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 42
... Allowable costs . 405.2470 Reports and records . maintenance of 405.2472 Beneficiary appeals . AUTHORITY : Secs . 1102 , 1861 , 1862 ( a ) , 1871 , 1874 , 1881 , and 1886 ( k ) of the Social Security Act ( 42 U.S.C. 1302 , 1395x , 1395y ...
... Allowable costs . 405.2470 Reports and records . maintenance of 405.2472 Beneficiary appeals . AUTHORITY : Secs . 1102 , 1861 , 1862 ( a ) , 1871 , 1874 , 1881 , and 1886 ( k ) of the Social Security Act ( 42 U.S.C. 1302 , 1395x , 1395y ...
Page 53
... repay overpayments are not considered allowable costs , up to the amount of the overpayment , unless the provider had made a prior commitment to bor- row funds for 53 Health Care Financing Administration , HHS § 405.378.
... repay overpayments are not considered allowable costs , up to the amount of the overpayment , unless the provider had made a prior commitment to bor- row funds for 53 Health Care Financing Administration , HHS § 405.378.
Page 61
... allowable increase , the increase will be reduced to the allowable amount . Further in- creases will be justified only to the de- gree that they do not exceed further rises in the economic index . The pre- vailing charge for physicians ...
... allowable increase , the increase will be reduced to the allowable amount . Further in- creases will be justified only to the de- gree that they do not exceed further rises in the economic index . The pre- vailing charge for physicians ...
Page 135
... ing period . ( 2 ) The rate is determined by dividing the estimated total allowable costs by estimated total visits for rural health clinic or Federally qualified 135 Health Care Financing Administration , HHS §405.2464.
... ing period . ( 2 ) The rate is determined by dividing the estimated total allowable costs by estimated total visits for rural health clinic or Federally qualified 135 Health Care Financing Administration , HHS §405.2464.
Page 136
... allowable costs vary ma- terially from the clinic or center's al- lowable costs ; or ( iii ) Other circumstances arise which warrant an adjustment . ( 2 ) The clinic or center may request the intermediary to review the rate to determine ...
... allowable costs vary ma- terially from the clinic or center's al- lowable costs ; or ( iii ) Other circumstances arise which warrant an adjustment . ( 2 ) The clinic or center may request the intermediary to review the rate to determine ...
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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