The Code of Federal Regulations of the United States of AmericaU.S. Government Printing Office, 1982 The Code of Federal Regulations is the codification of the general and permanent rules published in the Federal Register by the executive departments and agencies of the Federal Government. |
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Common terms and phrases
administrative law judge AFDC agreement allowable cost amended amount ance Appeals Council applicable appropriate approved assets basis carrier certification charges clinic coinsurance contract coverage decision deductible dialysis disabled effective eligibility enrollees enrollment entitled ESRD Federal filed HCFA Health Care Financing health insurance health insurance program health services hearing officer HMO's hospital insurance ices income individual initial determination inpatient hospital services intermediary items or services laboratory Medicaid medically needy Medicare meet ment month notice organization participation party patient payment percent person personnel physi physical therapy physician policies premiums procedures provider of services provider's qualified receiving recipients Redesignated at 42 reimbursement renal renal dialysis request requirements Secretary Sept services furnished skilled nursing facility Social Security Act Social Security Administration speech pathology Standard Subpart supplementary medical insurance supplier surgical termination tient tion treatment utilization review vidual
Popular passages
Page 13 - ... is in the public interest because furnishing the information can be considered as primarily benefiting the general public.
Page 99 - Act with respect to any item or service to the extent that payment has been made, or can reasonably be expected to be made, under a workmen's compensation law or plan of the United States or a State.
Page 546 - ... are found by the Secretary to be necessary for the proper and efficient operation of the plan...
Page 59 - ... post-hospital extended care services, such services are or were required to be given because the individual needs or needed on a daily basis skilled nursing care (provided directly by or requiring the supervision of skilled nursing personnel) or other skilled rehabilitation services, which as a practical matter can only be provided in a skilled nursing facility on an inpatient basis...
Page 421 - Such action shall be brought in the district court of the United States for the judicial district in which the plaintiff resides, or has his principal place of business, or, if he does not reside or have his principal place of business within any such judicial district, in the United States District Court for the District of Columbia.
Page 151 - ... the costs with respect to individuals covered by the in-surance programs established by this title will not be borne by individuals not so covered, and the costs with respect to individuals not so covered will not be borne by such insurance programs...
Page 396 - Any such service— (A) If furnished by a clinic or rehabilitation agency, or by others under arrangements with such clinic or agency, unless such clinic or rehabilitation agency...
Page 109 - The standards set forth in this chapter do not apply to the handling of any claim as to which there is an indication of fraud, the presentation of a false claim, or misrepresentation on the part of the debtor or any other party having an interest in the claim, or to any claim based in whole or in part on conduct in violation of the antitrust laws.
Page 35 - States or ( B) an alien lawfully admitted for permanent residence who has resided in the United States (as...
Page 558 - ... provide safeguards which restrict the use or disclosure of information concerning applicants and recipients to purposes directly connected with the administration of aid to dependent children...