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 3
... Prospective payment systems for inpatient hos- pital services 291 413 Principles of reasonable cost reimbursement ; pay- ment for end - stage renal disease services ; op- tional prospectively determined payment rates for skilled nursing ...
... Prospective payment systems for inpatient hos- pital services 291 413 Principles of reasonable cost reimbursement ; pay- ment for end - stage renal disease services ; op- tional prospectively determined payment rates for skilled nursing ...
Page 31
... prospective payment system and the State would be required to pay the difference to individual hospitals in its system ; or ( B ) The State may provide by legisla- tion or legally binding regulations that any reduced payments to ...
... prospective payment system and the State would be required to pay the difference to individual hospitals in its system ; or ( B ) The State may provide by legisla- tion or legally binding regulations that any reduced payments to ...
Page 50
... prospective ability to pay the full amount within a reasonable time ; ( 2 ) The debtor refuses to pay the claim in full and the United States is unable to collect the full amount with- in a reasonable time by legal proceed- ings ; ( 3 ) ...
... prospective ability to pay the full amount within a reasonable time ; ( 2 ) The debtor refuses to pay the claim in full and the United States is unable to collect the full amount with- in a reasonable time by legal proceed- ings ; ( 3 ) ...
Page 68
... prospective payment basis . ( a ) Applicability . Payment for a drug that is not paid on a cost or prospec- tive payment basis is determined by the standard methodology described in paragraph ( b ) of this section . Examples of when ...
... prospective payment basis . ( a ) Applicability . Payment for a drug that is not paid on a cost or prospec- tive payment basis is determined by the standard methodology described in paragraph ( b ) of this section . Examples of when ...
Page 71
... prospective payment system . HCFA may consider utilization review committee decisions related to inpatient hospital services paid for under the prospective payment system ( see part 412 of this chapter ) only as those decisions concern ...
... prospective payment system . HCFA may consider utilization review committee decisions related to inpatient hospital services paid for under the prospective payment system ( see part 412 of this chapter ) only as those decisions concern ...
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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