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, 1980 Special edition of the Federal Register, containing a codification of documents of general applicability and future effect ... with ancillaries. |
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Page 7
... allowable costs . 405.404 Methods of apportionment under title XVIII . 405.405 Payments to providers ; general . 405.406 Financial data and reports . 405.415 Depreciation : Allowance for depre- ciation based on asset costs . 405.416 ...
... allowable costs . 405.404 Methods of apportionment under title XVIII . 405.405 Payments to providers ; general . 405.406 Financial data and reports . 405.415 Depreciation : Allowance for depre- ciation based on asset costs . 405.416 ...
Page 15
... payment exclusions . 405.2425 Payment for rural health clinic services . 405.2426 All - inclusive rate . Sec . 405.2427 Annual reconciliation . 405.2428 Allowable costs . 15 Chapter IV - Health Care Financing Administration Part 405.
... payment exclusions . 405.2425 Payment for rural health clinic services . 405.2426 All - inclusive rate . Sec . 405.2427 Annual reconciliation . 405.2428 Allowable costs . 15 Chapter IV - Health Care Financing Administration Part 405.
Page 16
... Allowable costs . 405.2429 Reports and maintenance of rec- ords . 405.2430 Beneficiary appeals . NOTE : Nomenclature changes affecting this Part 405 appear at 38 FR 3597 , Feb. 8 , 1973 ; 38 FR 26718 , Sept. 25 , 1973 ; 41 FR 51588 ...
... Allowable costs . 405.2429 Reports and maintenance of rec- ords . 405.2430 Beneficiary appeals . NOTE : Nomenclature changes affecting this Part 405 appear at 38 FR 3597 , Feb. 8 , 1973 ; 38 FR 26718 , Sept. 25 , 1973 ; 41 FR 51588 ...
Page 92
... allowable costs some items of inclusion and exclusion are : ( 1 ) An appropriate part of the net cost of approved educational activities will be included . ( 2 ) Costs incurred for research pur- poses , over and above usual patient care ...
... allowable costs some items of inclusion and exclusion are : ( 1 ) An appropriate part of the net cost of approved educational activities will be included . ( 2 ) Costs incurred for research pur- poses , over and above usual patient care ...
Page 93
... allowable ( a ) Consistent with prevailing prac- tice where third - party organizations pay for health care on a cost basis , re- imbursement under the title XVIII health insurance program involves a determination of ( 1 ) each ...
... allowable ( a ) Consistent with prevailing prac- tice where third - party organizations pay for health care on a cost basis , re- imbursement under the title XVIII health insurance program involves a determination of ( 1 ) each ...
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Common terms and phrases
Administration AFDC agreement allowable cost amended amount ance applicable appropriate approved assets basis benefits carrier certification charges clinic cluding coinsurance contract cost reporting coverage deductible dialysis eligible end-stage renal disease enrollees enrollment equipment ESRD Federal filed HCFA Health Care Financing health insurance health insurance program health services HMO's ices ICF/MR income individual inpatient hospital services institution intermediary items or services laboratory licensed Medicaid agency medically needy Medicare meet ment month notice organization paragraph participation party patient payment percent person personnel physi physical therapy physician premiums procedures provider of services provider's qualified quirements recipients Redesignated at 42 reimbursement renal renal dialysis request requirements resident Secretary Sept serv services furnished skilled nursing facility Social Security Act Social Security Administration specified speech pathology staff Standard Subpart supervision supplementary medical insurance supplier termination tient tion treatment utilization review vidual
Popular passages
Page 79 - 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 471 - ... 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 560 - hospital' also includes a Christian Science sanatorium operated, or listed and certified, by the First Church of Christ, Scientist, Boston, Massachusetts...
Page 404 - 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 168 - December 31, 1970, or (ii) the prevailing charge level that, on the basis of statistical data and methodology acceptable to the Secretary, would cover 75 percent of the customary charges...
Page 183 - USE OF STATE AGENCIES TO DETERMINE COMPLIANCE BY PROVIDERS OF ' SERVICES WITH CONDITIONS OF PARTICIPATION "SEC. 1864. (a) The Secretary shall make an agreement with any State which is able and willing to do so under which the services of the State health agency or other appropriate State agency (or the appropriate local agencies) will be utilized by...
Page 40 - ... post-hospital extended care services, such services are or were required to be given because the individual needs or needed on a daily basis skilled nursing care (provided directly by or requiring the supervision of skilled nursing personnel) or other skilled rehabilitation services, which as a practical matter can only be provided in a skilled nursing facility on an inpatient basis...
Page 342 - ... (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 211 - 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.
Page 191 - ... 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.