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 14
... Serv- ices under Medicare HCFA Pub . 13-2 and 13-3 ) . ( 4 ) Parts 2 and 3 of the Part B Inter- mediary Manual ( Physician and Sup- plier Services ) . ( 5 ) Intermediary Letters Related to Parts 2 and 3 of the Part A and Part B ...
... Serv- ices under Medicare HCFA Pub . 13-2 and 13-3 ) . ( 4 ) Parts 2 and 3 of the Part B Inter- mediary Manual ( Physician and Sup- plier Services ) . ( 5 ) Intermediary Letters Related to Parts 2 and 3 of the Part A and Part B ...
Page 15
... serv- ices . Upon request in writing , official reports and other formal evaluations ( including followup reviews ) , excluding references to internal tolerance rules and practices contained therein , inter- nal working papers or other ...
... serv- ices . Upon request in writing , official reports and other formal evaluations ( including followup reviews ) , excluding references to internal tolerance rules and practices contained therein , inter- nal working papers or other ...
Page 17
... serv- ices to beneficiaries which are substan- tially in excess of their medical needs ; except that the name of any provider or other person shall not be disclosed pursuant to a finding under this para- graph ( b ) ( 2 ) of this ...
... serv- ices to beneficiaries which are substan- tially in excess of their medical needs ; except that the name of any provider or other person shall not be disclosed pursuant to a finding under this para- graph ( b ) ( 2 ) of this ...
Page 42
... SERV- ICES 405.2460 Applicability of general payment exclusions . 405.2462 Payment for rural health clinic and Federally qualified health center serv- ices . 405.2463 405.2464 What constitutes a visit . All - inclusive rate . 405.2466 ...
... SERV- ICES 405.2460 Applicability of general payment exclusions . 405.2462 Payment for rural health clinic and Federally qualified health center serv- ices . 405.2463 405.2464 What constitutes a visit . All - inclusive rate . 405.2466 ...
Page 58
... serv- ices . ( iv ) The limit on the payment amount is either an upper limit to cor- rect a grossly excessive payment amount or a lower limit to correct a grossly deficient payment amount . ( v ) The limit is either a specific dol- lar ...
... serv- ices . ( iv ) The limit on the payment amount is either an upper limit to cor- rect a grossly excessive payment amount or a lower limit to correct a grossly deficient payment amount . ( v ) The limit is either a specific dol- lar ...
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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