Code of Federal Regulations: Containing a Codification of Documents of General Applicability and Future Effect as of December 31, 1948, with Ancillaries and IndexDivision of the Federal Register, the National Archives, 1998 Special edition of the Federal Register, containing a codification of documents of general applicability and future effect ... with ancillaries. |
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Page 17
... additional working days and shall apply only where the following unusual circumstances exist : ( 1 ) The need to search for and collect the requested records from field facili- ties or other establishments that are separate from the ...
... additional working days and shall apply only where the following unusual circumstances exist : ( 1 ) The need to search for and collect the requested records from field facili- ties or other establishments that are separate from the ...
Page 27
... additional information to HCFA for review . ( 4 ) That , if the insuring organization requests an administrative review , HCFA will conduct the review , as pro- vided for in paragraph ( c ) of this sec- tion . ( 5 ) That , in a case ...
... additional information to HCFA for review . ( 4 ) That , if the insuring organization requests an administrative review , HCFA will conduct the review , as pro- vided for in paragraph ( c ) of this sec- tion . ( 5 ) That , in a case ...
Page 28
... Additional reserve ; and ( B ) The reserve for future contingent benefits . ( ii ) Additional reserve means the amount calculated on a net level re- serve basis , using appropriate values to account for lapse , mortality , morbid- ity ...
... Additional reserve ; and ( B ) The reserve for future contingent benefits . ( ii ) Additional reserve means the amount calculated on a net level re- serve basis , using appropriate values to account for lapse , mortality , morbid- ity ...
Page 31
... Additional cost - effectiveness assur- ance . If the assurances and supporting data required under paragraph ( c ) ... additional funds necessary to pay hospitals for Medicare services re- quired by the State system will be paid to the ...
... Additional cost - effectiveness assur- ance . If the assurances and supporting data required under paragraph ( c ) ... additional funds necessary to pay hospitals for Medicare services re- quired by the State system will be paid to the ...
Page 32
... Additional requirements for State proval . systems - mandatory ap- ( a ) General policy- ( 1 ) Mandatory ap- proval . HFCA will approve an applica- tion for Medicare reimbursement under a State system if the system meets all of the ...
... Additional requirements for State proval . systems - mandatory ap- ( a ) General policy- ( 1 ) Mandatory ap- proval . HFCA will approve an applica- tion for Medicare reimbursement under a State system if the system meets all of the ...
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Common terms and phrases
adjustment administrative agreement allowable costs amended amount in controversy applicable approved assets basis benefits carrier chapter charges claim clinic coinsurance cost reporting period coverage covered criteria decision deductible depreciation described in paragraph deter dialysis discharges durable medical equipment effect eligible entitled ESRD facility fee schedule ficiary filed fiscal HCFA health services hearing HMO or CMP hospital's ices individual inpatient inpatient hospital intermediary items or services limit mammography Medi mediary Medicaid Medicare enrollees Medicare payment meet ment MGCRB month nished notice nurse October outpatient paid party patient payment amount payment rates percent physi pital premiums procedures prospective payment system provider provider's reasonable cost reimbursement renal renal dialysis reporting periods beginning request requirements resident riod rules rural Sept services furnished Social Security specified in paragraph subpart supplier termination tient tion vider