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
... paid under Medicare for services furnished to beneficiaries by such physicians , other practioners , or suppliers , to en- able the agency to determine the prop- er amount of benefits payable for medi- cal services performed in ...
... paid under Medicare for services furnished to beneficiaries by such physicians , other practioners , or suppliers , to en- able the agency to determine the prop- er amount of benefits payable for medi- cal services performed in ...
Page 31
... paid to the intermediaries by the State . These additional amounts will be re- funded to the State by the inter- mediaries to the extent that , in subse- quent months , the State system re- quires a smaller aggregate payment for ...
... paid to the intermediaries by the State . These additional amounts will be re- funded to the State by the inter- mediaries to the extent that , in subse- quent months , the State system re- quires a smaller aggregate payment for ...
Page 35
... paid in a given year , the State must submit quantitative evi- dence that , over 36 months , payments under its system will not exceed what Medicare would have paid . ( c ) Review of assurances regarding ex- penditures . HCFA will ...
... paid in a given year , the State must submit quantitative evi- dence that , over 36 months , payments under its system will not exceed what Medicare would have paid . ( c ) Review of assurances regarding ex- penditures . HCFA will ...
Page 36
... paid under the Medicare principles as applied through the State system . ( e ) Monitoring of Medicare expendi- tures . HCFA will monitor on a quar- terly basis expenditures under the State's system as compared to what Medicare ...
... paid under the Medicare principles as applied through the State system . ( e ) Monitoring of Medicare expendi- tures . HCFA will monitor on a quar- terly basis expenditures under the State's system as compared to what Medicare ...
Page 57
... paid for under the provider reimbursement pro- visions found generally in part 413 of this chapter . Items and services related to outpatient maintenance dialysis that are furnished after that date are paid for in accordance with ...
... paid for under the provider reimbursement pro- visions found generally in part 413 of this chapter . Items and services related to outpatient maintenance dialysis that are furnished after that date are paid for in accordance with ...
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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