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 31
... inpatient hospital services , including Federal and State programs . Under the requirement , the following conditions must be met : ( i ) Both the Medicare and Medicaid programs must participate under the system . ( ii ) The State must ...
... inpatient hospital services , including Federal and State programs . Under the requirement , the following conditions must be met : ( i ) Both the Medicare and Medicaid programs must participate under the system . ( ii ) The State must ...
Page 33
... inpatient , and if applicable , outpatient hospital services . ( 3 ) The system conforms to applica- ble Medicare law and regulations other than those relating to the amount of reimbursement for inpatient hospital services , or for ...
... inpatient , and if applicable , outpatient hospital services . ( 3 ) The system conforms to applica- ble Medicare law and regulations other than those relating to the amount of reimbursement for inpatient hospital services , or for ...
Page 34
... inpatient expenditures under Medicare principles of reim- bursement and parallel projections of Medicare inpatient expenditures under the State's system and the resulting cost or savings to Medicare . The State must also submit separate ...
... inpatient expenditures under Medicare principles of reim- bursement and parallel projections of Medicare inpatient expenditures under the State's system and the resulting cost or savings to Medicare . The State must also submit separate ...
Page 36
... inpatient hos- pital services that would exceed the amount that would have otherwise have been paid under the ... inpatient system is approved . ( b ) The State's outpatient applica- tion meets the requirements and assur- ances for an ...
... inpatient hos- pital services that would exceed the amount that would have otherwise have been paid under the ... inpatient system is approved . ( b ) The State's outpatient applica- tion meets the requirements and assur- ances for an ...
Page 105
... inpatient dialysis furnished directly or under arrange- ment ) . A hospital need not provide renal transplantation ... Inpatient dialy- sis . Dialysis which , because of medical necessity , is furnished to an ESRD pa- tient on a ...
... inpatient dialysis furnished directly or under arrange- ment ) . A hospital need not provide renal transplantation ... Inpatient dialy- sis . Dialysis which , because of medical necessity , is furnished to an ESRD pa- tient on a ...
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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