42 CFR 413.50 - Apportionment of allowable costs
| Cite as | 42 CFR 413.50 |
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22 practice notes
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COOPER UNIVERSITY HOSP. v. Sebelius, Civil No. 08-3781 (JBS/JS).
...on a cost report the hospital submits to its Medicare fiscal intermediary (an insurance carrier). 42 C.F.R. §§ 405.1803, 413.20, 413.24, 413.50. In 1985, Congress, having found that it costs hospitals more to treat low-income patients, provided for an adjustment for hospitals serving a disp......
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Genesis Health Ventures, Inc. v. Sebelius, Civil Action No. 10–00381 (ESH).
...and non-Medicare patients so that the program reimburses the provider for only those costs attributable to Medicare beneficiaries. See 42 C.F.R. §§ 413.50, 413.54.3. Changing the Allocation Basis The Reimbursement Manual sets forth the procedures by which a provider may change the basis for......
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St. Luke's Methodist Hosp. v. Thompson, No. C 00-13 MJM.
...borne by such insurance programs.... Id. This "no cross-subsidization" principle is reiterated in 42 C.F.R. § 413.5(a) and (b)(3), and 42 C.F.R. § 413.50. 2. Routine cost limits established by Routine service costs are subject to Routine Cost Limits ("RCLs"). Before 1984, the RCL for FS-SNF......
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Visiting Nurse Ass'n of Brooklyn v. Thompson, No. 99CV7564 NGG/CLP.
...cost figure; and (3) the resulting allowable costs are apportioned between Medicare payees and all others. (Tr. at 631-32, 1256-57); 42 C.F.R. § 413.50(a). Section 413.53(a)(3) of the Code of Federal Regulations, entitled "Determination Page 82 Cost of Services to Beneficiaries," was promul......
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22 cases
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COOPER UNIVERSITY HOSP. v. Sebelius, Civil No. 08-3781 (JBS/JS).
...on a cost report the hospital submits to its Medicare fiscal intermediary (an insurance carrier). 42 C.F.R. §§ 405.1803, 413.20, 413.24, 413.50. In 1985, Congress, having found that it costs hospitals more to treat low-income patients, provided for an adjustment for hospitals serving a disp......
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Genesis Health Ventures, Inc. v. Sebelius, Civil Action No. 10–00381 (ESH).
...and non-Medicare patients so that the program reimburses the provider for only those costs attributable to Medicare beneficiaries. See 42 C.F.R. §§ 413.50, 413.54.3. Changing the Allocation Basis The Reimbursement Manual sets forth the procedures by which a provider may change the basis for......
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St. Luke's Methodist Hosp. v. Thompson, No. C 00-13 MJM.
...borne by such insurance programs.... Id. This "no cross-subsidization" principle is reiterated in 42 C.F.R. § 413.5(a) and (b)(3), and 42 C.F.R. § 413.50. 2. Routine cost limits established by Routine service costs are subject to Routine Cost Limits ("RCLs"). Before 1984, the RCL for FS-SNF......
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U.S. v. Bourseau, No. 06-56741.
...410.27. Medicare reimburses such providers only for the portion of costs that relate to Medicare patients. 42 U.S.C. § 1395x(v)(1)(A); 42 C.F.R. § 413.50. Medicare contracts with private insurance companies, known as fiscal intermediaries, to facilitate the reimbursement process. 42 U.S.C. ......
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