42 CFR 421.404 - Assignment of providers and suppliers to MACs
| Cite as | 42 CFR 421.404 |
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8 practice notes
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Goffney v. Becerra, No. 19-56368
...§§ 1395u(a), 1395kk-1(a) ; 42 C.F.R. § 421.5(b). Each Medicare contractor is responsible for a particular region of the country. 42 C.F.R. § 421.404(b)(1), (c)(1).To be paid for performing Medicare services, healthcare providers must enroll in the program, at which point they receive billin......
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Almy v. Sebelius, Civil Action No. RDB–08–1245.
...by the Centers for Medicare and Medicaid Services (“CMS”) has its own DMAC. 42 U.S.C. § 1395m(a)(12); 42 C.F.R. §§ 424.32, 421.210(b), 421.404(c)(2). If the DMAC determines that the DME item is covered or otherwise reimbursable under Medicare, it will furnish a payment amount that is equal ......
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Gordian Med., Inc. v. Sebelius, No. CV 10-3933 CAS (FFMx)
...("DME MACs") (formerly known as DME Regional Carriers or "DMERCs"). Id. §§ 1395m(a)(12), 1395kk-1; 42 C.F.R. §§ 421.200, 421.210(b), 421.404(c)(2). 4. Medical supplies and other items of DMEPOS must be furnished "incident to a physician's service" or by a "supplier" that possesses both a va......
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Odell v. U.S. Dep't of Health & Human Servs., No. 19-15262
...See 42 U.S.C. §§ 1395u(a), 1395kk-1(a) ; 42 C.F.R. § 421.5(c). Each contractor is responsible for a particular region of the country. 42 C.F.R. § 421.404(b)(1), (c)(1).Medicare pays only for services that are "reasonable and necessary." 42 U.S.C. § 1395y(a)(1)(A). The Medicare contractor de......
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6 cases
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Almy v. Sebelius, Civil Action No. RDB–08–1245.
...by the Centers for Medicare and Medicaid Services (“CMS”) has its own DMAC. 42 U.S.C. § 1395m(a)(12); 42 C.F.R. §§ 424.32, 421.210(b), 421.404(c)(2). If the DMAC determines that the DME item is covered or otherwise reimbursable under Medicare, it will furnish a payment amount that is equal ......
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Goffney v. Becerra, No. 19-56368
...§§ 1395u(a), 1395kk-1(a) ; 42 C.F.R. § 421.5(b). Each Medicare contractor is responsible for a particular region of the country. 42 C.F.R. § 421.404(b)(1), (c)(1).To be paid for performing Medicare services, healthcare providers must enroll in the program, at which point they receive billin......
-
Gordian Med., Inc. v. Sebelius, No. CV 10-3933 CAS (FFMx)
...("DME MACs") (formerly known as DME Regional Carriers or "DMERCs"). Id. §§ 1395m(a)(12), 1395kk-1; 42 C.F.R. §§ 421.200, 421.210(b), 421.404(c)(2). 4. Medical supplies and other items of DMEPOS must be furnished "incident to a physician's service" or by a "supplier" that possesses both a va......
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Odell v. U.S. Dep't of Health & Human Servs., No. 19-15262
...See 42 U.S.C. §§ 1395u(a), 1395kk-1(a) ; 42 C.F.R. § 421.5(c). Each contractor is responsible for a particular region of the country. 42 C.F.R. § 421.404(b)(1), (c)(1).Medicare pays only for services that are "reasonable and necessary." 42 U.S.C. § 1395y(a)(1)(A). The Medicare contractor de......
Request a trial to view additional results