42 CFR 424.5 - Basic conditions
| Cite as | 42 CFR 424.5 |
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55 practice notes
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Connecticut State Dept. of Social Ser. v. Thompson, No. CIV.A.3:99 CV 2020 S.
...no claim is filed by the HHA, UGS may be unable to make a determination whether the home health care services are covered. See, e.g., 42 C.F.R. § 424.5(5) ("Claim for payment. The provider, supplier, or beneficiary, as appropriate, must file a claim that includes or makes reference to a req......
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Connecticut State Department of Social Services v. Thompson, Civ. Action No. 3:99 CV 2020 (SRU) (D. Conn. 9/9/2002), Civ. Action No. 3:99 CV 2020 (SRU).
...no claim is filed by the HHA, UGS may be unable to make a determination whether the home health care services are covered. See, e.g., 42 C.F.R. § 424.5(5) ("Claim for payment. The provider, supplier, or beneficiary, as appropriate, must file a claim that includes or makes reference to a req......
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Medwin Family Med. & Rehab., P. L.L.C. v. Burwell, Case No. 1:15-cv-151
...Res. Mgmt. v. Burwell, Civil Action No. H-14-578, 2015 WL 3932657, at *2 (S.D. Tex. June 26, 2015) (citing "42 U.S.C. § 13951(e); 42 C.F.R. § 424.5(a)(6); Friedman v. Sec'y of Dep't of Health and Human Servs., 819 F.2d 42, 45 (2d Cir. 1987)"). Before the Council, Medwin failed to explain wh......
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Garcia v. Sebelius, CV 10-8820 PA (RZx)
...Medicare. 42 U.S.C.§§ 1395g(a), 1395l(e), 1395gg; see also 42 C.F.R. § 411.15(k)(1). Under the applicable regulations cited above (see 42 C.F.R. § 424.5(a)(6)), it is the responsibility of a provider to furnish sufficient information to determine whether payment is due and the amount of the......
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33 cases
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Goffney v. Becerra, No. 19-56368
...follows that the effective date of a provider's billing privileges should be reset upon the reactivation of those privileges. See 42 C.F.R. § 424.5(a)(2). Goffney responds that section 424.555(b) just means that a provider must have reactivated its billing privileges by the time of payment.......
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Connecticut State Dept. of Social Ser. v. Thompson, No. CIV.A.3:99 CV 2020 S.
...no claim is filed by the HHA, UGS may be unable to make a determination whether the home health care services are covered. See, e.g., 42 C.F.R. § 424.5(5) ("Claim for payment. The provider, supplier, or beneficiary, as appropriate, must file a claim that includes or makes reference to ......
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Connecticut State Department of Social Services v. Thompson, Civ. Action No. 3:99 CV 2020 (SRU) (D. Conn. 9/9/2002), Civ. Action No. 3:99 CV 2020 (SRU).
...no claim is filed by the HHA, UGS may be unable to make a determination whether the home health care services are covered. See, e.g., 42 C.F.R. § 424.5(5) ("Claim for payment. The provider, supplier, or beneficiary, as appropriate, must file a claim that includes or makes reference to ......
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Medwin Family Med. & Rehab., P. L.L.C. v. Burwell, Case No. 1:15-cv-151
...Res. Mgmt. v. Burwell, Civil Action No. H-14-578, 2015 WL 3932657, at *2 (S.D. Tex. June 26, 2015) (citing "42 U.S.C. § 13951(e); 42 C.F.R. § 424.5(a)(6); Friedman v. Sec'y of Dep't of Health and Human Servs., 819 F.2d 42, 45 (2d Cir. 1987)"). Before the Council, Medwin failed to ......
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