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, 1990 Special edition of the Federal Register, containing a codification of documents of general applicability and future effect ... with ancillaries. |
From inside the book
Results 1-5 of 100
Page 30
... qualified actuary states that the assumptions used in calculating the expected loss ratio are appropriate and reasonable , taking into account actual policy experience , if any , and reasonable expectations . ( b ) " Qualified actuary ...
... qualified actuary states that the assumptions used in calculating the expected loss ratio are appropriate and reasonable , taking into account actual policy experience , if any , and reasonable expectations . ( b ) " Qualified actuary ...
Page 30
... qualified actuary states that the assumptions used in calculating the expected loss ratio are appropriate and reasonable , taking into account actual policy experience , if any , and reasonable expectations . ( b ) " Qualified actuary ...
... qualified actuary states that the assumptions used in calculating the expected loss ratio are appropriate and reasonable , taking into account actual policy experience , if any , and reasonable expectations . ( b ) " Qualified actuary ...
Page 81
... qualified individual performs any procedure in which the physician does not personally participate . In these cases , the intermediary will pay for the services under the rules in §§ 405.480 and 405.481 on reasonable cost payment for ...
... qualified individual performs any procedure in which the physician does not personally participate . In these cases , the intermediary will pay for the services under the rules in §§ 405.480 and 405.481 on reasonable cost payment for ...
Page 84
... qualified individual on the staff of the hospital available to serve as an assistant at surgery . ( b ) Definitions . Assistant at surgery means a physi- cian who actively assists the physician in charge of a case in performing a ...
... qualified individual on the staff of the hospital available to serve as an assistant at surgery . ( b ) Definitions . Assistant at surgery means a physi- cian who actively assists the physician in charge of a case in performing a ...
Page 88
... qualified railroad retirement ben- eficiary , with the Railroad Retirement Board prior to the date of the mailing of the notice of reconsidered determi- nation . A withdrawal filed with the in- termediary which received the request for ...
... qualified railroad retirement ben- eficiary , with the Railroad Retirement Board prior to the date of the mailing of the notice of reconsidered determi- nation . A withdrawal filed with the in- termediary which received the request for ...
Other editions - View all
Common terms and phrases
adjustment administrative agency agreement amended amount amount in controversy applicable approved assets basis beneficiary benefits Board carrier chapter claim cluded coinsurance cost reporting period coverage customary charges deductible depreciation dialysis discharges doctor of medicine durable medical equipment effect eligible employees enrollee enrollment period entitled equipment ESRD facility Federal filed fiscal HCFA health maintenance organization hospital insurance hospital's ices individual interim intermediary limits Medi Medicaid Medicare meet ment month nished notice nurse organization outpatient overpayment paid party patient payment rates percent physi physical therapy physician premiums procedures prospective payment system provider provider's qualified reasonable charge reasonable cost Redesignated at 42 reimbursement renal renal dialysis reporting periods beginning request requirements rural health clinic Secretary Sept serv services furnished Social Security Act specified in paragraph speech pathology subpart supplier termination therapist tient tion treatment
Popular passages
Page 144 - 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 162 - The fact that the law of war has been violated pursuant to an order of a superior authority, whether military or civil...
Page 204 - 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 298 - ... 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 61 - ... (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 124 - ... (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 153 - ... (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 326 - 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.