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 30
... pital ( such as rehabilitation , psy- chiatric , or children's hospitals ) may , at the option of the State , be excluded from the State system . ( 6 ) The State system must apply to at least 75 percent of all revenues or expenses- ( i ) ...
... pital ( such as rehabilitation , psy- chiatric , or children's hospitals ) may , at the option of the State , be excluded from the State system . ( 6 ) The State system must apply to at least 75 percent of all revenues or expenses- ( i ) ...
Page 32
... pital services furnished to Medicare beneficiaries for the period covered by these reduced payments . ยง 403.306 Additional requirements for State proval . systems - mandatory ap- ( a ) General policy- ( 1 ) Mandatory ap- proval . HFCA ...
... pital services furnished to Medicare beneficiaries for the period covered by these reduced payments . ยง 403.306 Additional requirements for State proval . systems - mandatory ap- ( a ) General policy- ( 1 ) Mandatory ap- proval . HFCA ...
Page 36
... pital services that would exceed the amount that would have otherwise have been paid under the Medicare principles as applied through the State system . ( e ) Monitoring of Medicare expendi- tures . HCFA will monitor on a quar- terly ...
... pital services that would exceed the amount that would have otherwise have been paid under the Medicare principles as applied through the State system . ( e ) Monitoring of Medicare expendi- tures . HCFA will monitor on a quar- terly ...
Page 46
... pital and supplementary medical insur- ance benefits ) has been made ( includ- ing a payment under section 1814 ( e ) of the Act with respect to an individual : ( a ) Who is without fault , and ( b ) Adjustment or recovery would ei ...
... pital and supplementary medical insur- ance benefits ) has been made ( includ- ing a payment under section 1814 ( e ) of the Act with respect to an individual : ( a ) Who is without fault , and ( b ) Adjustment or recovery would ei ...
Page 69
... pital insurance . ( b ) This subpart establishes the pro- cedures governing initial determina- tions , reconsidered determinations , hearings , and final agency review , and the reopening of determinations and decisions that are ...
... pital insurance . ( b ) This subpart establishes the pro- cedures governing initial determina- tions , reconsidered determinations , hearings , and final agency review , and the reopening of determinations and decisions that are ...
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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