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 19
... covered in 20 CFR 404.515 . ( ii ) Adjustments in Railroad Retire- ment or Social Security benefits to re- cover Medicare overpayments to indi- viduals are covered in ยงยง 405.350-405.358 of this chapter . ( iii ) Claims against providers ...
... covered in 20 CFR 404.515 . ( ii ) Adjustments in Railroad Retire- ment or Social Security benefits to re- cover Medicare overpayments to indi- viduals are covered in ยงยง 405.350-405.358 of this chapter . ( iii ) Claims against providers ...
Page 43
... covered device . ( a ) When payment is not made . Medi- care payment is not made for medical and hospital services that are related to the use of a device that is not cov- ered because HCFA determines the de- vice is not " reasonable ...
... covered device . ( a ) When payment is not made . Medi- care payment is not made for medical and hospital services that are related to the use of a device that is not cov- ered because HCFA determines the de- vice is not " reasonable ...
Page 55
... covered by the Medicare program . Section 1861 ( jj ) de- fines the term " covered osteoporosis drug . " Section 1862 ( a ) ( 14 ) lists services that are excluded from coverage . Sec- tion 1866 ( a ) specifies the terms for pro- vider ...
... covered by the Medicare program . Section 1861 ( jj ) de- fines the term " covered osteoporosis drug . " Section 1862 ( a ) ( 14 ) lists services that are excluded from coverage . Sec- tion 1866 ( a ) specifies the terms for pro- vider ...
Page 79
... covered . ( 2 ) Whether the deductible has been met . ( 3 ) Whether the receipted bill or other evidence of payment is accept- able . ( 4 ) Whether the charges for services furnished are reasonable . ( 5 ) If the services furnished to a ...
... covered . ( 2 ) Whether the deductible has been met . ( 3 ) Whether the receipted bill or other evidence of payment is accept- able . ( 4 ) Whether the charges for services furnished are reasonable . ( 5 ) If the services furnished to a ...
Page 89
... covered by the cost report . ( 2 ) With respect to a hospital that re- ceives payments for inpatient hospital services under the prospective payment system ( part 412 of this chapter ) , the term means a determination of the total ...
... covered by the cost report . ( 2 ) With respect to a hospital that re- ceives payments for inpatient hospital services under the prospective payment system ( part 412 of this chapter ) , the term means a determination of the total ...
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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