The Code of Federal Regulations of the United States of AmericaU.S. Government Printing Office, 1989 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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Page 6
... facility , a home health agency , or effective No- vember 1 , 1983 through September 30 , 1986 , a hospice that has ... facilities . " Supplementary medical insurance benefits " means payment to or on behalf of an entitled individual for ...
... facility , a home health agency , or effective No- vember 1 , 1983 through September 30 , 1986 , a hospice that has ... facilities . " Supplementary medical insurance benefits " means payment to or on behalf of an entitled individual for ...
Page 13
... facilities prepared after January 31 , 1973 , by a State agency , and such reports ( including pertinent written statements furnished by such institution or facility on such state- ments of deficiencies ) , as set forth in § 401.133 ( a ) ...
... facilities prepared after January 31 , 1973 , by a State agency , and such reports ( including pertinent written statements furnished by such institution or facility on such state- ments of deficiencies ) , as set forth in § 401.133 ( a ) ...
Page 42
... facility or renal dialysis center . 405.2162 Condition : Staff of a renal dialy- sis facility or renal dialysis center . 405.2163 Condition : Minimal service re- quirements for a renal dialysis facility or renal dialysis center ...
... facility or renal dialysis center . 405.2162 Condition : Staff of a renal dialy- sis facility or renal dialysis center . 405.2163 Condition : Minimal service re- quirements for a renal dialysis facility or renal dialysis center ...
Page 46
... facilities of the Indian Health Service . ( f ) Payment may be made for items and services furnished by a public or private health facility which receives United States Government funds under a Federal program which pro- vides support ...
... facilities of the Indian Health Service . ( f ) Payment may be made for items and services furnished by a public or private health facility which receives United States Government funds under a Federal program which pro- vides support ...
Page 63
... facility which is reimbursed on other than a reasonable charge basis may not charge a beneficiary or any other party for Medicare covered services if the provider or facility has been paid by an employer plan an amount that equals or ...
... facility which is reimbursed on other than a reasonable charge basis may not charge a beneficiary or any other party for Medicare covered services if the provider or facility has been paid by an employer plan an amount that equals or ...
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Common terms and phrases
adjustment administrative agency agreement allowable cost amended amount amount in controversy applicable appropriate approved assets basis benefits carrier chapter clinic cluding coinsurance contract period cost reporting period coverage covered services deductible deter dialysis durable medical equipment eligible employees enrollment period entitled ESRD facility Federal filed HCFA health maintenance organization health services HMO's hospice care hospital's ices incurred individual initial determination interim intermediary items or services laboratory limits Medi Medicaid Medicare enrollees meet ment month nished notice nursing organiza organization outpatient paid party patient payment rates percent physi physical therapy physician premiums procedures prospective payment prospective payment system provider's qualified reasonable charge reasonable cost records Redesignated at 42 reim reimbursement renal renal dialysis reporting periods beginning request requirements Secretary Sept services furnished Social Security Act specified in paragraph speech pathology Standard Subpart supplier termination tient tion
Popular passages
Page 292 - 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 50 - Act with respect to any item or service to the extent that payment has been made, or can reasonably be expected to be made, under a workmen's compensation law or plan of the United States or a State.
Page 488 - 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 266 - ... (1) part-time or intermittent nursing care provided by or under the supervision of a registered professional nurse...
Page 207 - ... (2) there will be interchange of medical and other information necessary or useful in the care and treatment of individuals transferred between the institutions, or in determining whether such individuals can be adequately cared for otherwise than in either of such institutions.
Page 127 - 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 353 - 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 642 - ... a plan for furnishing^ such services to such individual has been established and is periodically reviewed by a physician; and such services are or were • furnished while the individual was under the care of a physician...
Page 557 - SEC. 207. (a) Section 201 of this title shall take effect on the first day of the first month following the month in which it is enacted.
Page 46 - ... (c) Eye examinations for the purpose of prescribing, fitting, or changing eyeglasses or contact lenses for refractive error only and procedures performed in the course of any eye examination to determine the refractive state of the eyes, without regard to the reason for the performance of the refractive procedures.