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- 42 CFR 403.754 · Monitoring expenditure level.
- 42 CFR 403.756 · Sunset provision.
- 42 CFR 403.764 · Basis and purpose of religious nonmedical health care institutions providing home service.
- 42 CFR 403.766 · Requirements for coverage and payment of RNHCI home services.
- 42 CFR 403.768 · Excluded services.
- 42 CFR 403.770 · Payments for home services.
- 42 CFR 403.800 · Basis and scope.
- 42 CFR 403.802 · Definitions.
- 42 CFR 403.804 · General rules for solicitation, application and Medicare endorsement period.
- 42 CFR 403.806 · Sponsor requirements for eligibility for endorsement.
- 42 CFR 403.808 · Use of transitional assistance funds.
- 42 CFR 403.810 · Eligibility and reconsiderations.
- 42 CFR 403.811 · Enrollment and disenrollment and associated endorsed sponsor requirements.
- 42 CFR 403.812 · HIPAA privacy, security, administrative data standards, and national identifiers.
- 42 CFR 403.813 · Marketing limitations and record retention requirements.
- 42 CFR 403.814 · Special rules concerning Part C organizations and Medicare cost plans and their enrollees.
- 42 CFR 403.815 · Special rules concerning States.
- 42 CFR 403.816 · Special rules concerning long-term care and I/T/U pharmacies.
- 42 CFR 403.817 · Special rules concerning the territories.
- 42 CFR 403.820 · Sanctions, penalties, and termination.
- 42 CFR 403.822 · Reimbursement of transitional assistance and associated sponsor requirements.
- 42 CFR 403.900 · Purpose and scope.
- 42 CFR 403.902 · Definitions.
- 42 CFR 403.904 · Reports of payments or other transfers of value to covered recipients.
- 42 CFR 403.906 · Reports of physician ownership and investment interests.
- 42 CFR 403.908 · Procedures for electronic submission of reports.
- 42 CFR 403.910 · Delayed publication for payments made under product research or development agreements and clinical investigations.
- 42 CFR 403.912 · Penalties for failure to report.
- 42 CFR 403.914 · Preemption of State laws.
- 42 CFR 403.1100 · Purpose and scope.
- 42 CFR 403.1105 · Definitions.
- 42 CFR 403.1110 · Evaluation of models.
- 42 CFR 403.1200 · Scope.
- 42 CFR 403.1201 · Definitions.
- 42 CFR 403.1202 · Pricing information.
- 42 CFR 403.1203 · Specific presentation requirements.
- 42 CFR 403.1204 · Compliance.
- 42 CFR 405.201 · Scope of subpart and definitions.
- 42 CFR 405.203 · FDA categorization of investigational devices.
- 42 CFR 405.205 · Coverage of a Category B (Nonexperimental/investigational) device.
- 42 CFR 405.207 · Services related to a noncovered device.
- 42 CFR 405.209 · Payment for a Category B (Nonexperimental/investigational) device.
- 42 CFR 405.211 · Coverage of items and services in FDA-approved IDE studies.
- 42 CFR 405.212 · Medicare Coverage IDE study criteria.
- 42 CFR 405.213 · Re-evaluation of a device categorization.
- 42 CFR 405.215 · Confidential commercial and trade secret information.
- 42 CFR 405.301 · Scope of subpart.
- 42 CFR 405.350 · Individual's liability for payments made to providers and other persons for items and services furnished the individual.
- 42 CFR 405.351 · Incorrect payments for which the individual is not liable.
- 42 CFR 405.352 · Adjustment of title XVIII incorrect payments.
- 42 CFR 405.353 · Certification of amount that will be adjusted against individual title II or railroad retirement benefits.
- 42 CFR 405.354 · Procedures for adjustment or recovery—title II beneficiary.
- 42 CFR 405.355 · Waiver of adjustment or recovery.
- 42 CFR 405.356 · Principles applied in waiver of adjustment or recovery.
- 42 CFR 405.357 · Notice of right to waiver consideration.
- 42 CFR 405.358 · When waiver of adjustment or recovery may be applied.
- 42 CFR 405.359 · Liability of certifying or disbursing officer.
- 42 CFR 405.370 · Definitions.
- 42 CFR 405.371 · Suspension, offset, and recoupment of Medicare payments to providers and suppliers of services.
- 42 CFR 405.372 · Proceeding for suspension of payment.
- 42 CFR 405.373 · Proceeding for offset or recoupment.
- 42 CFR 405.374 · Opportunity for rebuttal.
- 42 CFR 405.375 · Time limits for, and notification of, administrative determination after receipt of rebuttal statement.
- 42 CFR 405.376 · Suspension and termination of collection action and compromise of claims for overpayment.
- 42 CFR 405.377 · Withholding Medicare payments to recover Medicaid overpayments.
- 42 CFR 405.378 · Interest charges on overpayment and underpayments to providers, suppliers, and other entities.
- 42 CFR 405.379 · Limitation on recoupment of provider and supplier overpayments.
- 42 CFR 405.380 · Collection of past-due amounts on scholarship and loan programs.
- 42 CFR 405.400 · Definitions.
- 42 CFR 405.405 · General rules.
- 42 CFR 405.410 · Conditions for properly opting-out of Medicare.
- 42 CFR 405.415 · Requirements of the private contract.
- 42 CFR 405.420 · Requirements of the opt-out affidavit.
- 42 CFR 405.425 · Effects of opting-out of Medicare.
- 42 CFR 405.430 · Failure to properly opt-out.
- 42 CFR 405.435 · Failure to maintain opt-out.
- 42 CFR 405.440 · Emergency and urgent care services.
- 42 CFR 405.445 · Cancellation of opt-out and early termination of opt-out.
- 42 CFR 405.450 · Appeals.
- 42 CFR 405.455 · Application to Medicare Advantage contracts.
- 42 CFR 405.500 · Basis.
- 42 CFR 405.501 · Determination of reasonable charges.
- 42 CFR 405.502 · Criteria for determining reasonable charges.
- 42 CFR 405.503 · Determining customary charges.
- 42 CFR 405.504 · Determining prevailing charges.
- 42 CFR 405.505 · Determination of locality.
- 42 CFR 405.506 · Charges higher than customary or prevailing charges or lowest charge levels.
- 42 CFR 405.507 · Illustrations of the application of the criteria for determining reasonable charges.
- 42 CFR 405.508 · Determination of comparable circumstances; limitation.
- 42 CFR 405.509 · Determining the inflation-indexed charge.
- 42 CFR 405.511 · Reasonable charges for medical services, supplies, and equipment.
- 42 CFR 405.512 · Carriers' procedural terminology and coding systems.
- 42 CFR 405.515 · Reimbursement for clinical laboratory services billed by physicians.
- 42 CFR 405.517 · Payment for drugs and biologicals that are not paid on a cost or prospective payment basis.
- 42 CFR 405.520 · Payment for a physician assistant's, nurse practitioner's, and clinical nurse specialists' services and services furnished incident to their professional services.
- 42 CFR 405.534 · Limitation on payment for screening mammography services.
- 42 CFR 405.535 · Special rule for nonparticipating physicians and suppliers furnishing screening mammography services before January 1, 2002.
- 42 CFR 405.800 · Appeals of CMS or a CMS contractor.
- 42 CFR 405.803 · Appeals rights.
- 42 CFR 405.806 · Impact of reversal of contractor determinations on claims processing.