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 33
... ment system . Each hospital's share of the aggregate excess payment will be determined on the basis of a compari- son of the hospital's proportionate share of the aggregate payment re- ceived under the State system that is in excess of ...
... ment system . Each hospital's share of the aggregate excess payment will be determined on the basis of a compari- son of the hospital's proportionate share of the aggregate payment re- ceived under the State system that is in excess of ...
Page 45
... ment or recovery of an incorrect pay- ment ( i.e. , a payment made under § 405.350 ( a ) or § 405.350 ( b ) ) in any case where such incorrect payment has been made with respect to an individual who is without fault , or where such adjust- ...
... ment or recovery of an incorrect pay- ment ( i.e. , a payment made under § 405.350 ( a ) or § 405.350 ( b ) ) in any case where such incorrect payment has been made with respect to an individual who is without fault , or where such adjust- ...
Page 46
... ment or recovery shall be sent to the overpaid individual and to any other individual against whom adjustment or recovery of the overpayment is to be effected ( see § 405.358 ) . [ 61 FR 49271 , Sept. 19 , 1996 ] § 405.358 When waiver ...
... ment or recovery shall be sent to the overpaid individual and to any other individual against whom adjustment or recovery of the overpayment is to be effected ( see § 405.358 ) . [ 61 FR 49271 , Sept. 19 , 1996 ] § 405.358 When waiver ...
Page 48
... ment— ( 1 ) General rule . Except as pro- vided in paragraphs ( d ) ( 2 ) and ( d ) ( 3 ) of this section , a suspension of payment is limited to 180 days , starting with the date the suspension begins . ( 2 ) 180 - day extension . ( i ) ...
... ment— ( 1 ) General rule . Except as pro- vided in paragraphs ( d ) ( 2 ) and ( d ) ( 3 ) of this section , a suspension of payment is limited to 180 days , starting with the date the suspension begins . ( 2 ) 180 - day extension . ( i ) ...
Page 51
... ment . ( c ) Institutions or persons affected . Withholding under paragraph ( b ) of this section may be made with respect to any of the following entities that has or had in effect an agreement with a Medicaid agency to furnish ...
... ment . ( c ) Institutions or persons affected . Withholding under paragraph ( b ) of this section may be made with respect to any of the following entities that has or had in effect an agreement with a Medicaid agency to furnish ...
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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