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 5
... Organization or a Utilization and Qual- ity Control Peer Review Organization has been or may be designated . CMP stands for competitive medical plan . Conditions of participation includes re- quirements for participation as the lat- ter ...
... Organization or a Utilization and Qual- ity Control Peer Review Organization has been or may be designated . CMP stands for competitive medical plan . Conditions of participation includes re- quirements for participation as the lat- ter ...
Page 16
... organization , or other person being actively inves- tigated for possible fraud in connection with Medicare , and the nature of such suspected fraud . An active investiga- tion exists when there is significant evidence supporting an ...
... organization , or other person being actively inves- tigated for possible fraud in connection with Medicare , and the nature of such suspected fraud . An active investiga- tion exists when there is significant evidence supporting an ...
Page 25
... organization must comply with these conditions and restrictions . ( d ) If a certified policy is issued in a State that later has an approved regu- latory program , as provided for in ยง 403.222 , the insuring organization may display ...
... organization must comply with these conditions and restrictions . ( d ) If a certified policy is issued in a State that later has an approved regu- latory program , as provided for in ยง 403.222 , the insuring organization may display ...
Page 26
... organization , or a designee , attests that- ( i ) The policy meets the require- ments specified in paragraph ( a ) of this section ; and ( ii ) The information submitted to HCFA for review is accurate and com- plete and does not ...
... organization , or a designee , attests that- ( i ) The policy meets the require- ments specified in paragraph ( a ) of this section ; and ( ii ) The information submitted to HCFA for review is accurate and com- plete and does not ...
Page 27
... organization containing the follow- ing information : ( 1 ) That HCFA has made such a de- termination . ( 2 ) The reasons for the determina- tion . ( 3 ) That the insuring organization has 30 days from the date of the notice to- ( i ) ...
... organization containing the follow- ing information : ( 1 ) That HCFA has made such a de- termination . ( 2 ) The reasons for the determina- tion . ( 3 ) That the insuring organization has 30 days from the date of the notice to- ( i ) ...
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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