We are, however, requesting an emergency review of the information collection... for emergency review. We are requesting an emergency review to ensure compliance with section 1862(a... Information Collection: Medicare Fee-for-Service Prepayment Medical Review; Use: The information required...

  2. 76 FR 50991 - Notice of Request for Extension of Approval of an Information Collection; User Fee Regulations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-17

    ... 1996 Debt Collection Improvement Act requires that agencies collect tax identification numbers (TINs.... Without a TIN, service cannot be provided on a credit basis. The requests for services are in writing, by...

  3. Commercial products that convey personal health information in emergencies.

    PubMed

    Potini, Vishnu C; Weerasuriya, Dilani N; Lowery-North, Douglas W; Kellermann, Arthur L

    2011-12-01

    Describe commercially available products and services designed to convey personal health information in emergencies. The search engine Google®, supplemented by print ads, was used to identify companies and organizations that offer relevant products and services to the general market. Disease-specific, health system, and health plan-specific offerings were excluded. Vendor web sites were the primary sources of information, supplemented by telephone and e-mail queries to sales representatives. Perfect inter-rater agreement was achieved. Thirty-nine unique vendors were identified. Eight sell engraved jewelry. Three offer an embossed card or pamphlet. Twelve supply USB drives with various features. Eleven support password-protected web sites. Five maintain national call centers. Available media differed markedly with respect to capacity and accessibility. Quoted prices ranged from a one-time expenditure of $3.50 to an annual fee of $200. Associated features and annual fees varied widely. A wide range of products and services exist to help patients convey personal health information. Health care providers should be familiar with their features, so they can access the information in a disaster or emergency.

  4. Doing More for More: Unintended Consequences of Financial Incentives for Oncology Specialty Care.

    PubMed

    O'Neil, Brock; Graves, Amy J; Barocas, Daniel A; Chang, Sam S; Penson, David F; Resnick, Matthew J

    2016-02-01

    Specialty care remains a significant contributor to health care spending but largely unaddressed in novel payment models aimed at promoting value-based delivery. Bladder cancer, chiefly managed by subspecialists, is among the most costly. In 2005, Centers for Medicare and Medicaid Services (CMS) dramatically increased physician payment for office-based interventions for bladder cancer to shift care from higher cost facilities, but the impact is unknown. This study evaluated the effect of financial incentives on patterns of fee-for-service (FFS) bladder cancer care. Data from a 5% sample of Medicare beneficiaries from 2001-2013 were evaluated using interrupted time-series analysis with segmented regression. Primary outcomes were the effects of CMS fee modifications on utilization and site of service for procedures associated with the diagnosis and treatment of bladder cancer. Rates of related bladder cancer procedures that were not affected by the fee change were concurrent controls. Finally, the effect of payment changes on both diagnostic yield and need for redundant procedures were studied. All statistical tests were two-sided. Utilization of clinic-based procedures increased by 644% (95% confidence interval [CI] = 584% to 704%) after the fee change, but without reciprocal decline in facility-based procedures. Procedures unaffected by the fee incentive remained unchanged throughout the study period. Diagnostic yield decreased by 17.0% (95% CI = 12.7% to 21.3%), and use of redundant office-based procedures increased by 76.0% (95% CI = 59% to 93%). Financial incentives in bladder cancer care have unintended and costly consequences in the current FFS environment. The observed price sensitivity is likely to remain a major issue in novel payment models failing to incorporate procedure-based specialty physicians. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  5. The Future Revisited.

    ERIC Educational Resources Information Center

    Mason, Marilyn Gell

    1996-01-01

    Reviews earlier predictions about technological change in libraries, finds that providing equal access to information remains the library's mission, and forecasts the future. Topics include ownership versus access, electronic resources, information infrastructure, users, levels of service fees, circulation, librarians as "information…

  6. 28 CFR 549.73 - Appealing the fee.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Fees for Health Care Services § 549.73 Appealing the fee. You may seek review of issues related to health service fees through the Bureau's Administrative Remedy Program (see 28 CFR part 542). ...

  7. 28 CFR 549.73 - Appealing the fee.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Fees for Health Care Services § 549.73 Appealing the fee. You may seek review of issues related to health service fees through the Bureau's Administrative Remedy Program (see 28 CFR part 542). ...

  8. 77 FR 5178 - Fees

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-02

    ... penalty from the fee calculation is not adopted. 514.17 How are fingerprint processing fees collected by the Commission? Comment: Two commenters objected to fingerprint fees being included as a separate... fingerprints and not all tribes utilize the service. The service will continue to be charged as a separate fee...

  9. 75 FR 4340 - Notice of New Recreation Fee Site; Federal Lands Recreation Enhancement Act, (Title VIII, Pub. L...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-27

    ... season. Fees are assessed based on the level of amenities and services provided, cost of operations and... Forest have shown that publics appreciate and enjoy the availability of historic and other type rental...

  10. 22 CFR 92.89 - Fees for service of legal process.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Fees for service of legal process. 92.89 Section 92.89 Foreign Relations DEPARTMENT OF STATE LEGAL AND RELATED SERVICES NOTARIAL AND RELATED SERVICES Quasi-Legal Services § 92.89 Fees for service of legal process. No charge should be made for...

  11. 75 FR 34319 - User Fees for 2010 Crop Cotton Classification Services to Growers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-17

    ...-AC99 User Fees for 2010 Crop Cotton Classification Services to Growers AGENCY: Agricultural Marketing... fees for cotton producers for 2010 crop cotton classification services under the Cotton Statistics and Estimates Act at the same level as in 2009. These fees are also authorized under the Cotton Standards Act of...

  12. 77 FR 33289 - User Fees for 2012 Crop Cotton Classification Services to Growers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-06

    ... User Fees for 2012 Crop Cotton Classification Services to Growers AGENCY: Agricultural Marketing... fees for cotton producers for 2012 crop cotton classification services under the Cotton Statistics and Estimates Act and the Cotton Standards Act of 1923 at $2.20 per bale--the same level as in 2011. This fee...

  13. 76 FR 25533 - User Fees for 2011 Crop Cotton Classification Services to Growers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-05

    ...-AD11 User Fees for 2011 Crop Cotton Classification Services to Growers AGENCY: Agricultural Marketing... fees for cotton producers for 2011 crop cotton classification services under the Cotton Statistics and Estimates Act at the same level as in 2010. These fees are also authorized under the Cotton Standards Act of...

  14. 47 CFR 1.1155 - Schedule of regulatory fees and filing locations for cable television services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Schedule of regulatory fees and filing locations for cable television services. 1.1155 Section 1.1155 Telecommunication FEDERAL COMMUNICATIONS... Schedule of regulatory fees and filing locations for cable television services. Fee amount Address 1. Cable...

  15. Building 4-H Program Capacity and Sustainability through Collaborative Fee-Based Programs

    ERIC Educational Resources Information Center

    Pellien, Tamara

    2016-01-01

    Shrinking budgets and increased demands for services and programs are the norm for today's Extension professional. The tasks of procuring grants, developing fund raisers, and pursuing donors require a large investment of time and can lead to mission drift in the pursuit of funding. Implementing a collaborative fee-based program initiative can fund…

  16. 13 CFR 106.402 - What provisions must be set forth in a Non-Fee Based Record?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false What provisions must be set forth in a Non-Fee Based Record? 106.402 Section 106.402 Business Credit and Assistance SMALL BUSINESS... endorsement by SBA of the Donor, or the Donor's products or services. ...

  17. 31 CFR 270.4 - Fees for services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Fees for services. 270.4 Section 270.4 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FISCAL SERVICE, DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE AVAILABILITY OF RECORDS § 270.4 Fees for services...

  18. 31 CFR 270.4 - Fees for services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 31 Money and Finance:Treasury 2 2012-07-01 2012-07-01 false Fees for services. 270.4 Section 270.4 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) FISCAL SERVICE, DEPARTMENT OF THE TREASURY FINANCIAL MANAGEMENT SERVICE AVAILABILITY OF RECORDS § 270.4 Fees for services...

  19. 76 FR 6381 - Fee-Generating Cases

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-04

    ... LEGAL SERVICES CORPORATION 45 CFR Part 1609 Fee-Generating Cases AGENCY: Legal Services...) proposes to amend the Legal Services Corporation's regulation on fee-generating cases to clarify that it... Counsel, Office of Legal Affairs, Legal Services Corporation, 3333 K Street, NW., Washington, DC 20007...

  20. Informing resource-poor populations and the delivery of entitled health and social services in rural India: a cluster randomized controlled trial.

    PubMed

    Pandey, Priyanka; Sehgal, Ashwini R; Riboud, Michelle; Levine, David; Goyal, Madhav

    2007-10-24

    A lack of awareness about entitled health and social services may contribute to poor delivery of such services in developing countries, especially among individuals of low socioeconomic status. To determine the impact of informing resource-poor rural populations about entitled services. Community-based, cluster randomized controlled trial conducted from May 2004 to May 2005 in 105 randomly selected village clusters in Uttar Pradesh state in India. Households (548 intervention and 497 control) were selected by a systematic sampling design, including both low-caste and mid- to high-caste households. Four to 6 public meetings were held in each intervention village cluster to disseminate information on entitled health services, entitled education services, and village governance requirements. No intervention took place in control village clusters. Visits by nurse midwife; prenatal examinations, tetanus vaccinations, and prenatal supplements received by pregnant women; vaccinations received by infants; excess school fees charged; occurrence of village council meetings; and development work in villages. At baseline, there were no significant differences in self-reported delivery of health and social services. After 1 year, intervention villagers reported better delivery of several services compared with control villagers: in a multivariate analysis, 30% more prenatal examinations (95% confidence interval [CI], 17%-43%; P < .001), 27% more tetanus vaccinations (95% CI, 12%-41%; P < .001), 24% more prenatal supplements (95% CI, 8%-39%; P = .003), 25% more infant vaccinations (95% CI, 8%-42%; P = .004), and decreased excess school fees of 8 rupees (95% CI, 4-13 rupees; P < .001). In a difference-in-differences analysis, 21% more village council meetings were reported (95% CI, 5%-36%; P = .01). There were no improvements in visits by a nurse midwife or in development work in the villages. Both low-caste and mid- to high-caste intervention households reported significant improvements in service delivery. Informing resource-poor rural populations in India about entitled services enhanced the delivery of health and social services among both low- and mid- to high-caste households. Interventions that emphasize educating resource-poor populations about entitled services may improve the delivery of such services. clinicaltrials.gov Identifier: NCT00421291.

  1. 32 CFR 1801.11 - Preliminary information.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 6 2013-07-01 2013-07-01 false Preliminary information. 1801.11 Section 1801.11... RIGHTS UNDER THE PRIVACY ACT OF 1974 Filing Of Privacy Act Requests § 1801.11 Preliminary information... outstanding fees for information services at this or other federal agencies will not be accepted and action on...

  2. Payment reform to finance a medical home: comment on "Achieving cost control, care coordination, and quality improvement through incremental payment system reform".

    PubMed

    McGuire, Thomas G

    2010-01-01

    This commentary on R. F. Averill et al. (2010) addresses their idea of risk and quality adjusting fee-for-service payments to primary care physicians in order to improve the efficiency of primary care and take a step toward financing a "medical home"for patients. I show how their idea can create incentives for efficient practice styles. Pairing this with an active beneficiary choice of primary care physician with an enrollment fee would make the idea easier to implement and provide an incentive and the financing for elements of service not covered by procedure-based fees.

  3. 29 CFR 1610.15 - Schedule of fees and method of payment for services rendered.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 4 2010-07-01 2010-07-01 false Schedule of fees and method of payment for services... of fees and method of payment for services rendered. (a) Fees shall be assessed in accordance with... request is made by an educational or noncommercial scientific institution, or a representative of the news...

  4. 31 CFR 223.22 - Fees for services of the Treasury Department.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 31 Money and Finance:Treasury 2 2011-07-01 2011-07-01 false Fees for services of the Treasury Department. 223.22 Section 223.22 Money and Finance: Treasury Regulations Relating to Money and Finance... BUSINESS WITH THE UNITED STATES § 223.22 Fees for services of the Treasury Department. (a) Fees shall be...

  5. 31 CFR 223.22 - Fees for services of the Treasury Department.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 31 Money and Finance: Treasury 2 2014-07-01 2014-07-01 false Fees for services of the Treasury Department. 223.22 Section 223.22 Money and Finance: Treasury Regulations Relating to Money and Finance... BUSINESS WITH THE UNITED STATES § 223.22 Fees for services of the Treasury Department. (a) Fees shall be...

  6. 31 CFR 223.22 - Fees for services of the Treasury Department.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 31 Money and Finance:Treasury 2 2013-07-01 2013-07-01 false Fees for services of the Treasury Department. 223.22 Section 223.22 Money and Finance: Treasury Regulations Relating to Money and Finance... BUSINESS WITH THE UNITED STATES § 223.22 Fees for services of the Treasury Department. (a) Fees shall be...

  7. 31 CFR 223.22 - Fees for services of the Treasury Department.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 31 Money and Finance:Treasury 2 2012-07-01 2012-07-01 false Fees for services of the Treasury Department. 223.22 Section 223.22 Money and Finance: Treasury Regulations Relating to Money and Finance... BUSINESS WITH THE UNITED STATES § 223.22 Fees for services of the Treasury Department. (a) Fees shall be...

  8. 31 CFR 223.22 - Fees for services of the Treasury Department.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 2 2010-07-01 2010-07-01 false Fees for services of the Treasury Department. 223.22 Section 223.22 Money and Finance: Treasury Regulations Relating to Money and Finance... BUSINESS WITH THE UNITED STATES § 223.22 Fees for services of the Treasury Department. (a) Fees shall be...

  9. 47 CFR 1.1153 - Schedule of annual regulatory fees and filing locations for mass media services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 1 2012-10-01 2012-10-01 false Schedule of annual regulatory fees and filing locations for mass media services. 1.1153 Section 1.1153 Telecommunication FEDERAL COMMUNICATIONS COMMISSION... Payment § 1.1153 Schedule of annual regulatory fees and filing locations for mass media services. Fee...

  10. 9 CFR 130.19 - User fees for other veterinary diagnostic services or materials provided at NVSL (excluding FADDL).

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 1 2011-01-01 2011-01-01 false User fees for other veterinary... User fees for other veterinary diagnostic services or materials provided at NVSL (excluding FADDL). (a) User fees for other veterinary diagnostic services or materials available from NVSL (excluding FADDL...

  11. 9 CFR 130.19 - User fees for other veterinary diagnostic services or materials provided at NVSL (excluding FADDL).

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false User fees for other veterinary... User fees for other veterinary diagnostic services or materials provided at NVSL (excluding FADDL). (a) User fees for other veterinary diagnostic services or materials available from NVSL (excluding FADDL...

  12. Who benefits from removing user fees for facility-based delivery services? Evidence on socioeconomic differences from Ghana, Senegal and Sierra Leone.

    PubMed

    McKinnon, Britt; Harper, Sam; Kaufman, Jay S

    2015-06-01

    Coverage of skilled delivery care has been increasing across most low-income countries; however, it remains far from universal and is very unequally distributed according to socioeconomic position. In an effort to increase coverage of skilled delivery care and reduce socioeconomic inequalities, governments of several countries in sub-Saharan Africa have recently adopted policies that remove user fees for facility-based delivery services. There is little rigorous evidence of the impact of these policies and few studies have examined effects on socioeconomic inequalities. This study investigates the impact of recent delivery fee exemption policies in Ghana, Senegal, and Sierra Leone on socioeconomic differences in the use of facility-based delivery services. Using Demographic and Health Survey data from nine sub-Saharan African countries, we evaluated the user fee policy changes using a difference-in-differences approach that accounts for underlying common secular trends and time invariant differences among countries, and allows for differential effects of the policy by socioeconomic position. Removing user fees was consistent with meaningful increases in facility deliveries across all categories of household wealth and maternal education. We found little evidence of differential effects of removing user fees across quartiles of household wealth, with increases of 5.4 facility deliveries per hundred live births (95% CI: 2.1, 8.8) among women in the poorest quartile and 6.8 per hundred live births (95% CI: 4.0, 9.7) for women in the richest quartile. However, our results suggest that educated women benefited more from removing user fees compared to women with no education. For women with at least some secondary education, the estimated effect was 8.6 facility deliveries per hundred live births (95% CI: 5.4, 11.9), but only 4.6 per hundred live births (95% CI: 2.2, 7.0) for women with no education (heterogeneity p-value = 0.04). Thus, while removing fees at the point of service increased facility deliveries across the socioeconomic gradient, it did not reduce inequalities defined by household wealth and may have contributed to a widening of educational inequalities. These findings emphasize the need for concerted efforts to address financial and other barriers that contribute to large and persistent socioeconomic inequalities in delivery care. Copyright © 2015 Elsevier Ltd. All rights reserved.

  13. 76 FR 65639 - International Mail: Proposed Product Rate and Fee Changes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-24

    ... Customs Clearance and Delivery Fee International Reply Coupons International Business Reply Service The... * * * * * International Business Reply Service (382) [For each country that offers International Business Reply Service... POSTAL SERVICE 39 CFR Part 20 International Mail: Proposed Product Rate and Fee Changes AGENCY...

  14. 75 FR 41599 - Reasonable Contract or Arrangement Under Section 408(b)(2)-Fee Disclosure

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-16

    ... affect a service provider's performance of services. The proposal also was designed to assist plan... purposes of this analysis and used information from the quantitative characterization of the service... IRAs should be subject to the final rule, which is designed with fiduciaries of employee benefit plans...

  15. 8 CFR 245a.3 - Application for adjustment from temporary to permanent resident status.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... residence under section 245A of the Act shall be distributed by the Service to appropriate representatives... Service in verifying information necessary for proper adjudication may result in denial of the application... resident application. (3) The Service Center Director shall sua sponte reopen and reconsider without fee...

  16. 78 FR 13472 - Freedom of Information Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-28

    ... the types of services that are provided, changes in the costs of providing services, and to add other fees for new services. Public Record The Commission is amending Rule 4.9(a)(3), 16 CFR 4.9(a)(3), to... transcripts) distributed to members of the public at workshops, hearings, or other public proceedings...

  17. 8 CFR 245a.3 - Application for adjustment from temporary to permanent resident status.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... residence under section 245A of the Act shall be distributed by the Service to appropriate representatives... Service in verifying information necessary for proper adjudication may result in denial of the application... resident application. (3) The Service Center Director shall sua sponte reopen and reconsider without fee...

  18. Primary Care Physicians' Experience with Electronic Medical Records: Barriers to Implementation in a Fee-for-Service Environment

    PubMed Central

    Ludwick, D. A.; Doucette, John

    2009-01-01

    Our aging population has exacerbated strong and divergent trends between health human resource supply and demand. One way to mitigate future inequities is through the adoption of health information technology (HIT). Our previous research showed a number of risks and mitigating factors which affected HIT implementation success. We confirmed these findings through semistructured interviews with nine Alberta clinics. Sociotechnical factors significantly affected physicians' implementation success. Physicians reported that the time constraints limited their willingness to investigate, procure, and implement an EMR. The combination of antiquated exam room design, complex HIT user interfaces, insufficient physician computer skills, and the urgency in patient encounters precipitated by a fee-for-service remuneration model and long waitlists compromised the quantity, if not the quality, of the information exchange. Alternative remuneration and access to services plans might be considered to drive prudent behavior during physician office system implementation. PMID:19081787

  19. Author fees for online publication

    NASA Astrophysics Data System (ADS)

    Like the journals themselves, AGU publication fees have been restructured to accommodate the new online, publish-as-ready approach. The new fee structure is based on authors' providing electronic files of their text and art in acceptable formats (Word, WordPerfect, and LaTeX for text, and .eps or .tif for digital art). However, if you are unable to supply electronic files, you can opt for a higher-charge, full-service route in which AGU will create electronic files from hard copy. All authors for AGU journals are expected to support the journal archive through fees based on number as well as size of article files. The revenue from these fees is set aside for the "Perpetual Care Trust Fund," which will support the migration of the journal archive to new formats or media as technology changes. For several journals, excess length fees remain in place to encourage submission of concisely written articles. During this first transition year, most author fees are based on the number of print page equivalents (pdf) in an article; in the future, however, charges are expected to be associated with file size. The specific fees for each journal are posted on AGU's Web site under Publications-Tools for Authors.

  20. 15 CFR 200.115 - Description of services and list of fees, incorporation by reference.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... COMMERCE MEASUREMENT SERVICES POLICIES, SERVICES, PROCEDURES, AND FEES § 200.115 Description of services.... Department of Commerce. (4) Federal Depository Libraries. (c) Revisions of SP 250 will be issued from time to... concerning policies, procedures, services, and fees may be obtained by writing the Office of Measurement...

  1. The Arizona Telemedicine Program business model.

    PubMed

    Barker, Gail P; Krupinski, Elizabeth A; McNeely, Richard A; Holcomb, Michael J; Lopez, Ana Maria; Weinstein, Ronald S

    2005-01-01

    The Arizona Telemedicine Program (ATP) was established in 1996 when state funding was provided to implement eight telemedicine sites. Since then the ATP has expanded to connect 55 health-care organizations through a membership programme formalized through legal contracts. The ATP's membership model is based on an application service provider (ASP) concept, whereby organizations can share services at lower cost; that is, the ATP acts as a broker for services. The membership fee schedule is flexible, allowing clients to purchase only those services desired. An annual membership fee is paid by every user, based on the services requested. The membership programme income has provided a steady revenue stream for the ATP. The membership-derived revenue represented 30% of the ATP's 2.6 million dollars total income during fiscal year 2003/04.

  2. Reaching Urban Poor Hypertensive Patients: A Novel Model of Chronic Disease Care Versus a Traditional Fee-for-Service Approach.

    PubMed

    Sanders, Jim; Guse, Clare E

    2016-08-09

    There is a significant disparity in hypertensive treatment rates between those with and without health insurance. If left untreated, hypertension leads to significant morbidity and mortality. The uninsured face numerous barriers to access chronic disease care. We developed the Community-based Chronic Disease Management (CCDM) clinics specifically for the uninsured with hypertension utilizing nurse-led teams, community-based locations, and evidence-based clinical protocols. All services, including laboratory and medications, are provided on-site and free of charge. In order to ascertain if the CCDM model of care was as effective as traditional models of care in achieving blood pressure goals, we compared CCDM clinics' hypertensive care outcomes with 2 traditional fee-for-service physician-led clinics. All the clinics are located near one another in poor urban neighborhoods of Milwaukee, Wisconsin. Patients seen at the CCDM clinics and at 1 of the 2 traditional clinics showed a statistically significant improvement in reaching blood pressure goal at 6 months (P < .001 and P < .05, respectively). Logistic regression analysis found no difference in attaining blood pressure goal at 6 months for either of the 2 fee-for-service clinics when compared with the CCDM clinics. The CCDM model of care is at least as effective in controlling hypertension as more traditional fee-for-service models caring for the same population. The CCDM model of care to treat hypertension may offer another approach for engaging the urban poor in chronic disease care. © The Author(s) 2016.

  3. Practice expenses in the MFS (Medicare fee schedule): the service-class approach.

    PubMed

    Latimer, E A; Kane, N M

    1995-01-01

    The practice expense component of the Medicare fee schedule (MFS), which is currently based on historical charges and rewards physician procedures at the expense of cognitive services, is due to be changed by January 1, 1998. The Physician Payment Review Commission (PPRC) and others have proposed microcosting direct costs and allocating all indirect costs on a common basis, such as physician time or work plus direct costs. Without altering the treatment of direct costs, the service-class approach disaggregates indirect costs into six practice function costs. The practice function costs are then allocated to classes of services using cost-accounting and statistical methods. This approach would make the practice expense component more resource-based than other proposed alternatives.

  4. 78 FR 6851 - Agency Information Collection (Dental Record Authorization and Invoice for Outpatient Services...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-31

    ... DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0335] Agency Information Collection (Dental....gov . Please refer to ``OMB Control No. 2900-0335.'' SUPPLEMENTARY INFORMATION: Title: Dental Record... proper administration of VA outpatient fee dental program. The associated instructions make it possible...

  5. 42 CFR 431.970 - Information submission requirements.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... for Estimating Improper Payments in Medicaid and CHIP § 431.970 Information submission requirements... payments in Medicaid and CHIP, that include but are not limited to— (1) Adjudicated fee-for-service (FFS... contracts, rate information, and any quarterly updates applicable to the review year for CHIP and, as...

  6. 42 CFR 431.970 - Information submission requirements.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... for Estimating Improper Payments in Medicaid and CHIP § 431.970 Information submission requirements... payments in Medicaid and CHIP, that include but are not limited to— (1) Adjudicated fee-for-service (FFS... contracts, rate information, and any quarterly updates applicable to the review year for CHIP and, as...

  7. 42 CFR 431.970 - Information submission requirements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... for Estimating Improper Payments in Medicaid and CHIP § 431.970 Information submission requirements... payments in Medicaid and CHIP, that include but are not limited to— (1) Adjudicated fee-for-service (FFS... contracts, rate information, and any quarterly updates applicable to the review year for CHIP and, as...

  8. 42 CFR 431.970 - Information submission requirements.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... for Estimating Improper Payments in Medicaid and CHIP § 431.970 Information submission requirements... payments in Medicaid and CHIP, that include but are not limited to— (1) Adjudicated fee-for-service (FFS... contracts, rate information, and any quarterly updates applicable to the review year for CHIP and, as...

  9. 42 CFR 431.970 - Information submission requirements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... for Estimating Improper Payments in Medicaid and CHIP § 431.970 Information submission requirements... payments in Medicaid and CHIP, that include but are not limited to— (1) Adjudicated fee-for-service (FFS... contracts, rate information, and any quarterly updates applicable to the review year for CHIP and, as...

  10. 76 FR 29777 - Re-registration Procedures for Temporary Protected Status (TPS) Beneficiaries Under the Extended...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-23

    ... Status for Haiti. Fees for the Form I-821, Form I-765, and biometric services fee are also described in 8 CFR 103.7(b). Biometric Services Fee Biometrics (such as fingerprints) are required for all applicants 14 years of age or older. Those applicants must submit a biometric services fee. As previously stated...

  11. Understanding your hospital bill

    MedlinePlus

    ... use to help you find this information. They use national databases of billed medical services. You enter the name of the procedure and your zip code to find an average or estimated ... charge, you can use the information to ask for a lower fee.

  12. 14 CFR Appendix B to Part 187 - Fees for FAA Services for Certain Flights

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ....-controlled airspace.) Distance flown is based on the great circle distance (GCD) for the point of entry and the point of exit of U.S.-controlled airspace based on FAA flight data. Fees are assessed using the methodology presented in paragraph (e)(2) of this appendix. Where actual entry and exit points are not...

  13. 13 CFR 106.302 - What provisions must be set forth in a Fee Based Record?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false What provisions must be set forth in a Fee Based Record? 106.302 Section 106.302 Business Credit and Assistance SMALL BUSINESS... does not constitute or imply an endorsement by SBA of the Donor or the Donor's products or services. ...

  14. High Levels Of Capitation Payments Needed To Shift Primary Care Toward Proactive Team And Nonvisit Care.

    PubMed

    Basu, Sanjay; Phillips, Russell S; Song, Zirui; Bitton, Asaf; Landon, Bruce E

    2017-09-01

    Capitated payments in the form of fixed monthly payments to cover all of the costs associated with delivering primary care could encourage primary care practices to transform the way they deliver care. Using a microsimulation model incorporating data from 969 US practices, we sought to understand whether shifting to team- and non-visit-based care is financially sustainable for practices under traditional fee-for-service, capitated payment, or a mix of the two. Practice revenues and costs were computed for fee-for-service payments and a range of capitated payments, before and after the substitution of team- and non-visit-based services for low-complexity in-person physician visits. The substitution produced financial losses for simulated practices under fee-for-service payment of $42,398 per full-time-equivalent physician per year; however, substitution produced financial gains under capitated payment in 95 percent of cases, if more than 63 percent of annual payments were capitated. Shifting to capitated payment might create an incentive for practices to increase their delivery of team- and non-visit-based primary care, if capitated payment levels were sufficiently high. Project HOPE—The People-to-People Health Foundation, Inc.

  15. Provider-Induced Demand in the Treatment of Carotid Artery Stenosis: Variation in Treatment Decisions Between Private Sector Fee-for-Service vs Salary-Based Military Physicians.

    PubMed

    Nguyen, Louis L; Smith, Ann D; Scully, Rebecca E; Jiang, Wei; Learn, Peter A; Lipsitz, Stuart R; Weissman, Joel S; Helmchen, Lorens A; Koehlmoos, Tracey; Hoburg, Andrew; Kimsey, Linda G

    2017-06-01

    Although many factors influence the management of carotid artery stenosis, it is not well understood whether a preference toward procedural management exists when procedural volume and physician compensation are linked in the fee-for-service environment. To explore evidence for provider-induced demand in the management of carotid artery stenosis. The Department of Defense Military Health System Data Repository was queried for individuals diagnosed with carotid artery stenosis between October 1, 2006, and September 30, 2010. A hierarchical multivariable model evaluated the association of the treatment system (fee-for-service physicians in the private sector vs salary-based military physicians) with the odds of procedural intervention (carotid endarterectomy or carotid artery stenting) compared with medical management. Subanalysis was performed by symptom status at the time of presentation. The association of treatment system and of management strategy with clinical outcomes, including stroke and death, was also evaluated. Data analysis was conducted from August 15, 2015, to August 2, 2016. The odds of procedural intervention based on treatment system was the primary outcome used to indicate the presence and effect of provider-induced demand. Of 10 579 individuals with a diagnosis of carotid artery stenosis (4615 women and 5964 men; mean [SD] age, 65.6 [11.4] years), 1307 (12.4%) underwent at least 1 procedure. After adjusting for demographic and clinical factors, the odds of undergoing procedural management were significantly higher for patients in the fee-for-service system compared with those in the salary-based setting (odds ratio, 1.629; 95% CI, 1.285-2.063; P < .001). This finding remained true when patients were stratified by symptom status at presentation (symptomatic: odds ratio, 2.074; 95% CI, 1.302-3.303; P = .002; and asymptomatic: odds ratio, 1.534; 95% CI, 1.186-1.984; P = .001). Individuals treated in a fee-for-service system were significantly more likely to undergo procedural management for carotid stenosis compared with those in the salary-based setting. These findings remained consistent for individuals with and without symptomatic disease.

  16. 42 CFR 414.620 - Publication of the ambulance fee schedule.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Section 414.620 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES Fee Schedule for Ambulance Services § 414.620 Publication of the ambulance fee schedule. Changes in payment rates resulting...

  17. 78 FR 32067 - User Fees for 2013 Crop Cotton Classification Services to Growers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-29

    ... Fees for 2013 Crop Cotton Classification Services to Growers AGENCY: Agricultural Marketing Service... cotton producers for 2013 crop cotton classification services at $2.20 per bale--the same level as in 2012. Revenues resulting from this cotton classing fee and existing reserves are sufficient to cover...

  18. 28 CFR 549.74 - Inmates without funds.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ....74 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT MEDICAL SERVICES Fees for Health Care Services § 549.74 Inmates without funds. You will not be charged a health care service fee if you are considered indigent and unable to pay the health care service fee. The...

  19. 28 CFR 549.74 - Inmates without funds.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ....74 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT MEDICAL SERVICES Fees for Health Care Services § 549.74 Inmates without funds. You will not be charged a health care service fee if you are considered indigent and unable to pay the health care service fee. The...

  20. 28 CFR 549.74 - Inmates without funds.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ....74 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT MEDICAL SERVICES Fees for Health Care Services § 549.74 Inmates without funds. You will not be charged a health care service fee if you are considered indigent and unable to pay the health care service fee. The...

  1. 28 CFR 549.74 - Inmates without funds.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ....74 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT MEDICAL SERVICES Fees for Health Care Services § 549.74 Inmates without funds. You will not be charged a health care service fee if you are considered indigent and unable to pay the health care service fee. The...

  2. 28 CFR 549.74 - Inmates without funds.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ....74 Judicial Administration BUREAU OF PRISONS, DEPARTMENT OF JUSTICE INSTITUTIONAL MANAGEMENT MEDICAL SERVICES Fees for Health Care Services § 549.74 Inmates without funds. You will not be charged a health care service fee if you are considered indigent and unable to pay the health care service fee. The...

  3. 78 FR 59817 - Revision to United States Marshals Service Fees for Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-30

    .... Federal Cost Accounting and Fee Setting Standards and Guidelines Being Used When developing fees for... imputed rents on land, buildings, and equipment;'' (c) ``management and supervisory costs;'' and (d... current costs to the United States Marshals Service for service of process in federal court proceedings. A...

  4. 75 FR 69851 - U.S. Citizenship and Immigration Services Fee Schedule; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-16

    ...] RIN 1615-AB80 U.S. Citizenship and Immigration Services Fee Schedule; Correction AGENCY: U.S. Citizenship and Immigration Services, DHS. ACTION: Final rule; correction. SUMMARY: The Department of Homeland... Immigration Services Fee Schedule published in the Federal Register on September 24, 2010. DATES: This...

  5. [Investigation of cost and medical service fee for pharmaceutical management in home medical care].

    PubMed

    Honma, Katsuaki; Sakai, Ritsuko; Takeshima, Akiko; Shimamori, Yoshimitsu; Hayase, Yukitoshi

    2004-10-01

    Due to the evolvement of the aged society and the steep rise in medical costs, the environment encircling the medical care industry has been changing remarkably. For this reason, it has become both necessary and fundamental for a community pharmacist to participate in home medical care through the pharmaceutical management service. We have studied the associated costs and medical service fees for pharmaceutical management in home medical care. The costs and medical service fees were calculated based on the pharmaceutical management service data collected during the three years from November 1998 to October 2001. As a result, the medical service fees were calculated using the old system which lasted until March 2002. Calculations using this system took into account 550 points per visit, up to two visits per month. Under the new system which started in April 2002, the number of visits taken into account is four times a month, 500 points for the first visit, 300 points from the second through to the forth visit. Then, we simulated a break-even point (BEP). It is clear that it is difficult for any community pharmacy to be specialized in home medical care. In order for the pharmacist to actively participate in home medical care in the future, it is necessary to further improve the system.

  6. 77 FR 43408 - Self-Regulatory Organizations; NYSE Arca, Inc.; Notice of Filing and Immediate Effectiveness of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-24

    ... Change Amending the NYSE Arca Equities Schedule of Fees and Charges for Exchange Services July 18, 2012... the NYSE Arca Equities Schedule of Fees and Charges for Exchange Services (``Fee Schedule''). The... Exchange proposes to amend the Fee Schedule, as described below, and implement the fee changes on July 12...

  7. Competition, Jobs, and Information Policy: The Case for Private-Sector Information Services: U.S. Patents.

    ERIC Educational Resources Information Center

    Ebersole, Joseph L.

    1994-01-01

    Discusses the argument for private-sector involvement in the distribution of government information, using U.S. patents as an example. Highlights include industry competitiveness; jobs creation; public access; identifying users; costs; user fees; existing systems of information dissemination; and implications of the Internet and NREN (National…

  8. Drivers behind widespread informal payments in the Romanian public health care system: From tolerance to corruption to socio-economic and spatial patterns.

    PubMed

    Horodnic, Adrian V; Mazilu, Sorin; Oprea, Liviu

    2018-03-15

    In order to explain informal payments in public health care services in Romania, this paper evaluates the relationship between extra payments or valuable gifts (apart from official fees) and the level of tolerance to corruption, as well as the socio-economic and spatial patterns across those individuals offering informal payments. To evaluate this, a survey undertaken in 2013 is reported. Using logistic regression analysis, the findings are that patients with a high tolerance to corruption, high socio-economic risk (those divorced, separated, or with other form of marital status, and those not working), and located in rural or less affluent areas are more likely to offer (apart from official fees) extra payments or valuable gifts for health care services. The paper concludes by discussing the health policy implications. Copyright © 2018 John Wiley & Sons, Ltd.

  9. 78 FR 63210 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-23

    ... from the Office of Management and Budget (OMB) for each collection of information they conduct or... clinical laboratory fee schedule, or other payment provisions applicable to services furnished to hospital... Identifier: CMS-R-240] Agency Information Collection Activities: Submission for OMB Review; Comment Request...

  10. 45 CFR 5.45 - Waiver or reduction of fees.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    .... The interest of a representative of the news media in using the information for news dissemination... Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION FREEDOM OF INFORMATION... otherwise charge if disclosure of the information meets both of the following tests: (1) It is in the public...

  11. 45 CFR 5.45 - Waiver or reduction of fees.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    .... The interest of a representative of the news media in using the information for news dissemination... Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION FREEDOM OF INFORMATION... otherwise charge if disclosure of the information meets both of the following tests: (1) It is in the public...

  12. 45 CFR 5.45 - Waiver or reduction of fees.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    .... The interest of a representative of the news media in using the information for news dissemination... Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION FREEDOM OF INFORMATION... otherwise charge if disclosure of the information meets both of the following tests: (1) It is in the public...

  13. 45 CFR 5.45 - Waiver or reduction of fees.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    .... The interest of a representative of the news media in using the information for news dissemination... Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION FREEDOM OF INFORMATION... otherwise charge if disclosure of the information meets both of the following tests: (1) It is in the public...

  14. 45 CFR 5.45 - Waiver or reduction of fees.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    .... The interest of a representative of the news media in using the information for news dissemination... Public Welfare Department of Health and Human Services GENERAL ADMINISTRATION FREEDOM OF INFORMATION... otherwise charge if disclosure of the information meets both of the following tests: (1) It is in the public...

  15. 77 FR 3069 - Modification of Interlibrary Loan Fee Schedule

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-23

    ... collections of the National Agricultural Library (NAL). The revised fee schedule is based on the method of... through the Online Computer Library Center (OCLC) network's Interlibrary Fee Management program, a debit..., National Agricultural Library, 10301 Baltimore Avenue, Beltsville, MD 20705-2351. FOR FURTHER INFORMATION...

  16. 78 FR 53726 - Notice of New Fee Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-30

    ... DEPARTMENT OF AGRICULTURE Forest Service Notice of New Fee Site AGENCY: Monongahela National Forest, USDA Forest Service. ACTION: Notice of New Fee Site. SUMMARY: The Monongahela National Forest is... amenities. Fees for overnight use will be used for the continued operation and maintenance of Island...

  17. 78 FR 48136 - Notice of New Recreation Fee

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-07

    ... DEPARTMENT OF AGRICULTURE Forest Service Notice of New Recreation Fee AGENCY: Prescott National Forest, Southwestern Region, USDA Forest Service. ACTION: Notice of New Recreation Fee. SUMMARY: The Prescott National Forest is proposing to charge a fee at the new Eagle Ridge Group Campground near Prescott...

  18. 29 CFR 2550.404c-5 - Fiduciary relief for investments in qualified default investment alternatives.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... as investment management fees, distribution and/or service fees, “12b-1” fees, or legal, accounting... to management by the investment management service to the extent the investment management service... “balanced” fund. (iii) An investment management service with respect to which a fiduciary, within the...

  19. 25 CFR 175.11 - Procedures for setting service fees.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Area Director shall establish, and amend as needed, service fees to cover the expense of customer service. Service fees shall be set by unilateral action of the Area Director and remain in effect until amended by the Area Director pursuant to this section. At least 30 days prior to the effective date, a...

  20. 77 FR 23313 - Self-Regulatory Organizations; International Securities Exchange, LLC; Notice of Filing and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-18

    ... Rule Change To Amend an Existing Fee Cap Program and Related Service Fee April 12, 2012. Pursuant to... fee cap program and a related service fee. The text of the proposed rule change is available on the... Rule Change 1. Purpose The Exchange currently has a fee cap program that, subject to certain exclusions...

  1. 41 CFR 105-60.305-8 - Prepayment of fees.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Regulations System (Continued) GENERAL SERVICES ADMINISTRATION Regional Offices-General Services..., Orders, Policies, Interpretations, Manuals, and Instructions § 105-60.305-8 Prepayment of fees. (a) Fees...

  2. 41 CFR 105-60.305-8 - Prepayment of fees.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Regulations System (Continued) GENERAL SERVICES ADMINISTRATION Regional Offices-General Services..., Orders, Policies, Interpretations, Manuals, and Instructions § 105-60.305-8 Prepayment of fees. (a) Fees...

  3. A process evaluation of user fees abolition for pregnant women and children under five years in two districts in Niger (West Africa)

    PubMed Central

    Ridde, Valéry; Diarra, Aissa

    2009-01-01

    Background African policy-makers are increasingly considering abolishing user fees as a solution to improve access to health care systems. There is little evidence on this subject in West Africa, and particularly in countries that have organized their healthcare system on the basis of the Bamako Initiative. This article presents a process evaluation of an NGO intervention to abolish user fees in Niger for children under five years and pregnant women. Methods The intervention was launched in 2006 in two health districts and 43 health centres. The intervention consisted of abolishing user fees and improving the quality of services (drugs, ambulance, etc.). We carried out a process evaluation in April 2007 using qualitative and quantitative data. Three data collection methods were used: i) individual in-depth interviews (n = 85) and focus groups (n = 8); ii) participant observation in 12 health centres; and iii) self-administered structured questionnaires (n = 51 health staff). Results The population favoured abolition; health officials and local decision-makers were in favour, but they worried about its sustainability. Among health workers, opposition to providing free services was more widespread. The strengths of the process were: a top-down phase of information and raising community awareness; appropriate incentive measures; a good drug supply system; and the organization of a medical evacuation system. The major weaknesses of the process were: the perverse effects of incentive bonuses; the lack of community-based management committees' involvement in the management; the creation of a system running in parallel with the BI system; the lack of action to support the service offer; and the poor coordination of the availability of free services at different levels of the health pyramid. Some unintended outcomes are also documented. Conclusion The linkages between systems in which some patients pay (Bamako Initiative) and some do not should be carefully considered and organized in accordance with the local reality. For the poorest patients to really benefit, it is essential that, at the same time, the quality of services be improved and mechanisms be put in place to prevent abuses. Much remains to be done to generate knowledge on the processes for abolishing fees in West Africa. PMID:19493354

  4. Implementing home care in Canada: four critical elements.

    PubMed

    Richardson, B

    2000-01-01

    While MacAdam proposes a "national approach to home care#8221; the obstacles to this are well known and substantial. They are the likely cost and the limitations of the federal government s role in healthcare. Building on MacAdam's assessment, this paper outlines four problems embedded in the various home-care service delivery models in Canada: the lack of factual client outcome information to support decision-making, the limited client choice of provider, the perverse incentive of fee for service and the bias against the for-profit provider. The paper proposes that the assessment, classification and measurement of outcomes for every recipient of home-care services be standardized using a proven assessment instrument, such as OASIS-B or MDS-HC, by healthcare professionals certified in its use. The resulting information would be captured in a regional database and available for analysis and research. CIHI would be contracted to manage a national database and to fund the training and certification of assessors. The paper proposes a new service delivery and funding model, utilizing standard client outcome information, different roles for regional health authorities and service providers, and a prospective payment mechanism replacing fee for service. A national home care program may be an elusive dream, but that shouldn't stop experimentation, evaluation and improvement.

  5. Trends in Medicaid physician fees, 2003-2008.

    PubMed

    Zuckerman, Stephen; Williams, Aimee F; Stockley, Karen E

    2009-01-01

    Medicaid physician fees increased 15.1 percent, on average, between 2003 and 2008. This was below the general rate of inflation, resulting in a reduction in real fees. Only primary care fees grew at the rate of inflation-20 percent between 2003 and 2008. However, because of slow growth in Medicare fees, Medicaid fees closed a small portion of their ongoing gap relative to Medicare-growing from 69 percent to 72 percent of Medicare. The increase in Medicaid fees relative to Medicare fees resulted from relative increases for primary care and obstetrical services, but not for other services.

  6. 9 CFR 391.5 - Laboratory accreditation fees.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Laboratory accreditation fees. 391.5 Section 391.5 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE FOOD SAFETY AND INSPECTION SERVICE ADMINISTRATIVE PROVISIONS FEES AND CHARGES FOR INSPECTION SERVICES...

  7. FEDIX: The on-line database retrieval service of government information for colleges, universities, and other organizations. User`s guide, Version 4.0/Release 2.1

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Not Available

    FEDIX is an on-line information service that links the higher education community and the federal government to facilitate research, education, and services. The system provides accurate, timely federal agency information to colleges, universities, and other research organizations. There are no registration fees or access charges. Participating agencies include DOE, FAA, NASA, ONR, AFOSR, NSF, NSA, DOE, DOEd, HUD, and AID. This guide is intended to help users access and utilize FEDIX.

  8. 14 CFR 1261.409 - Contracting for collection services.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... regulations of the Internal Revenue Service; (3) The contractor must be required to account strictly for all... information upon returning an account to NASA for subsequent referral to the Department of Justice for... of a revolving fund authorized by statute. Accordingly, payment of the fixed-fee must be charged to...

  9. 32 CFR 1800.13 - Fees for record services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 6 2013-07-01 2013-07-01 false Fees for record services. 1800.13 Section 1800.13 National Defense Other Regulations Relating to National Defense NATIONAL COUNTERINTELLIGENCE... percent of the estimated fees when fees may exceed $250.00 and the requester has no history of payment, or...

  10. 32 CFR 1800.13 - Fees for record services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 6 2011-07-01 2011-07-01 false Fees for record services. 1800.13 Section 1800.13 National Defense Other Regulations Relating to National Defense NATIONAL COUNTERINTELLIGENCE... percent of the estimated fees when fees may exceed $250.00 and the requester has no history of payment, or...

  11. 32 CFR 1900.13 - Fees for record services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 6 2013-07-01 2013-07-01 false Fees for record services. 1900.13 Section 1900.13 National Defense Other Regulations Relating to National Defense CENTRAL INTELLIGENCE AGENCY PUBLIC... of the estimated fees when fees may exceed $250.00 and the requester has no history of payment, or...

  12. 32 CFR 1900.13 - Fees for record services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 6 2011-07-01 2011-07-01 false Fees for record services. 1900.13 Section 1900.13 National Defense Other Regulations Relating to National Defense CENTRAL INTELLIGENCE AGENCY PUBLIC... of the estimated fees when fees may exceed $250.00 and the requester has no history of payment, or...

  13. 75 FR 58961 - U.S. Citizenship and Immigration Services Fee Schedule

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-24

    ... accounting process, and determined that current fees do not recover the full costs of services provided. DHS... and Budget Circulars. 6. Accounting Standards. B. Relative Amount of Fees. 1. Recovery of Additional.... Arrival-Departure Records. 3. Standardization of the Fee Waiver Process. 4. Commonwealth of the Northern...

  14. 14 CFR 389.12 - Payment of fees and charges.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Payment of fees and charges. 389.12 Section 389.12 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) ORGANIZATION FEES AND CHARGES FOR SPECIAL SERVICES Fees for Special Services § 389.12 Payment of...

  15. 14 CFR 389.12 - Payment of fees and charges.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 4 2011-01-01 2011-01-01 false Payment of fees and charges. 389.12 Section 389.12 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) ORGANIZATION FEES AND CHARGES FOR SPECIAL SERVICES Fees for Special Services § 389.12 Payment of...

  16. 15 CFR 230.7 - Description of services and list of fees, incorporation by reference.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... STANDARD REFERENCE MATERIALS STANDARD REFERENCE MATERIALS Description of Services and List of Fees § 230.7 Description of services and list of fees, incorporation by reference. (a) The text of NIST Special Publication... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Description of services and list of...

  17. 78 FR 18898 - User Fees for 2013 Crop Cotton Classification Services to Growers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-28

    ... Service 7 CFR Part 28 [AMS-CN-12-0074] RIN 0581-AD30 User Fees for 2013 Crop Cotton Classification... Agricultural Marketing Service (AMS) is proposing to maintain user fees for cotton producers for 2013 crop cotton classification services under the Cotton Statistics and Estimates Act at the same level as in 2012...

  18. 76 FR 16321 - User Fees for 2011 Crop Cotton Classification Services to Growers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-23

    ... Service 7 CFR Part 28 [AMS-CN-10-0111; CN-11-001] RIN 0581-AD11 User Fees for 2011 Crop Cotton...: The Agricultural Marketing Service (AMS) is proposing to maintain user fees for cotton producers for 2011 crop cotton classification services under the Cotton Statistics and Estimates Act at the same...

  19. 77 FR 21684 - User Fees for 2012 Crop Cotton Classification Services to Growers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-11

    ... Service 7 CFR Part 28 [Doc. AMS-CN-12-0005] RIN 0581-AD23 User Fees for 2012 Crop Cotton Classification... Agricultural Marketing Service (AMS) is proposing to maintain user fees for cotton producers for 2012 crop cotton classification services under the Cotton Statistics and Estimates Act at the same level as in 2011...

  20. 75 FR 22026 - User Fees for 2010 Crop Cotton Classification Services to Growers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-27

    ... Service 7 CFR Part 28 [AMS-CN-10-0001; CN-10-001] RIN 0581-AC99 User Fees for 2010 Crop Cotton...: The Agricultural Marketing Service (AMS) is proposing to maintain user fees for cotton producers for 2010 crop cotton classification services under the Cotton Statistics and Estimates Act at the same...

  1. 43 CFR 3830.96 - What if I pay only part of the service charges and fees for oil shale claims or previously...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... charges and fees for oil shale claims or previously-recorded mining claims or sites? 3830.96 Section 3830... the service charges and fees for oil shale claims or previously-recorded mining claims or sites? (a... maintenance fees, or oil shale fees, for previously-recorded mining claims or sites, or any combination of...

  2. 43 CFR 3830.96 - What if I pay only part of the service charges and fees for oil shale claims or previously...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... charges and fees for oil shale claims or previously-recorded mining claims or sites? 3830.96 Section 3830... the service charges and fees for oil shale claims or previously-recorded mining claims or sites? (a... maintenance fees, or oil shale fees, for previously-recorded mining claims or sites, or any combination of...

  3. 43 CFR 3830.96 - What if I pay only part of the service charges and fees for oil shale claims or previously...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... charges and fees for oil shale claims or previously-recorded mining claims or sites? 3830.96 Section 3830... the service charges and fees for oil shale claims or previously-recorded mining claims or sites? (a... maintenance fees, or oil shale fees, for previously-recorded mining claims or sites, or any combination of...

  4. 43 CFR 3830.96 - What if I pay only part of the service charges and fees for oil shale claims or previously...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... charges and fees for oil shale claims or previously-recorded mining claims or sites? 3830.96 Section 3830... the service charges and fees for oil shale claims or previously-recorded mining claims or sites? (a... maintenance fees, or oil shale fees, for previously-recorded mining claims or sites, or any combination of...

  5. 48 CFR 1816.405-274 - Award fee evaluation factors.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... omission by the contractor that results in compromise of classified information, illegal technology... information technology services, equipment or property damage from vandalism greater than $250,000, or theft... negotiated estimated cost of the contract. This estimated cost may include the value of undefinitized change...

  6. 48 CFR 1816.405-274 - Award fee evaluation factors.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... omission by the contractor that results in compromise of classified information, illegal technology... information technology services, equipment or property damage from vandalism greater than $250,000, or theft... negotiated estimated cost of the contract. This estimated cost may include the value of undefinitized change...

  7. 48 CFR 1816.405-274 - Award fee evaluation factors.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... omission by the contractor that results in compromise of classified information, illegal technology... information technology services, equipment or property damage from vandalism greater than $250,000, or theft... negotiated estimated cost of the contract. This estimated cost may include the value of undefinitized change...

  8. 75 FR 18751 - FBI Criminal Justice Information Services Division User Fees

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-13

    ... Standards (SFFAS-4): Managerial Cost Accounting Concepts and Standards for the Federal Government; and other relevant financial management directives, BearingPoint developed a cost accounting methodology and related... management process that provides information about the relationships between inputs (costs) and outputs...

  9. 45 CFR 98.42 - Sliding fee scales.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Program Operations (Child Care Services)-Lead Agency and Provider Requirements § 98.42 Sliding fee scales... provides for cost sharing by families that receive CCDF child care services. (b) A sliding fee scale(s...

  10. 45 CFR 98.42 - Sliding fee scales.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Program Operations (Child Care Services)-Lead Agency and Provider Requirements § 98.42 Sliding fee scales... provides for cost sharing by families that receive CCDF child care services. (b) A sliding fee scale(s...

  11. 45 CFR 98.42 - Sliding fee scales.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Welfare Department of Health and Human Services GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Program Operations (Child Care Services)-Lead Agency and Provider Requirements § 98.42 Sliding fee scales... provides for cost sharing by families that receive CCDF child care services. (b) A sliding fee scale(s...

  12. 45 CFR 98.42 - Sliding fee scales.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Program Operations (Child Care Services)-Lead Agency and Provider Requirements § 98.42 Sliding fee scales... provides for cost sharing by families that receive CCDF child care services. (b) A sliding fee scale(s...

  13. 49 CFR 1510.11 - Handling of security service fees.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... air carrier holds neither legal nor equitable interest in the security service fees except for the... 49 Transportation 9 2010-10-01 2010-10-01 false Handling of security service fees. 1510.11 Section 1510.11 Transportation Other Regulations Relating to Transportation (Continued) TRANSPORTATION SECURITY...

  14. 28 CFR 32.7 - Fees for representative services.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 1 2011-07-01 2011-07-01 false Fees for representative services. 32.7 Section 32.7 Judicial Administration DEPARTMENT OF JUSTICE PUBLIC SAFETY OFFICERS' DEATH, DISABILITY, AND EDUCATIONAL ASSISTANCE BENEFIT CLAIMS General Provisions § 32.7 Fees for representative services. (a) A person...

  15. Exploring Massachusetts Health Care Reform Impact on Fee-for-Service-Funded Substance Use Disorder Treatment Providers.

    PubMed

    Fields, Dail; Pruett, Jana; Roman, Paul M

    2015-01-01

    The Affordable Care Act (ACA) is forecast to increase the demand for and utilization of substance use disorder (SUD) treatment. Massachusetts implemented health reforms similar to the ACA in 2006-2007 that included expanding coverage for SUD treatment. This study explored the impact of Massachusetts health reforms from 2007 to 2010 on SUD treatment providers in Massachusetts, who relied on fee-for-service billings for more than 50% of their revenue. The changes across treatment facilities located in Massachusetts were compared to changes in other similar fee-for-service-funded SUD treatment providers in Northeast states bordering Massachusetts and in all other states across the US. From 2007-2010, the percentage changes for Massachusetts based providers were significantly different from the changes among providers located in the rest of the US for admissions, outpatient census, average weeks of outpatient treatment, residential/in-patient census, detoxification census, length of average inpatient and outpatient stays, and provision of medication-assisted treatment. Contrary to previous studies of publicly funded treatment providers, the results of this exploratory study of providers dependent on fee-for-service revenues were consistent with some predictions for the overall effects of the ACA.

  16. Assessing the elimination of user fees for delivery services in Laos.

    PubMed

    Boudreaux, Chantelle; Chanthala, Phetdara; Lindelow, Magnus

    2014-01-01

    A pilot eliminating user fees associated with delivery at the point of services was introduced in two districts of Laos in March 2009. Following two years of implementation, an evaluation was conducted to assess the pilot impact, as well as to document the pilot design and implementation challenges. Study results show that, even in the presence of the substantial access and cultural barriers, user fees associated with delivery at health facilities act as a serious deterrent to care seeking behavior. We find a tripling of facility-based delivery rates in the intervention areas, compared to a 40% increase in the control areas. While findings from the control region suggest that facility-based delivery rates may be on the rise across the country, the substantially higher increase in the pilot areas highlight the impact of financial burden associated with facility-based delivery fees. These fees can play an important role in rapidly increasing the uptake of facility delivery to reach the national targets and, ultimately, to improve maternal and child health outcomes. The pilot achieved important gains while relying heavily on capacity and systems already in place. However, the high cost associated with monitoring and evaluation suggest broad-scale expansion of the pilot activities is likely to necessitate targeted capacity building initiatives, especially in areas with limited district level capacity to manage funds and deliver detailed and timely reports.

  17. 7 CFR 70.71 - On a fee basis.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... required to perform the work, waiting time, travel time, and any clerical costs involved in issuing a... perform the audit, waiting time, travel time, travel expenses and any clerical costs involved in issuing a... specified in this section. (b) Fees for grading services will be based on the time required to perform such...

  18. 7 CFR 70.71 - On a fee basis.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... required to perform the work, waiting time, travel time, and any clerical costs involved in issuing a... perform the audit, waiting time, travel time, travel expenses and any clerical costs involved in issuing a... specified in this section. (b) Fees for grading services will be based on the time required to perform such...

  19. 7 CFR 70.71 - On a fee basis.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... required to perform the work, waiting time, travel time, and any clerical costs involved in issuing a... perform the audit, waiting time, travel time, travel expenses and any clerical costs involved in issuing a... specified in this section. (b) Fees for grading services will be based on the time required to perform such...

  20. 7 CFR 70.71 - On a fee basis.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... required to perform the work, waiting time, travel time, and any clerical costs involved in issuing a... perform the audit, waiting time, travel time, travel expenses and any clerical costs involved in issuing a... specified in this section. (b) Fees for grading services will be based on the time required to perform such...

  1. 7 CFR 70.71 - On a fee basis.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... required to perform the work, waiting time, travel time, and any clerical costs involved in issuing a... perform the audit, waiting time, travel time, travel expenses and any clerical costs involved in issuing a... specified in this section. (b) Fees for grading services will be based on the time required to perform such...

  2. 37 CFR 380.23 - Terms for making payment of royalty fees and statements of account.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... waiver, including development of proxy usage data. The Proxy Fee shall be paid by the date specified in... Educational Webcasters based on proxy usage data in accordance with a methodology adopted by the Collective's... third-party Web hosting or service provider maintains equipment or software for a Noncommercial...

  3. 20 CFR 702.413 - Fees for medical services; prevailing community charges.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Fees for medical services; prevailing... AND PROCEDURE Medical Care and Supervision § 702.413 Fees for medical services; prevailing community... such charges for the same or similar care (including supplies) as prevails in the community in which...

  4. 9 CFR 391.5 - Laboratory accreditation fees.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 9 Animals and Animal Products 2 2012-01-01 2012-01-01 false Laboratory accreditation fees. 391.5 Section 391.5 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE FOOD SAFETY AND INSPECTION SERVICE ADMINISTRATIVE PROVISIONS FEES AND CHARGES FOR INSPECTION SERVICES AND LABORATORY ACCREDITATION § 391.5...

  5. 9 CFR 391.5 - Laboratory accreditation fees.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 2 2011-01-01 2011-01-01 false Laboratory accreditation fees. 391.5 Section 391.5 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE FOOD SAFETY AND INSPECTION SERVICE ADMINISTRATIVE PROVISIONS FEES AND CHARGES FOR INSPECTION SERVICES AND LABORATORY ACCREDITATION § 391.5...

  6. 9 CFR 391.5 - Laboratory accreditation fees.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 9 Animals and Animal Products 2 2014-01-01 2014-01-01 false Laboratory accreditation fees. 391.5 Section 391.5 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE FOOD SAFETY AND INSPECTION SERVICE ADMINISTRATIVE PROVISIONS FEES AND CHARGES FOR INSPECTION SERVICES AND LABORATORY ACCREDITATION § 391.5...

  7. 9 CFR 391.5 - Laboratory accreditation fees.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 9 Animals and Animal Products 2 2013-01-01 2013-01-01 false Laboratory accreditation fees. 391.5 Section 391.5 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE FOOD SAFETY AND INSPECTION SERVICE ADMINISTRATIVE PROVISIONS FEES AND CHARGES FOR INSPECTION SERVICES AND LABORATORY ACCREDITATION § 391.5...

  8. 7 CFR 800.71 - Fees assessed by the Service.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 7 2014-01-01 2014-01-01 false Fees assessed by the Service. 800.71 Section 800.71 Agriculture Regulations of the Department of Agriculture (Continued) GRAIN INSPECTION, PACKERS AND STOCKYARD ADMINISTRATION (FEDERAL GRAIN INSPECTION SERVICE), DEPARTMENT OF AGRICULTURE GENERAL REGULATIONS Fees § 800.71...

  9. 7 CFR 800.71 - Fees assessed by the Service.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 7 2013-01-01 2013-01-01 false Fees assessed by the Service. 800.71 Section 800.71 Agriculture Regulations of the Department of Agriculture (Continued) GRAIN INSPECTION, PACKERS AND STOCKYARD ADMINISTRATION (FEDERAL GRAIN INSPECTION SERVICE), DEPARTMENT OF AGRICULTURE GENERAL REGULATIONS Fees § 800.71...

  10. 7 CFR 800.71 - Fees assessed by the Service.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 7 2012-01-01 2012-01-01 false Fees assessed by the Service. 800.71 Section 800.71 Agriculture Regulations of the Department of Agriculture (Continued) GRAIN INSPECTION, PACKERS AND STOCKYARD ADMINISTRATION (FEDERAL GRAIN INSPECTION SERVICE), DEPARTMENT OF AGRICULTURE GENERAL REGULATIONS Fees § 800.71...

  11. 7 CFR 800.71 - Fees assessed by the Service.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 7 2010-01-01 2010-01-01 false Fees assessed by the Service. 800.71 Section 800.71 Agriculture Regulations of the Department of Agriculture (Continued) GRAIN INSPECTION, PACKERS AND STOCKYARD ADMINISTRATION (FEDERAL GRAIN INSPECTION SERVICE), DEPARTMENT OF AGRICULTURE GENERAL REGULATIONS Fees § 800.71...

  12. 7 CFR 800.71 - Fees assessed by the Service.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 7 2011-01-01 2011-01-01 false Fees assessed by the Service. 800.71 Section 800.71 Agriculture Regulations of the Department of Agriculture (Continued) GRAIN INSPECTION, PACKERS AND STOCKYARD ADMINISTRATION (FEDERAL GRAIN INSPECTION SERVICE), DEPARTMENT OF AGRICULTURE GENERAL REGULATIONS Fees § 800.71...

  13. Information Broker/Free Lance Librarian--New Careers--New Library Services. Miscellaneous Studies No. 3

    ERIC Educational Resources Information Center

    Minor, Barbara B., Ed.

    Proceedings of a workshop on the information broker--a person or organization that provides information on demand for a fee, usually to make a profit--includes edited transcripts of the following presentations: "Introduction," Maxine Davis; "The Free-Lance Alternative: Turning Traditional Skills New Directions," Susan Klement;…

  14. 42 CFR 422.216 - Special rules for MA private fee-for-service plans.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Special rules for MA private fee-for-service plans... Providers § 422.216 Special rules for MA private fee-for-service plans. (a) Payment to providers—(1) Payment rate. (i) The MA organization must establish payment rates for plan covered items and services that...

  15. 42 CFR 422.216 - Special rules for MA private fee-for-service plans.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Special rules for MA private fee-for-service plans... Providers § 422.216 Special rules for MA private fee-for-service plans. (a) Payment to providers—(1) Payment rate. (i) The MA organization must establish payment rates for plan covered items and services that...

  16. 41 CFR 105-60.305-12 - Administrative actions to improve assessment and collection of fees.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... ADMINISTRATION Regional Offices-General Services Administration 60-PUBLIC AVAILABILITY OF AGENCY RECORDS AND INFORMATIONAL MATERIALS 60.3-Availability of Opinions, Orders, Policies, Interpretations, Manuals, and...

  17. 41 CFR 105-60.305-12 - Administrative actions to improve assessment and collection of fees.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... ADMINISTRATION Regional Offices-General Services Administration 60-PUBLIC AVAILABILITY OF AGENCY RECORDS AND INFORMATIONAL MATERIALS 60.3-Availability of Opinions, Orders, Policies, Interpretations, Manuals, and...

  18. Medicare program; replacement of reasonable charge methodology by fee schedules for parenteral and enteral nutrients, equipment, and supplies. Final rule.

    PubMed

    2001-08-28

    This final rule implements fee schedules for payment of parenteral and enteral nutrition (PEN) items and services furnished under the prosthetic device benefit, defined in section 1861(s)(8) of the Social Security Act. The authority for establishing these fee schedules is provided by the Balanced Budget Act of 1997, which amended the Social Security Act at section 1842(s). Section 1842(s) of the Social Security Act specifies that statewide or other area wide fee schedules may be implemented for the following items and services still subject to the reasonable charge payment methodology: medical supplies; home dialysis supplies and equipment; therapeutic shoes; parenteral and enteral nutrients, equipment, and supplies; electromyogram devices; salivation devices; blood products; and transfusion medicine. This final rule describes changes made to the proposed fee schedule payment methodology for these items and services and provides that the fee schedules for PEN items and services are effective for all covered items and services furnished on or after January 1, 2002. Fee schedules will not be implemented for electromyogram devices and salivation devices at this time since these items are not covered by Medicare. In addition, fee schedules will not be implemented for medical supplies, home dialysis supplies and equipment, therapeutic shoes, blood products, and transfusion medicine at this time since the data required to establish these fee schedules are inadequate.

  19. 44 CFR 72.3 - Fee schedule.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... structural measures; (8) Requests for LOMRs and PMRs based on as-built information for projects for which...) Requests for CLOMRs based on projects involving levees, berms, or other structural measures. (d) If a... PROCESSING MAP CHANGES § 72.3 Fee schedule. (a) For requests for CLOMRs, LOMRs, and PMRs based on structural...

  20. User fee exemptions and excessive household spending for normal delivery in Burkina Faso: the need for careful implementation.

    PubMed

    Ben Ameur, Amal; Ridde, Valéry; Bado, Aristide R; Ingabire, Marie-Gloriose; Queuille, Ludovic

    2012-11-21

    In 2006, the Parliament of Burkina Faso passed a policy to reduce the direct costs of obstetric services and neonatal care in the country's health centres, aiming to lower the country's high national maternal mortality and morbidity rates. Implementation was via a "partial exemption" covering 80% of the costs. In 2008 the German NGO HELP launched a pilot project in two health districts to eliminate the remaining 20% of user fees. Regardless of any exemptions, women giving birth in Burkina Faso's health centres face additional expenses that often represent an additional barrier to accessing health services. We compared the total cost of giving birth in health centres offering partial exemption versus those with full exemption to assess the impact on additional out-of-pocket fees. A case-control study was performed to compare medical expenses. Case subjects were women who gave birth in 12 health centres located in the Dori and Sebba districts, where HELP provided full fee exemption for obstetric services and neonatal care. Controls were from six health centres in the neighbouring Djibo district where a partial fee exemption was in place. A random sample of approximately 50 women per health centre was selected for a total of 870 women. There was an implementation gap regarding the full exemption for obstetric services and neonatal care. Only 1.1% of the sample from Sebba but 17.5% of the group from Dori had excessive spending on birth related costs, indicating that women who delivered in Sebba were much less exposed to excessive medical expenses than women from Dori. Additional out-of-pocket fees in the full exemption health districts took into account household ability to pay, with poorer women generally paying less. We found that the elimination of fees for facility-based births benefits especially the poorest households. The existence of excessive spending related to direct costs of giving birth is of concern, making it urgent for the government to remove all direct fees for obstetric and neonatal care. However, the policy of completely abolishing user fees is insufficient; the implementation process must have a thorough monitoring system to reduce implementation gaps.

  1. 47 CFR 1.1102 - Schedule of charges for applications and other filings in the wireless telecommunications services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... filings in the wireless telecommunications services. 1.1102 Section 1.1102 Telecommunication FEDERAL... wireless telecommunications services. In the table below, the amounts appearing in the column labeled “Fee... the same time the application fee is paid. Please refer to the 2013 Wireless Telecommunications Fee...

  2. 21 CFR 80.10 - Fees for certification services.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Fees for certification services. 80.10 Section 80.10 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL COLOR...) Method of payment. All deposits and fees required by this section shall be paid by money order, bank...

  3. 78 FR 2627 - Fees for Official Inspection and Official Weighing Services Under the United States Grain...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-14

    ... compensation and benefits, travel, rent, communications, utilities, contractual services, supplies, and...- contract rate, plus the prevailing Toledo field office tonnage fee, plus the actual cost of travel. GIPSA... weighing services to recover its costs and build an operating reserve. Fees for foreign travel would be...

  4. Spillover effects of Medicare fee reductions: evidence from ophthalmology.

    PubMed

    Mitchell, Jean M; Hadley, Jack; Gaskin, Darrell J

    2002-09-01

    Relatively little research has examined physicians' supply responses to Medicare fee cuts especially whether fee reductions for specific procedures have "spillover" effects that cause physicians to increase the supply of other services they provide. In this study we investigate whether ophthalmologist changed their provision of non-cataract services to Medicare patients over the time period 1992-1994, when the Medicare Fee Schedule (MFS) resulted in a 17.4% reduction in the average fee paid for a cataract extraction. Following the McGuire-Pauly model of physician behavior (McGuire and Pauly, 1991), we estimated a supply function for non-cataract procedures that included three price variables (own-price, a Medicare cross-price and a private cross-price) and an income effect. The Medicare cross-price and income variables capture spillover effects. Consistent with the model's predictions, we found that the Medicare cross-price is significant and negative, implying that a 10% reduction in the fee for a cataract extraction will cause ophthalmologists to supply about 5% more non-cataract services. Second, the income variable is highly significant, but its impact on the supply of non-cataract services is trivial. The suggests that physicians behave more like profit maximizing firms than target income seekers. We also found that the own-price and the private cross-price variables are highly significant and have the expected positive and negative effects on the volume of non-cataract services respectively. Our results demonstrate the importance of evaluating volume responses to fee changes for the array of services the physician performs, not just the procedure whose fee has been reduced. Focusing only on the procedure whose fee has been cut will yield an incomplete picture of how fee reductions for specific procedures affect physician supply decisions.

  5. 76 FR 57081 - Annual Determination of Average Cost of Incarceration

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-15

    ... AGENCY: Bureau of Prisons, Justice. ACTION: Notice. SUMMARY: The fee to cover the average cost of... INFORMATION: 28 CFR part 505 allows for assessment and collection of a fee to cover the average cost of... Prisons determined that, based upon fiscal year 2010 data, the fee to cover the average cost of...

  6. 77 FR 55485 - Agency Information Collection Activities: H-2 Petitioner's Employment Related or Fee Related...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-10

    ... DEPARTMENT OF HOMELAND SECURITY U.S. Citizenship and Immigration Services [OMB Control Number 1615...-Day notice. SUMMARY: The Department of Homeland Security (DHS), U.S. Citizenship and Immigration.... Citizenship and Immigration Services, Department of Homeland Security. [FR Doc. 2012-22137 Filed 9-7-12; 8:45...

  7. 77 FR 18106 - Award Fee for Service and End-Item Contracts

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-27

    .... SUMMARY: NASA has adopted, without change, a final rule amending the NASA FAR Supplement (NFS) to update the Award Fee for Service Contracts clause (NFS 1852.216-76) to clarify that the amount of award fee... Award Fee for End-Item Contracts clause (NFS 1852.216-77) to allow the contracting officer to withhold...

  8. 76 FR 44640 - Self-Regulatory Organizations; NASDAQ OMX PHLX LLC; Notice of Filing and Immediate Effectiveness...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-26

    ... to cap fees and even with the added Service Fee, Firms should generally pay less once they reach the Cap because they will not pay the normally applicable transaction fees. This Service Fee would reduce the discrepancy that exists today between Firms and other market participants. For example, Firms who...

  9. 47 CFR 1.1181 - Authority to prescribe and collect fees for competitive bidding-related services and products.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Authority to prescribe and collect fees for... § 1.1181 Authority to prescribe and collect fees for competitive bidding-related services and products. Authority to prescribe, impose, and collect fees for expenses incurred by the government is governed by the...

  10. 47 CFR 1.1156 - Schedule of regulatory fees and filing locations for international services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... applies for the listed services: Fee category Fee amount Address Space Stations (Geostationary Orbit) $131,375 FCC, International, P.O. Box 979084,St. Louis, MO 63197-9000. Space Stations (Non-Geostationary...

  11. 47 CFR 1.1156 - Schedule of regulatory fees and filing locations for international services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... applies for the listed services: Fee category Fee amount Address Space Stations (Geostationary Orbit) $127,925 FCC, International, P.O. Box 979084, St. Louis, MO 63197-9000 Space Stations (Non-Geostationary...

  12. Two Wrongs Do Not Make a Right: Flaws in Alternatives to Fee-for-Service Payment Plans Do Not Mean Fee-for-Service Is a Good Solution to Rising Prices Comment on "Fee-for-Service Payment - An Evil Practice That Must Be Stamped Out?".

    PubMed

    Koppel, Ross

    2015-05-11

    Professor Naoki Ikegami's "Fee-for-service payment - an evil practice that must be stamped out" summarizes many of the failings of alternatives to fee-for-service (FFS) payment systems. His article also offers several suggestions for improving FFS systems. However, even powerful arguments against many of the alternatives to FFS, does not make a convincing argument for FFS systems. In addition, there are significant misunderstandings in Professor Ikegami's presentation of and use of United States payment methods, the role of private vs. public insurance systems, and the increasing role of "accountable care organizations. © 2015 by Kerman University of Medical Sciences.

  13. Forecasting the Future Reimbursement System of Korean National Health Insurance: A Contemplation Focusing on Global Budget and Neo-KDRG-Based Payment Systems

    PubMed Central

    2012-01-01

    With the adoption of national health insurance in 1977, Korea has been utilizing fee-for-service payment with contract-based healthcare reimbursement system in 2000. Under the system, fee-for-service reimbursement has been accused of augmenting national healthcare expenditure by excessively increasing service volume. The researcher examined in this paper two major alternatives including diagnosis related group-based payment and global budget to contemplate the future of reimbursement system of Korean national health insurance. Various literature and preceding studies on pilot project and actual implementation of Neo-KDRG were reviewed. As a result, DRG-based payment was effective for healthcare cost control but low in administrative efficiency. Global budget may be adequate for cost control and improving the quality of healthcare and administrative efficiency. However, many healthcare providers disagree that excess care arising from fee-for-service payment alone has led to financial deterioration of national health insurance and healthcare institutions should take responsibility with global budget payment as an appropriate solution. Dissimilar payment systems may be applied to different types of institutions to reflect their unique attributes, and this process can be achieved step-by-step. Developing public sphere among the stakeholders and striving for consensus shall be kept as collateral to attain the desirable reimbursement system in the future. PMID:22661867

  14. Forecasting the future reimbursement system of Korean National Health Insurance: a contemplation focusing on global budget and Neo-KDRG-based payment systems.

    PubMed

    Kim, Yang-Kyun

    2012-05-01

    With the adoption of national health insurance in 1977, Korea has been utilizing fee-for-service payment with contract-based healthcare reimbursement system in 2000. Under the system, fee-for-service reimbursement has been accused of augmenting national healthcare expenditure by excessively increasing service volume. The researcher examined in this paper two major alternatives including diagnosis related group-based payment and global budget to contemplate the future of reimbursement system of Korean national health insurance. Various literature and preceding studies on pilot project and actual implementation of Neo-KDRG were reviewed. As a result, DRG-based payment was effective for healthcare cost control but low in administrative efficiency. Global budget may be adequate for cost control and improving the quality of healthcare and administrative efficiency. However, many healthcare providers disagree that excess care arising from fee-for-service payment alone has led to financial deterioration of national health insurance and healthcare institutions should take responsibility with global budget payment as an appropriate solution. Dissimilar payment systems may be applied to different types of institutions to reflect their unique attributes, and this process can be achieved step-by-step. Developing public sphere among the stakeholders and striving for consensus shall be kept as collateral to attain the desirable reimbursement system in the future.

  15. 10 CFR 170.8 - Information collection requirements: OMB approval

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 2 2014-01-01 2014-01-01 false Information collection requirements: OMB approval 170.8 Section 170.8 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) FEES FOR FACILITIES, MATERIALS, IMPORT AND EXPORT LICENSES, AND OTHER REGULATORY SERVICES UNDER THE ATOMIC ENERGY ACT OF 1954, AS AMENDED General...

  16. 10 CFR 170.8 - Information collection requirements: OMB approval

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 2 2011-01-01 2011-01-01 false Information collection requirements: OMB approval 170.8 Section 170.8 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) FEES FOR FACILITIES, MATERIALS, IMPORT AND EXPORT LICENSES, AND OTHER REGULATORY SERVICES UNDER THE ATOMIC ENERGY ACT OF 1954, AS AMENDED General...

  17. 10 CFR 170.8 - Information collection requirements: OMB approval

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 2 2012-01-01 2012-01-01 false Information collection requirements: OMB approval 170.8 Section 170.8 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) FEES FOR FACILITIES, MATERIALS, IMPORT AND EXPORT LICENSES, AND OTHER REGULATORY SERVICES UNDER THE ATOMIC ENERGY ACT OF 1954, AS AMENDED General...

  18. 10 CFR 170.8 - Information collection requirements: OMB approval

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 2 2010-01-01 2010-01-01 false Information collection requirements: OMB approval 170.8 Section 170.8 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) FEES FOR FACILITIES, MATERIALS, IMPORT AND EXPORT LICENSES, AND OTHER REGULATORY SERVICES UNDER THE ATOMIC ENERGY ACT OF 1954, AS AMENDED General...

  19. 10 CFR 170.8 - Information collection requirements: OMB approval

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 2 2013-01-01 2013-01-01 false Information collection requirements: OMB approval 170.8 Section 170.8 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) FEES FOR FACILITIES, MATERIALS, IMPORT AND EXPORT LICENSES, AND OTHER REGULATORY SERVICES UNDER THE ATOMIC ENERGY ACT OF 1954, AS AMENDED General...

  20. Physician customary charges and Medicare payment experience: Study findings

    PubMed Central

    Kowalczyk, George I.; Harden, Stephen D.

    1991-01-01

    Customary charges have had significant impacts in determining reasonable prices under the historic Medicare physician payment system. This article contains new, comprehensive information on customary charges as well as data aggregated at the physician level. These baseline data have some important policy implications, such as the study findings, that indicate that the Medicare fee schedule is likely to have significant impacts on individual physician practices. The study is based on data for medical, surgical, and consultation services for nine States. PMID:10122362

  1. Medicare's chronic care improvement pilot program: what is its potential?

    PubMed

    Super, Nora

    2004-05-10

    This paper describes the voluntary chronic care improvement program under traditional fee-for-service Medicare as authorized by the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 (Public Law 108-173; section 721). This brief analyzes the emerging issues raised by this new program, including which chronic conditions and regional areas will be targeted, the types of entities that may participate, the physician's role in care management, and the adoption and use of health information technology and evidence-based clinical guidelines.

  2. 7 CFR 205.640 - Fees and other charges for accreditation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) ORGANIC FOODS PRODUCTION ACT PROVISIONS NATIONAL ORGANIC PROGRAM Administrative Fees § 205.640 Fees and... Marketing Service, through its Quality Systems Certification Program, to certification bodies requesting...

  3. 7 CFR 70.78 - Fees or charges for grading service performed under cooperative agreement.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... INSPECTION ACT (CONTINUED) VOLUNTARY GRADING OF POULTRY PRODUCTS AND RABBIT PRODUCTS Grading of Poultry Products and Rabbit Products Fees and Charges § 70.78 Fees or charges for grading service performed under...

  4. 7 CFR 70.78 - Fees or charges for grading service performed under cooperative agreement.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... INSPECTION ACT (CONTINUED) VOLUNTARY GRADING OF POULTRY PRODUCTS AND RABBIT PRODUCTS Grading of Poultry Products and Rabbit Products Fees and Charges § 70.78 Fees or charges for grading service performed under...

  5. Medicare program; model fee schedule for physicians' services--HCFA. Notice with comment period.

    PubMed

    1990-09-04

    This notice announces and invites comments on a model fee schedule for physicians' services that is required by section 6102 of the Omnibus Budget Reconciliation Act of 1989. The model fee schedule provides very preliminary estimates for some, but not all, services to illustrate the effects of the Medicare physician payment fee schedule that will begin to take effect in January 1992. In accordance with section 6102(f)(11), we are making the model fee schedule available to the public through publication of this notice. Any comments received from the public will be considered carefully, but not specifically addressed in a subsequent proposed rule.

  6. User fees and maternity services in Ethiopia.

    PubMed

    Pearson, Luwei; Gandhi, Meena; Admasu, Keseteberhan; Keyes, Emily B

    2011-12-01

    To examine user fees for maternity services and how they relate to provision, quality, and use of maternity services in Ethiopia. The national assessment of emergency obstetric and newborn care (EmONC) examined user fees for maternity services in 751 health facilities that provided childbirth services in 2008. Overall, only about 6.6% of women gave birth in health facilities. Among facilities that provided delivery care, 68% charged a fee in cash or kind for normal delivery. Health centers should be providing maternity services free of charge (the healthcare financing proclamation), yet 65% still charge for some aspect of care, including drugs and supplies. The average cost for normal and cesarean delivery was US $7.70 and US $51.80, respectively. Nineteen percent of these facilities required payment in advance for treatment of an obstetric emergency. The health facilities that charged user fees had, on average, more delivery beds, deliveries (normal and cesarean), direct obstetric complications treated, and a higher ratio of skilled birth attendants per 1000 deliveries than those that did not charge. The case fatality rate was 3.8% and 7.1% in hospitals that did and did not charge user fees, respectively. Utilization of maternal health services is extremely low in Ethiopia and, although there is a government decree against charging for maternity service, 65% of health centers do charge for some aspects of maternal care. As health facilities are not reimbursed by the government for the costs of maternity services, this loss of revenue may account for the more and better services offered in facilities that continue to charge user fees. User fees are not the only factor that determines utilization in settings where the coverage of maternity services is extremely low. Additional factors include other out-of-pocket payments such as cost of transport and food and lodging for accompanying relatives. It is important to keep quality of care in mind when user fees are under discussion. Copyright © 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  7. 77 FR 36285 - Notice of Proposed Information Collection: Comment Request; Application for Fee or Roster...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-18

    ... the FHA insurance fund. Agency form numbers, if applicable: HUD-92563I, HUD 92563A, HUD 92564-CN... to the proposal by name and/or OMB Control Number and should be sent to: Reports Liaison Officer... number for the Federal Information Relay Service (1-800-877-8339). FOR FURTHER INFORMATION CONTACT: Karin...

  8. 42 CFR 422.216 - Special rules for MA private fee-for-service plans.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 3 2013-10-01 2013-10-01 false Special rules for MA private fee-for-service plans... With Providers § 422.216 Special rules for MA private fee-for-service plans. (a) Payment to providers—(1) Payment rate. (i) The MA organization must establish payment rates for plan covered items and...

  9. 42 CFR 422.216 - Special rules for MA private fee-for-service plans.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Special rules for MA private fee-for-service plans... With Providers § 422.216 Special rules for MA private fee-for-service plans. (a) Payment to providers—(1) Payment rate. (i) The MA organization must establish payment rates for plan covered items and...

  10. 42 CFR 422.216 - Special rules for MA private fee-for-service plans.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Special rules for MA private fee-for-service plans... With Providers § 422.216 Special rules for MA private fee-for-service plans. (a) Payment to providers—(1) Payment rate. (i) The MA organization must establish payment rates for plan covered items and...

  11. 47 CFR 1.1153 - Schedule of annual regulatory fees and filing locations for mass media services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 1 2014-10-01 2014-10-01 false Schedule of annual regulatory fees and filing locations for mass media services. 1.1153 Section 1.1153 Telecommunication FEDERAL COMMUNICATIONS COMMISSION... Payment § 1.1153 Schedule of annual regulatory fees and filing locations for mass media services. Radio...

  12. 47 CFR 1.1153 - Schedule of annual regulatory fees and filing locations for mass media services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 1 2011-10-01 2011-10-01 false Schedule of annual regulatory fees and filing locations for mass media services. 1.1153 Section 1.1153 Telecommunication FEDERAL COMMUNICATIONS COMMISSION... of annual regulatory fees and filing locations for mass media services. Radio [AM and FM] (47 CFR...

  13. 47 CFR 1.1153 - Schedule of annual regulatory fees and filing locations for mass media services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 1 2013-10-01 2013-10-01 false Schedule of annual regulatory fees and filing locations for mass media services. 1.1153 Section 1.1153 Telecommunication FEDERAL COMMUNICATIONS COMMISSION... Payment § 1.1153 Schedule of annual regulatory fees and filing locations for mass media services. Radio...

  14. 47 CFR 1.1153 - Schedule of annual regulatory fees and filing locations for mass media services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Schedule of annual regulatory fees and filing locations for mass media services. 1.1153 Section 1.1153 Telecommunication FEDERAL COMMUNICATIONS COMMISSION... of annual regulatory fees and filing locations for mass media services. Radio [AM and FM] (47 CFR...

  15. 76 FR 79267 - Self-Regulatory Organizations; NYSE Arca, Inc.; Order Approving a Proposed Rule Change Expanding...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-21

    ... Potential ``Users'' of Its Co-Location Services To Include Any Market Participant That Requests To Receive Co-Location Services Directly From the Exchange and Amending Its Fee Schedule To Establish a Fee for... ``Users'' of its co-location services, and to amend its Fee Schedule. The proposed rule change was...

  16. 76 FR 79233 - Self-Regulatory Organizations; NYSE Amex LLC; Order Approving a Proposed Rule Change Expanding...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-21

    ... Potential ``Users'' of Its Co-Location Services To Include Any Market Participant that Requests To Receive Co-Location Services Directly from the Exchange and Amending Its Fee Schedule To Establish a Fee for... co-location services, and to amend its Fee Schedule. The proposed rule change was published for...

  17. 8 CFR 286.8 - Establishment of pilot programs for the charging of a land border fee for inspection services.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... DEPARTMENT OF HOMELAND SECURITY IMMIGRATION REGULATIONS IMMIGRATION USER FEE § 286.8 Establishment of pilot... charge fees for immigration inspection services to be collected by the Commissioner. Individual ports-of... inspection services and to recover the cost of: (a) Hiring additional immigration inspectors, including all...

  18. Medicare in interventional pain management: A critical analysis.

    PubMed

    Manchikanti, Laxmaiah

    2006-07-01

    Recent years have been quite eventful for interventional pain physicians with numerous changes in the Medicare payment system with a view for the future and what it holds for interventional pain management for 2006 and beyond. On February 8, 2006, President Bush signed the Deficit Reduction Act of 2005, which cuts the federal budget by 39 billion dollars and Medicare and Medicaid by almost 11 billion dollars over five years. The Act contains a number of important provisions that effect physicians in general and interventional pain physicians in particular. This Act provides one year, 0% conversion factor update in payments for physicians services in 2006. Medicare has four programs or parts, namely Medicare Parts A, B, C, and D, and two funds to pay providers for serving beneficiaries in each of these program. Part B helps pay for physician, outpatient hospital, home health, and other services for the aged and disabled who have voluntarily enrolled. Before 1922, the fees that Medicare paid for those services were largely based on physician's historical charges. Despite Congress's actions of freezing or limiting the fee increases, spending continued to rise because of increases in the volume and intensity of physician services. Medicare spending per beneficiary for physician services grew at an average annual rate of 11.6% from 1980 through 1991. Consequently Congress was forced to reform the way that Medicare sets physician fees, due to ineffectiveness of the fee controls and reductions. The sustained growth rate (SGR) system was established because of the concern that the fee schedule itself would not adequately constrain increases in spending for physicians' services. The law specifies a formula for calculating the SGR, based on changes in four factors: (1) estimated changes in fees; (2) estimated change in the average number of Part B enrollees (excluding Medicare Advantage beneficiaries); (3) estimated projected growth in real gross domestic product (GDP) growth per capita; and (4) estimated change in expenditures due to changes in law or regulation. Overall, the frequency of utilization of interventional procedures has increased substantially since 1998. In 2006 and beyond, interventionalists will face a number of evolving economic and policy-related issues, including reimbursement discrepancies, issues related to CPT coding, issues related to utilization, fraud, and abuse.

  19. 13 CFR 120.220 - Fees that Lender pays SBA.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... applies, the lender shall pay SBA an annual service fee equal to 0.5 percent of the outstanding balance of..., 2004. The lender shall pay SBA an annual service fee equal to 0.25 percent of the outstanding balance... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Fees that Lender pays SBA. 120.220...

  20. 18 CFR 367.9230 - Account 923, Outside services employed.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... subaccounts must be provided for auditing, legal, engineering, management consulting fees and any other fees... showing the nature of service, identity of the person furnishing the service, affiliation to the service...

  1. Medicare physician payment systems: impact of 2011 schedule on interventional pain management.

    PubMed

    Manchikanti, Laxmaiah; Singh, Vijay; Caraway, David L; Benyamin, Ramsin M; Hirsch, Joshua A

    2011-01-01

    Physicians in the United States have been affected by significant changes in the patterns of medical practice evolving over the last several decades. The recently passed affordable health care law, termed the Patient Protection and Affordable Care Act of 2010 (the ACA, for short) affects physicians more than any other law. Physician services are an integral part of health care. Physicians are paid in the United States for their personal services. This payment also includes the overhead expenses for maintaining an office and providing services. The payment system is highly variable in the private insurance market; however, governmental systems have a formula-based payment, mostly based on the Medicare payment system. Physician services are billed under Part B. Since the inception of the Medicare program in 1965, several methods have been used to determine the amounts paid to physicians for each covered service. Initially, the payment systems compensated physicians on the basis of their charges. In 1975, just over 10 years after the inception of the Medicare program, payments changed so as not to exceed the increase in the Medical Economic Index (MEI). Nevertheless, the policy failed to curb increases in costs, leading to the determination of a yearly change in fees by legislation from 1984 to 1991. In 1992, the fee schedule essentially replaced the prior payment system that was based on the physician's charges, which also failed to live up to expectations for operational success. Then, in 1998, the sustainable growth rate (SGR) system was introduced. In 2009, multiple attempts were made by Congress to repeal the formula - rather unsuccessfully. Consequently, the SGR formula continues to hamper physician payments. The mechanism of the SGR includes 3 components that are incorporated into a statutory formula: expenditure targets, growth rate period, and annual adjustments of payment rates for physician services. Further, the relative value of a physician fee schedule is based on 3 components: physician work, practice expense (PE), and malpractice expense that are used to determine a value ranking for each service to which it is applied. On average, the work component represents 53.5% of a service's relative value, the fee component represents 43.6%, and the malpractice component represents 3.9%. The final schedule for physician payment was issued on November 24, 2010. This was based on a total cut of 30.8% with 24.9% of the cut attributed to SGR. However, as usual, with patchwork efficiency, Congress passed a one-year extension of the 0% update, effective through December 2011. Consequently, CMS issued an emergency update of the 2011 Medicare fee schedule, with multiple revisions, resulting in a reduction of the conversion factor of $36.8729 from December 2010 to $33.9764 for 2011.

  2. 46 CFR 298.36 - Guarantee Fee.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... discount rate based on information contained in the President's most recently submitted budget. (2) The... § 298.36 Guarantee Fee. (a) Rates in general. (1) For annual periods, beginning with the date of the... Guarantee Fee set at a rate of not less than 1/4 of 1 percent and not more than 1/2 of 1 percent of the...

  3. 20 CFR 403.150 - Is there a fee for our services?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... and provide the testimony and any travel time, and (2) Other travel costs. (d) Waiver or reduction of...) The extent to which providing the testimony or information serves SSA's interest; and (5) The burden...

  4. 29 CFR 1401.21 - Information policy.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... working hours so long as it does not interfere with the efficient operation of the agency. (c) The Service... Street, NW., Washington, DC 20427, as long as the supply lasts. The provisions of § 1401.36 (fees) is not...

  5. Medicare annual preventive care visits: use increased among fee-for-service patients, but many do not participate.

    PubMed

    Chung, Sukyung; Lesser, Lenard I; Lauderdale, Diane S; Johns, Nicole E; Palaniappan, Latha P; Luft, Harold S

    2015-01-01

    Under the Affordable Care Act (ACA), Medicare coverage expanded in 2011 to fully cover annual preventive care visits. We assessed the impact of coverage expansion, using 2007-13 data from primary care patients of Medicare-eligible age at the Palo Alto Medical Foundation (204,388 patient-years), which serves people in four counties near San Francisco, California. We compared trends in preventive visits and recommended preventive services among Medicare fee-for-service and Medicare health maintenance organization (HMO) patients as well as non-Medicare patients ages 65-75 who were covered by private fee-for-service and private HMO plans. Among Medicare fee-for-service patients, the annual use of preventive visits rose from 1.4 percent before the implementation of the ACA to 27.5 percent afterward. This increase was significantly larger than was seen for patients in the other insurance groups. Nevertheless, rates of annual preventive care visit use among Medicare fee-for-service patients remained 10-20 percentage points lower than was the case for people with private coverage (43-44 percent) or those in a Medicare HMO (53 percent). ACA policy changes led to increased preventive service use by Medicare fee-for-service beneficiaries, which suggests that Medicare coverage expansion is an effective way to increase seniors' use of preventive services. Project HOPE—The People-to-People Health Foundation, Inc.

  6. Utilization of smoking cessation medication benefits among medicaid fee-for-service enrollees 1999-2008.

    PubMed

    Kahende, Jennifer; Malarcher, Ann; England, Lucinda; Zhang, Lei; Mowery, Paul; Xu, Xin; Sevilimedu, Varadan; Rolle, Italia

    2017-01-01

    To assess state coverage and utilization of Medicaid smoking cessation medication benefits among fee-for-service enrollees who smoked cigarettes. We used the linked National Health Interview Survey (survey years 1995, 1997-2005) and the Medicaid Analytic eXtract files (1999-2008) to assess utilization of smoking cessation medication benefits among 5,982 cigarette smokers aged 18-64 years enrolled in Medicaid fee-for-service whose state Medicaid insurance covered at least one cessation medication. We excluded visits during pregnancy, and those covered by managed care or under dual enrollment (Medicaid and Medicare). Multivariate logistic regression was used to determine correlates of cessation medication benefit utilization among Medicaid fee-for-service enrollees, including measures of drug coverage (comprehensive cessation medication coverage, number of medications in state benefit, varenicline coverage), individual-level demographics at NHIS interview, age at Medicaid enrollment, and state-level cigarette excise taxes, statewide smoke-free laws, and per-capita tobacco control funding. In 1999, the percent of smokers with ≥1 medication claims was 5.7% in the 30 states that covered at least one Food and Drug Administration (FDA)-approved cessation medication; this increased to 9.9% in 2008 in the 44 states that covered at least one FDA-approved medication (p<0.01). Cessation medication utilization was greater among older individuals (≥ 25 years), females, non-Hispanic whites, and those with higher educational attainment. Comprehensive coverage, the number of smoking cessation medications covered and varenicline coverage were all positively associated with utilization; cigarette excise tax and per-capita tobacco control funding were also positively associated with utilization. Utilization of medication benefits among fee-for-service Medicaid enrollees increased from 1999-2008 and varied by individual and state-level characteristics. Given that the Affordable Care Act bars state Medicaid programs from excluding any FDA-approved cessation medications from coverage as of January 2014, monitoring Medicaid cessation medication claims may be beneficial for informing efforts to increase utilization and maximize smoking cessation.

  7. EnviroAtlas - Ecosystem Service Market and Project Areas, U.S., 2015, Forest Trends' Ecosystem Marketplace

    EPA Pesticide Factsheets

    This EnviroAtlas dataset contains polygons depicting the geographic areas of market-based programs, referred to herein as markets, and projects addressing ecosystem services protection in the United States. Depending upon the type of market or project and data availability, polygons reflect market coverage areas, project footprints, or project primary impact areas in which ecosystem service markets and projects operate. The data were collected via surveys and desk research conducted by Forest Trends' Ecosystem Marketplace from 2008 to 2016 on biodiversity (i.e., imperiled species/habitats; wetlands and streams), carbon, and water markets. Additional biodiversity data were obtained from the Regulatory In-lieu Fee and Bank Information Tracking System (RIBITS) database in 2015. Attribute data include information regarding the methodology, design, and development of biodiversity, carbon, and water markets and projects. This dataset was produced by Forest Trends' Ecosystem Marketplace for EnviroAtlas in order to support public access to and use of information related to environmental markets. EnviroAtlas (https://www.epa.gov/enviroatlas) allows the user to interact with a web-based, easy-to-use, mapping application to view and analyze multiple ecosystem services for the contiguous United States. The dataset is available as downloadable data (https://edg.epa.gov/data/Public/ORD/EnviroAtlas) or as an EnviroAtlas map service. Additional descriptive information about thi

  8. 25 CFR 170.916 - May tribes impose taxes or fees on those performing IRR Program services?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Indian Preference § 170.916 May tribes impose taxes or fees on those performing IRR Program services? Yes... 25 Indians 1 2010-04-01 2010-04-01 false May tribes impose taxes or fees on those performing IRR Program services? 170.916 Section 170.916 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR...

  9. 9 CFR 156.7 - User fees under 9 CFR part 130.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 9 Animals and Animal Products 1 2012-01-01 2012-01-01 false User fees under 9 CFR part 130. 156.7 Section 156.7 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE VOLUNTARY INSPECTION AND CERTIFICATION SERVICE VOLUNTARY INSPECTION AND CERTIFICATION SERVICE § 156.7 User fees under 9 CFR part 130. Use...

  10. 9 CFR 156.7 - User fees under 9 CFR part 130.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 1 2011-01-01 2011-01-01 false User fees under 9 CFR part 130. 156.7 Section 156.7 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE VOLUNTARY INSPECTION AND CERTIFICATION SERVICE VOLUNTARY INSPECTION AND CERTIFICATION SERVICE § 156.7 User fees under 9 CFR part 130. Use...

  11. 9 CFR 156.7 - User fees under 9 CFR part 130.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 9 Animals and Animal Products 1 2013-01-01 2013-01-01 false User fees under 9 CFR part 130. 156.7 Section 156.7 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE VOLUNTARY INSPECTION AND CERTIFICATION SERVICE VOLUNTARY INSPECTION AND CERTIFICATION SERVICE § 156.7 User fees under 9 CFR part 130. Use...

  12. 9 CFR 156.7 - User fees under 9 CFR part 130.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 9 Animals and Animal Products 1 2014-01-01 2014-01-01 false User fees under 9 CFR part 130. 156.7 Section 156.7 Animals and Animal Products ANIMAL AND PLANT HEALTH INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE VOLUNTARY INSPECTION AND CERTIFICATION SERVICE VOLUNTARY INSPECTION AND CERTIFICATION SERVICE § 156.7 User fees under 9 CFR part 130. Use...

  13. 76 FR 28262 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-16

    ... Proposed Rule Change To Modify Fees for Non Co-Location Services May 9, 2011. Pursuant to Section 19(b)(1... Rule Change The Exchange proposes to modify fees for non co-location services. While changes to the Fee...-location services as a means to facilitate the trading activities of those customers who believe that the...

  14. 76 FR 28248 - Self-Regulatory Organizations; NASDAQ OMX BX, Inc.; Notice of Filing and Immediate Effectiveness...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-16

    ... Modify Fees for Non Co-Location Services May 9, 2011. Pursuant to Section 19(b)(1) of the Securities... fees for non co-location services. While changes to the Fee Schedule pursuant to this proposal are... operates in a highly competitive market in which exchanges offer non co-location services as a means to...

  15. Longitudinal evaluation of physician payment reform and team-based care for chronic disease management and prevention.

    PubMed

    Kiran, Tara; Kopp, Alexander; Moineddin, Rahim; Glazier, Richard H

    2015-11-17

    We evaluated a large-scale transition of primary care physicians to blended capitation models and team-based care in Ontario, Canada, to understand the effect of each type of reform on the management and prevention of chronic disease. We used population-based administrative data to assess monitoring of diabetes mellitus and screening for cervical, breast and colorectal cancer among patients belonging to team-based capitation, non-team-based capitation or enhanced fee-for-service medical homes as of Mar. 31, 2011 (n = 10 675 480). We used Poisson regression models to examine these associations for 2011. We then used a fitted nonlinear model to compare changes in outcomes between 2001 and 2011 by type of medical home. In 2011, patients in a team-based capitation setting were more likely than those in an enhanced fee-for-service setting to receive diabetes monitoring (39.7% v. 31.6%, adjusted relative risk [RR] 1.22, 95% confidence interval [CI] 1.18 to 1.25), mammography (76.6% v. 71.5%, adjusted RR 1.06, 95% CI 1.06 to 1.07) and colorectal cancer screening (63.0% v. 60.9%, adjusted RR 1.03, 95% CI 1.02 to 1.04). Over time, patients in medical homes with team-based capitation experienced the greatest improvement in diabetes monitoring (absolute difference in improvement 10.6% [95% CI 7.9% to 13.2%] compared with enhanced fee for service; 6.4% [95% CI 3.8% to 9.1%] compared with non-team-based capitation) and cervical cancer screening (absolute difference in improvement 7.0% [95% CI 5.5% to 8.5%] compared with enhanced fee for service; 5.3% [95% CI 3.8% to 6.8%] compared with non-team-based capitation). For breast and colorectal cancer screening, there were no significant differences in change over time between different types of medical homes. The shift to capitation payment and the addition of team-based care in Ontario were associated with moderate improvements in processes related to diabetes care, but the effects on cancer screening were less clear. © 2015 Canadian Medical Association or its licensors.

  16. 29 CFR 1610.15 - Schedule of fees and method of payment for services rendered.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    .../programmer salary apportionable to the search based on the rates listed in paragraph (c)(1) of this section... OPPORTUNITY COMMISSION AVAILABILITY OF RECORDS Production or Disclosure Under 5 U.S.C. 552 § 1610.15 Schedule... the fee schedule set forth in paragraph (c) of this section as follows: (1) When records are requested...

  17. 75 FR 28188 - Schedule of Fees for Consular Services, Department of State and Overseas Embassies and Consulates

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-20

    ... compete with foreign-based enterprises in domestic and export markets. Executive Order 12866 OMB considers...). Finally, the rule increases the $13 BCC fee charged to Mexican citizen minors who apply in Mexico, and... above, for Mexican citizens under 15 years of age who apply for a BCC in Mexico, and have at least one...

  18. Building your business--setting your fees: a cost-based approach.

    PubMed

    Duester, K J

    1997-10-01

    Business costs include salary, benefits, self-employment tax, and business and office expenses. Salable time does not include holidays, sick or personal days, and vacations. According to fee-setting experts, most self-employed people engage in revenue-generating activities 50% to 75% of their working hours. Fair prices reflect the cost of your business or service, including all your overhead.

  19. Global Positioning System Standard Positioning Service Performance Standard

    DOT National Transportation Integrated Search

    2008-09-01

    The U.S. Global Positioning System (GPS) Standard Positioning Service (SPS) consists of space-based positioning, navigation, and timing (PNT) signals delivered free of direct user fees for peaceful civil, commercial, and scientific uses worldwide. Th...

  20. Variations in resource utilization among medical specialties and systems of care. Results from the medical outcomes study.

    PubMed

    Greenfield, S; Nelson, E C; Zubkoff, M; Manning, W; Rogers, W; Kravitz, R L; Keller, A; Tarlov, A R; Ware, J E

    1992-03-25

    To examine whether specialty and system of care exert independent effects on resource utilization. Cross-sectional analysis of just over 20,000 patients (greater than or equal to 18 years of age) who visited providers' offices during 9-day periods in 1986. Patient- and physician-provided information was obtained by self-administered questionnaires. Offices of 349 physicians practicing family medicine, internal medicine, endocrinology, and cardiology within health maintenance organizations, large multispecialty groups, and solo practices or small single-specialty group practices in three major US cities. Indicators of the intensity of resource utilization were examined among four medical specialties (family practice, general internal medicine, cardiology, and endocrinology) and five systems of care (health maintenance organization, multispecialty group-fee-for-service, multispecialty group-prepaid; solo practice and single-specialty group-fee-for-service, and solo practice and single-specialty group-prepaid) before and after controlling for the mix of patients seen in these offices. The indicators of resource utilization were hospitalizations, annual office visits, prescription drugs, and common tests and procedures, with rates estimated on both a per-visit and per-year basis. Variation in patient mix was a major determinant of the large variations in resource use. However, increased utilization was also independently related to specialty (cardiology and endocrinology), fee-for-service payment plan, and solo and single-specialty group practice arrangements. After adjusting for patient mix, solo practice/single-specialty groups-fee-for-service had 41% more hospitalizations than health maintenance organizations. General internists had utilization rates somewhat greater than family physicians on some indicators. Although variations in patient mix should be a major determinant of variations in resource use, the independent effects of specialty training, payment system, and practice organization on utilization rates need further explication. The 2- and 4-year outcomes now being analyzed will provide information critical to interpretation of the variations reported herein.

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