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 16
... initial com- plaint but there is need for further in- vestigation . ( 2 ) The name and address of any pro- vider of medical services , organization , or other person found , after consulta- tion with an appropriate professional ...
... initial com- plaint but there is need for further in- vestigation . ( 2 ) The name and address of any pro- vider of medical services , organization , or other person found , after consulta- tion with an appropriate professional ...
Page 18
... initial determination . The deci- sion will include the basis for it and will advise the requester of his right to judicial review . ( b ) Failure of the Administrator to com- ply with the time limits . Failure of the Administrator to ...
... initial determination . The deci- sion will include the basis for it and will advise the requester of his right to judicial review . ( b ) Failure of the Administrator to com- ply with the time limits . Failure of the Administrator to ...
Page 27
... initial HCFA determination , will initiate and complete an administra- tive review within 90 days of the date of the ... Initial calculation date means the first date of the period that the insur- ing organization uses to calculate the ...
... initial HCFA determination , will initiate and complete an administra- tive review within 90 days of the date of the ... Initial calculation date means the first date of the period that the insur- ing organization uses to calculate the ...
Page 28
... initial calculation date of— ( A ) Expected incurred benefits in the loss ratio calculation period , to— ( B ) The total policy reserve at the last day of the loss ratio calculation period : and ( ii ) Subtracting the total policy re ...
... initial calculation date of— ( A ) Expected incurred benefits in the loss ratio calculation period , to— ( B ) The total policy reserve at the last day of the loss ratio calculation period : and ( ii ) Subtracting the total policy re ...
Page 38
... initial award of a grant made under this subpart and funded through other sources ( including in- kind contributions ) . ( 2 ) Must maintain the activities of the program at least at the level that those activities were conducted imme ...
... initial award of a grant made under this subpart and funded through other sources ( including in- kind contributions ) . ( 2 ) Must maintain the activities of the program at least at the level that those activities were conducted imme ...
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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