42 C.F.R. §413.50 - Apportionment of allowable costs

Cite as42 C.F.R. §413.50
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23 cases
  • U.S. v. Bourseau, 06-56741.
    • United States
    • United States Courts of Appeals. United States Court of Appeals (9th Circuit)
    • July 14, 2008
    ...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. ......
  • Visiting Nurse Ass'n of Brooklyn v. Thompson, 99CV7564 NGG/CLP.
    • United States
    • United States District Courts. 2nd Circuit. United States District Court (Eastern District of New York)
    • December 7, 2004
    ...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......
  • Genesis Health Ventures, Inc. v. Sebelius, Civil Action No. 10–00381 (ESH).
    • United States
    • United States District Courts. United States District Court (Columbia)
    • July 22, 2011
    ...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......
  • COOPER UNIVERSITY HOSP. v. Sebelius, Civil No. 08-3781 (JBS/JS).
    • United States
    • United States District Courts. 3th Circuit. United States District Courts. 3th Circuit. District of New Jersey
    • September 28, 2009
    ...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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