Claims Manual, Parts 11-13U.S. Social Security Administration, 1981 |
From inside the book
Results 1-5 of 34
Page 2
... Discharge .. 11122 Leaves of Absence 11124 Discharge or Death on First Day of Entitlement or Participation .11126 PSYCHIATRIC REDUCTION Inpatient Psychiatric Reduction . 11128 Patient's Status in Applying Reduction 11130 Institution's ...
... Discharge .. 11122 Leaves of Absence 11124 Discharge or Death on First Day of Entitlement or Participation .11126 PSYCHIATRIC REDUCTION Inpatient Psychiatric Reduction . 11128 Patient's Status in Applying Reduction 11130 Institution's ...
Page 6
... discharged or transferred to another hospital and does not ac- tually use a hospital bed overnight . However , there are exceptions to the general rule : ( a ) Hospitalization for Minor Surgery When a patient with a known diagnosis ...
... discharged or transferred to another hospital and does not ac- tually use a hospital bed overnight . However , there are exceptions to the general rule : ( a ) Hospitalization for Minor Surgery When a patient with a known diagnosis ...
Page 7
... discharged on March 6. Where both the beneficiary and the institution meet the requirements for waiver of liability ( §§ 10735 ff . ) , program payment can be made for the noncovered services on February 27 and 28 and March 1 , and also ...
... discharged on March 6. Where both the beneficiary and the institution meet the requirements for waiver of liability ( §§ 10735 ff . ) , program payment can be made for the noncovered services on February 27 and 28 and March 1 , and also ...
Page 10
... discharge . 11108. Drugs and Biologicals ( a ) Drugs for Use in the Hospital Drugs and biologicals for use in the hospital , which are ordinarily furnished by the hospital for the care and treatment of inpatients are covered . Three ...
... discharge . 11108. Drugs and Biologicals ( a ) Drugs for Use in the Hospital Drugs and biologicals for use in the hospital , which are ordinarily furnished by the hospital for the care and treatment of inpatients are covered . Three ...
Page 10
... discharged . Examples of items covered under this rule are cardiac valves , cardiac pacemakers , and artificial limbs , which are permanently installed in or attached to the patient's body while he is an inpatient of the hospital ; and ...
... discharged . Examples of items covered under this rule are cardiac valves , cardiac pacemakers , and artificial limbs , which are permanently installed in or attached to the patient's body while he is an inpatient of the hospital ; and ...
Common terms and phrases
application Background This transmittal beneficiary benefit period carrier Claims Manual CM clinic coinsurance Contents CM cost customary charge Delete deny-(see Department of Health determination diagnostic dialysis discharge Divider for CM drug durable medical equipment eligibility Explanation of Manual extended care services facility File the Conversion Health and Human home health services home health visits Human Services Social individual inpatient hospital services institution limited basis Medicaid medical necessity Medicare occupational therapy Office of Operational Operational Policy Originating Office outpatient patient patient's condition physical therapy physician Policy and Procedures POMS chapter POMS Conversion Chart presumed coverage Procedures Effective Date Program Service Centers provider psychiatric hospital qualified reasonable charge recipient RECONR redetermination reimbursement Security Administration Office services furnished Services Social Security skilled nursing service Social Security Administration speech pathology stay subchapter numbers supervision Supplemental Security Income Table of Contents teletype therapeutic therapist TSC-SR tuberculosis U.S. Department
Popular passages
Page 15 - Association, or, in the case of services in a hospital or osteopathic hospital by an intern or resident-in-training in the field of dentistry, approved by the Council on Dental Education of the American Dental Association. Inpatient Psychiatric Hospital Services (c) The term "inpatient psychiatric hospital services" means inpatient hospital services furnished to an inpatient of a psychiatric hospital.
Page 16 - ... except that such term shall not include a private organization which is not a nonprofit organization exempt from Federal income taxation under section 501 of the Internal Revenue Code of 1954 (or a subdivision of such organization) unless it is licensed pursuant to State law and it meets such...
Page 34 - B for any expenses incurred for items or services — (1) which are not reasonable and necessary for -the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member...
Page 34 - ... (11) where such expenses constitute charges imposed by immediate relatives of such individual or members of his household ; (12) where such expenses are for services in connection with the care, treatment, filling, removal, or replacement of teeth or structures directly supporting teeth...
Page 26 - ... (1) is primarily engaged in providing to inpatients (A) skilled nursing care and related services for patients who require medical or nursing care, or (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons...
Page 15 - psychiatric hospital' means an institution which — "(1) is primarily engaged in providing, by or under the supervision of a physician, psychiatric services for the diagnosis and treatment of mentally ill persons...
Page 19 - Association, or jointly by the Council on Medical Education of the American Medical Association and the American Physical Therapy Association; or (2) Prior to January 1, 1966.
Page 34 - ... (7) ambulance service where the use of other methods of transportation is contraindicated by the individual's condition, but only to the extent provided in regulations; (8) prosthetic devices (other than dental) which replace all or part of an internal body organ, including replacement of such devices...
Page 15 - ... (4) has a requirement that every patient must be under the care of a physician; (5) provides 24-hour nursing service rendered or supervised by a registered professional nurse, and has a licensed practical nurse or registered professional nurse on duty at all times...
Page 34 - ... (2) a doctor of dentistry or of dental or oral surgery who is legally authorized to practice dentistry by the State in which he performs such function but only with respect to (A) surgery related to the jaw or any structure contiguous to the jaw or (B) the reduction of any fracture of the jaw or any facial bone...