The Code of Federal Regulations of the United States of AmericaU.S. Government Printing Office, 1984 The Code of Federal Regulations is the codification of the general and permanent rules published in the Federal Register by the executive departments and agencies of the Federal Government. |
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Common terms and phrases
adjusted administrative law judge agreement allowable cost amended amount amount in controversy ance Appeals Council applicable appropriate approved assets basis benefits carrier certification claim clinic coinsurance cost reporting period coverage decision deductible dialysis effective enrollees enrollment entitled equipment Federal filed HCFA Health Care Financing health insurance health insurance program health services hearing officer HMO's hospice care hospital's ices individual initial determination intermediary items and services items or services laboratory Medi Medicaid Medicare meet ment month nished notice organization outpatient party patient person personnel physi physical therapy physician policies premiums procedures prospective payment provider of services provider's qualified reasonable charge reasonable cost Redesignated at 42 reimbursement renal renal dialysis request requirements Secretary Sept services furnished sion skilled nursing facility Social Security Act Social Security Administration speech pathology Subpart supplementary medical insurance supplier surgical termination tient tion treatment utilization review
Popular passages
Page 76 - Notwithstanding any other provisions of this title, no payment may be made under part A or part 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 82 - 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 641 - ... provide safeguards which restrict the use or disclosure of information concerning applicants and recipients to purposes directly connected with the administration of aid to dependent children...
Page 427 - ... (4) in the case of an agency or organization in any State in which State or applicable local law provides for the licensing of agencies or organizations of this nature, (A) is licensed pursuant to such law, or (B) is approved, by the agency of such State or locality responsible for licensing...
Page 247 - ... he may institute for the United States, or in the name of the United States, an action in a district court of the United States, in accordance with sections 1391 through 1393 of title 28, United States Code, for a restraining order, a preliminary or permanent injunction, or such other order as he deems appropriate.
Page 293 - For purposes of clause (1) of the preceding sentence, the cost of the studies, surveys, designs, plans, working drawings, specifications, and other activities essential to the acquisition, improvement, expansion, or replacement of the plant and equipment with respect to which such expenditure is made shall be included in determining whether such expenditure exceeds $100,000.
Page 628 - ... are found by the Secretary to be necessary for the proper and efficient operation of the plan...
Page 557 - States or (B) an alien lawfully admitted for permanent residence who has resided in the United States (as...
Page 146 - ... will not be borne by individuals not so covered, and the costs with respect to individuals not so covered will not be borne by such insurance programs...
Page 288 - Being known to the plaintiff, it is to be presumed, in the absence of any evidence to the contrary, that the parties contracted in reference to it.