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U.S. Code as of:
01/19/04
Section 1320c-10. Annual reports
The Secretary shall submit to the Congress not later than April 1
of each year, a full and complete report on the administration,
impact, and cost of the program under this part during the
preceding fiscal year, including data and information on -
(1) the number, status, and service areas of all utilization
and quality control peer review organizations participating in
the program;
(2) the number of health care institutions and practitioners
whose services are subject to review by such organizations, and
the number of beneficiaries and recipients who received services
subject to such review during such year;
(3) the various methods of reimbursement utilized in contracts
under this part, and the relative efficiency of each such method
of reimbursement;
(4) the imposition of penalties and sanctions under this title
for violations of law and for failure to comply with the
obligations imposed by this part;
(5) the total costs incurred under subchapters XVIII and XIX of
this chapter in the implementation and operation of all
procedures required by such subchapters for the review of
services to determine their medical necessity, appropriateness of
use, and quality; and
(6) descriptions of the criteria upon which decisions are made,
and the selection and relative weights of such criteria.
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