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. |
From inside the book
Results 1-5 of 100
Page 69
... beneficiary by a non- participating physician or supplier that does not accept assignment , a lim- iting charge applies to the charges billed to the beneficiary . The limiting charge is the lesser of the following : ( a ) 115 percent of ...
... beneficiary by a non- participating physician or supplier that does not accept assignment , a lim- iting charge applies to the charges billed to the beneficiary . The limiting charge is the lesser of the following : ( a ) 115 percent of ...
Page 72
... beneficiary ( see 20 CFR 404.368 ) filed at an office of the Railroad Retirement Board , within 60 days after the date of receipt of notice of initial determina- tion , unless such time is extended as provided in ยง405.712 . A request ...
... beneficiary ( see 20 CFR 404.368 ) filed at an office of the Railroad Retirement Board , within 60 days after the date of receipt of notice of initial determina- tion , unless such time is extended as provided in ยง405.712 . A request ...
Page 76
... beneficiary may aggre- gate claims from two or more providers to meet the $ 100 hearing threshold and a single provider may aggregate claims for services provided to one or more beneficiaries to meet the $ 100 hearing threshold . ( 3 ) ...
... beneficiary may aggre- gate claims from two or more providers to meet the $ 100 hearing threshold and a single provider may aggregate claims for services provided to one or more beneficiaries to meet the $ 100 hearing threshold . ( 3 ) ...
Page 78
... beneficiary is dissatisfied with the initial determina- tion , he or she may request , and the carrier will perform , a review of the claim . Following the carrier's review determination , the beneficiary may ob- tain a carrier hearing ...
... beneficiary is dissatisfied with the initial determina- tion , he or she may request , and the carrier will perform , a review of the claim . Following the carrier's review determination , the beneficiary may ob- tain a carrier hearing ...
Page 81
... beneficiary ; ( iii ) Two or more physicians / suppliers may combine their claims if the claims involve common issues of law and fact with respect to services furnished to two or more beneficiaries . ( iv ) In any of the circumstances ...
... beneficiary ; ( iii ) Two or more physicians / suppliers may combine their claims if the claims involve common issues of law and fact with respect to services furnished to two or more beneficiaries . ( iv ) In any of the circumstances ...
Other editions - View all
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