42 C.F.R. §421.200 - Carrier functions
| Cite as | 42 C.F.R. §421.200 |
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49 cases
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Mackenzie Medical Supply, Inc. v. Leavitt, No. CIV. AMD 04-2807.
...to make sure proper Medicare criteria have been met. When payment has been made erroneously, overpayments are assessed and recouped. 42 C.F.R. § 421.200(a)(2); see also 42 U.S.C. §§ 1393g(a), 13951(j), 1395gg(b)(1); 42 C.F.R. §§ 405.370, 405.371(a)(1), (2), 405.350. The carrier in this case......
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State of N.Y. v. Lutheran Center for the Aging, Inc., CV 96-4056 (ADS).
...whether they are covered by Medicare and if so, the amount of Medicare payment. 42 U.S.C. § 1395h; 42 C.F.R. §§ 421.100(a), 421.103, 421.200(a). The conditions under which payment is granted or denied are not relevant to the Court's A fiscal intermediary's determination regarding Medicare c......
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Walsh v. McGee, 89 Civ. 1310 (DNE).
...and necessary" under the circumstances, and whether its cost was "reasonable." 42 U.S.C. §§ 1395u(b)(3), 1395y(a); 42 C.F.R. §§ 405.501, 421.200. While the Act instructs carriers to consider specific criteria in making these determinations, a carrier may take into account additional factors......
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Long Island Ambulance, Inc. v. Thompson, 01 CV 2083(ADS)(WDW).
...claims out of the Medicare Trust Funds. See 42 U.S.C. § 1395u(a)(1); 42 C.F.R. Part 405, Subpart E; 42 C.F.R. Part 414; 42 C.F.R. §§ 421.5, 421.200. Empire Medicare Services ("Empire") is the carrier responsible for processing and paying the Part B claims at issue in this Medicare Part B re......
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