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 57
... physician services furnished in outpatient hospital settings— ( 1 ) General rule . If phy- sician services of the type routinely furnished in physicians ' offices are fur- nished in outpatient hospital settings before January 1 , 1992 ...
... physician services furnished in outpatient hospital settings— ( 1 ) General rule . If phy- sician services of the type routinely furnished in physicians ' offices are fur- nished in outpatient hospital settings before January 1 , 1992 ...
Page 60
... physician's or other per- son's customary charge . The cus- tomary charge for different physicians or other persons may , of course , vary . Payment for covered services would be based on the actual charge for the serv- ice when , in a ...
... physician's or other per- son's customary charge . The cus- tomary charge for different physicians or other persons may , of course , vary . Payment for covered services would be based on the actual charge for the serv- ice when , in a ...
Page 61
... physician during that year . A nonparticipating physician is a physician who has not entered into an agreement with the Medicare program to accept payment on an assignment - related basis ( in ac- cordance with § 424.55 of this chapter ) ...
... physician during that year . A nonparticipating physician is a physician who has not entered into an agreement with the Medicare program to accept payment on an assignment - related basis ( in ac- cordance with § 424.55 of this chapter ) ...
Page 63
... physician Employee Compensation are net of the change in the 10 - year moving average of output per man - hour to exclude changes in non - farm business sector labor productivity . •. Expense category Price proxy 3 Total 1. Physician's ...
... physician Employee Compensation are net of the change in the 10 - year moving average of output per man - hour to exclude changes in non - farm business sector labor productivity . •. Expense category Price proxy 3 Total 1. Physician's ...
Page 67
... physician acceptance is assumed only if a majority of the Medicare and non - Medicare bills and claims com- pleted ... physician's bill , or a request for pay- ment for a physician's services , in- cludes a charge for a laboratory test ...
... physician acceptance is assumed only if a majority of the Medicare and non - Medicare bills and claims com- pleted ... physician's bill , or a request for pay- ment for a physician's services , in- cludes a charge for a laboratory test ...
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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