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
... services furnished before August 1 , 1983 must be deter- mined related to costs and charges prior to July , 1973 , in accordance with the regulations at § 405.541 . Items and services related to outpatient mainte- nance dialysis that ...
... services furnished before August 1 , 1983 must be deter- mined related to costs and charges prior to July , 1973 , in accordance with the regulations at § 405.541 . Items and services related to outpatient mainte- nance dialysis that ...
Page 61
... services furnished to individuals enrolled under Part B of Medicare during a given calendar year . ( 2 ) No charge for Part B medical or other health services may be consid- ered to be reasonable if it exceeds the higher of : ( i ) The ...
... services furnished to individuals enrolled under Part B of Medicare during a given calendar year . ( 2 ) No charge for Part B medical or other health services may be consid- ered to be reasonable if it exceeds the higher of : ( i ) The ...
Page 65
... services , supplies , and equip- ment furnished from October 1 , 1985 through December 31 , 1986 the inflation adjustment factor is zero . ( c ) The inflation - indexed charge does not apply to any services , supplies , or equipment ...
... services , supplies , and equip- ment furnished from October 1 , 1985 through December 31 , 1986 the inflation adjustment factor is zero . ( c ) The inflation - indexed charge does not apply to any services , supplies , or equipment ...
Page 66
... services furnished on or after January 1 , 1987 . ( i ) A lowest charge level is calculated for each identified item or service in January of each year . ( ii ) The lowest charge level for each identified item or service is set at the ...
... services furnished on or after January 1 , 1987 . ( i ) A lowest charge level is calculated for each identified item or service in January of each year . ( ii ) The lowest charge level for each identified item or service is set at the ...
Page 70
... services furnished such in- dividual are not covered under part A of title XVIII by reason of § 411.15 ( g ) or § 411.15 ( k ) and payment may not be made for such items or services under § 411.400 only because the requirements of ...
... services furnished such in- dividual are not covered under part A of title XVIII by reason of § 411.15 ( g ) or § 411.15 ( k ) and payment may not be made for such items or services under § 411.400 only because the requirements of ...
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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