The Code of Federal Regulations of the United States of AmericaU.S. Government Printing Office, 1979 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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Page 29
... covered if the kidney donation is intended for an individual entitled to medicare benefits and the services are related to the evaluation or prepara- tion of a potential or actual donor , to the donation of the kidney , or to post ...
... covered if the kidney donation is intended for an individual entitled to medicare benefits and the services are related to the evaluation or prepara- tion of a potential or actual donor , to the donation of the kidney , or to post ...
Page 32
... covered in full in accommodations containing two to four beds and in skilled nursing facilities in which all accommodations are on a ward basis and charges are not related to the number of beds in a room . Private ac- commodations are ...
... covered in full in accommodations containing two to four beds and in skilled nursing facilities in which all accommodations are on a ward basis and charges are not related to the number of beds in a room . Private ac- commodations are ...
Page 39
... covered post - hospital extended care services or post - hospital home health services . In any case all other ... covered care beyond the presumed coverage period ( or within the presumed cover- age period , in the case of individuals ...
... covered post - hospital extended care services or post - hospital home health services . In any case all other ... covered care beyond the presumed coverage period ( or within the presumed cover- age period , in the case of individuals ...
Page 40
... covered care . ( b ) Unacceptable physician certifica- tions and plans of treatment . Where the Secretary determines that a physi- cian is submitting with some frequen- cy : ( 1 ) Certifications that erroneously indicate that the ...
... covered care . ( b ) Unacceptable physician certifica- tions and plans of treatment . Where the Secretary determines that a physi- cian is submitting with some frequen- cy : ( 1 ) Certifications that erroneously indicate that the ...
Page 41
... covered skilled nursing facility care ( days ) A. Open reduction . B. Closed reduction . 4. Malignancies . B. Postoperative care 5. Diabetes Mellitus 15 15 21 15 14 10 40 14 14 14 21 10 10 14 14 ( d ) Medical conditions eligible for ...
... covered skilled nursing facility care ( days ) A. Open reduction . B. Closed reduction . 4. Malignancies . B. Postoperative care 5. Diabetes Mellitus 15 15 21 15 14 10 40 14 14 14 21 10 10 14 14 ( d ) Medical conditions eligible for ...
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Common terms and phrases
Administration Administrative Law Judge AFDC agreement allowable cost amended amount applicable appropriate approved assets basis carrier certification charges clinic coinsurance contract cost reporting coverage deductible dialysis eligibility end-stage renal disease enrollees enrollment entitled ESRD Federal filed HCFA Health Care Financing health insurance program health services hearing HMO's ices ICF/MR income individual inpatient hospital services institution intermediary items and services items or services laboratory licensed medicaid agency medically needy Medicare meet ment month notice organization paragraph participation party patient payment person personnel physi physical therapy physician premiums procedures provider of services provider's qualified quirements recipients Redesignated at 42 reimbursement renal renal dialysis request requirements resident Secretary Sept serv services furnished skilled nursing facility Social Security Act Social Security Administration specified speech pathology staff Standard Subpart supervision supplementary medical insurance termination tient tion treatment utilization review vidual
Popular passages
Page 283 - ... except that such term shall not include a private organization which is not a nonprofit organization exempt from Federal income taxation under section 501 of the Internal Revenue Code of 1954 (or a subdivision of such organization) unless it is licensed pursuant to State law and it meets such...
Page 79 - XVIII of the 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 307 - In determining if a single capital expenditure exceeds $100.000, the cost of studies, surveys, designs, plans, working drawings, specifications, and other activities essential to the acquisition, improvement, modernization, expansion, or replacement of land, plant, building, and equipment are included.
Page 38 - ... (C) in the case of 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 491 - ... 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...
Page 164 - Secretary, would cover 75 percent of the customary charges made for similar services in the same locality during the last preceding calendar year elapsing...
Page 355 - ... (4) in the case of an agency or organization in any State in which State or applicable local law provides for the licensing of...
Page 481 - ... are found by the Secretary to be necessary for the proper and efficient operation of the plan...
Page 128 - ... 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 376 - No person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be subject to discrimination under any program or activity receiving Federal financial assistance.