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 45
... provider of services or other person , or ( 2 ) The provider of services or other person was without fault with respect to the payment of such excess over the correct amount , or ( b ) A payment has been made under the provisions ...
... provider of services or other person , or ( 2 ) The provider of services or other person was without fault with respect to the payment of such excess over the correct amount , or ( b ) A payment has been made under the provisions ...
Page 47
... provider has failed to timely file an acceptable cost report , payment to the provider is im- mediately suspended until a cost report is filed and determined by the inter- mediary to be acceptable . In the case of an unfiled cost report ...
... provider has failed to timely file an acceptable cost report , payment to the provider is im- mediately suspended until a cost report is filed and determined by the inter- mediary to be acceptable . In the case of an unfiled cost report ...
Page 48
... provider or supplier of the requested extension . HCFA then either extends the suspen- sion of payment for up to an additional 180 days or determines that the sus- pended payments are to be released to the provider or supplier . ( 3 ) ...
... provider or supplier of the requested extension . HCFA then either extends the suspen- sion of payment for up to an additional 180 days or determines that the sus- pended payments are to be released to the provider or supplier . ( 3 ) ...
Page 49
... provider or supplier for liquidation of the overpayment . ( 3 ) The intermediary or carrier , on the basis of subsequently acquired evi- dence or otherwise , determines that there is no overpayment . [ 61 FR 63747 , Dec. 2 , 1996 ] ...
... provider or supplier for liquidation of the overpayment . ( 3 ) The intermediary or carrier , on the basis of subsequently acquired evi- dence or otherwise , determines that there is no overpayment . [ 61 FR 63747 , Dec. 2 , 1996 ] ...
Page 53
... provider and the inter- mediary agree in advance to liquidate the overpayment through a reduction in interim payments over the next 30- day period . ( ii ) If the intermediary determines an additional overpayment during the cost ...
... provider and the inter- mediary agree in advance to liquidate the overpayment through a reduction in interim payments over the next 30- day period . ( ii ) If the intermediary determines an additional overpayment during the cost ...
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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