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accordance additional adjustment administrative agency agreement allowable amended amount appeals applicable appropriate approved assets authority basis beginning beneficiary benefits bill Board carrier chapter charge claim clinic collection cost reporting period coverage covered decision deductible described determination dialysis direct discharges effect employees enrollment entitled equipment established facility factor Federal filed HCFA health services hearing hospital hospital's ices individual initial inpatient intermediary limits means Medicare meet ment month necessary notice nurse officer operating organization outpatient paid paragraph party patient payment percent person physical physical therapy physician practice premiums procedures prospective provider qualified reasonable received records reimbursement request requirements residents rules rural Sept serv services furnished Social Security specified Standard submit subpart termination therapy tion treatment United
Page 136 - 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 200 - The objective is that under the methods of determining costs, the costs with respect to individuals covered by the program will not be borne by individuals not so covered, and the costs with respect to individuals not so covered will not be borne by the program.
Page 289 - ... the Secretary determines to be reasonable, taking into account the range of interest rates prevailing in the private market for similar loans and the risks assumed by the United States...
Page 57 - ... (4) in the case of an agency or organization in any State in which State or applicable local law provides for the licensing of...
Page 120 - ... (1) part-time or intermittent nursing care provided by or under the supervision of a registered professional nurse...
Page 11 - That no charge will be made for the first half hour. (2) Reproduction, duplication, or copying of records. Ten cents per page where such reproduction can be made by commonly available photocopying machines. The cost of reproducing records which cannot be so photocopied will be determined on an individual basis at actual cost. (3) Certification or authentication of records. Three dollars per certification or authentication. (4) Forwarding materials to destination. Any special arrangements for forwarding...
Page 148 - ... (12) where such expenses are for services in connection with the care, treatment, filling, removal, or replacement of teeth or structures directly supporting teeth. (b) Payment under this title may not be made with respect to any item or service to the extent that payment has been made, or can reasonably be expected to be made (as determined in accordance with regulations), with respect to such item or service, under a workmen's compensation law or plan of the United States or a State.
Page 316 - Security for the purpose of reviewing the status of the Federal OldAge and Survivors Insurance Trust Fund, the Federal Disability Insurance Trust Fund, the Federal Hospital Insurance Trust Fund...
Page 28 - No certifying or disbursing officer shall be held liable for any amount certified or paid by him to any person where the adjustment or recovery of such amount is waived under subsection (b), or where adjustment under subsection (a) is not completed prior to the death of all persons against whose benefits deductions are authorized.