42 CFR 413.5 - Cost reimbursement: General
| Cite as | 42 CFR 413.5 |
-
- This document is available in original version only for vLex customers
View this document and try vLex for 7 days - TRY VLEX
- This document is available in original version only for vLex customers
36 practice notes
-
California Seniors v. Catholic Healthcare, No. B140639.
...under other arrangements, by having to put up money for the purchase of goods and services well before they receive reimbursement." (42 C.F.R. § 413.5(b)(1) 5. The objective is that costs with respect to individuals covered by Medicare will not be borne by those not covered, while the costs......
-
Abraham Lincoln Memorial Hosp. v. Sebelius, No. 11–2809.
...require that reimbursable costs must necessarily take into account any amounts that defray a health care provider's costs. 42 C.F.R. §§ 413.5(c), 413.98. In determining allowable costs, the Secretary should not look at costs in a vacuum, but must look at the totality of the circumstances. T......
-
Shalala v. Guernsey Memorial Hosp., 931251
...its fair share. The Secretary must calculate how much of a provider's total allowable costs are attributable to Medicare services, see 42 CFR §§ 413.5(a), 413.9(a) and (c)(3) (1993), which entails calculating what proportion of the provider's services were delivered to Medicare patients, §§......
-
St. Luke's Methodist Hosp. v. Thompson, No. C 00-13 MJM.
...not so covered will not be 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. § 2. Routine cost limits established by regulation: Routine service costs are subject to Routine Cost Limits ("RCLs"). ......
Request a trial to view additional results
34 cases
-
Visiting Nurse Ass'n of Brooklyn v. Thompson, 99CV7564 NGG/CLP.
...and the costs with respect to individuals not so covered will not be borne by the program." 42 C.F.R. § 413.9(b)(1). See also, 42 C.F.R. § 413.5(a), 42 C.F.R. § 413.5(b)(3), 42 C.F.R. § 413.53(a), PRM § 2102.1 (Reasonable Costs), PRM § 2102.2 (Costs Related to Patient Care, noting that "[a]......
-
Shalala v. Guernsey Memorial Hosp., 931251
...its fair share. The Secretary must calculate how much of a provider's total allowable costs are attributable to Medicare services, see 42 CFR §§ 413.5(a), 413.9(a) and (c)(3) (1993), which entails calculating what proportion of the provider's services were delivered to Medicare patients, §§......
-
St. Luke's Methodist Hosp. v. Thompson, C 00-13 MJM.
...not so covered will not be 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. § 2. Routine cost limits established by regulation: Routine service costs are subject to Routine Cost Limits ("RCLs"). ......
-
Abraham Lincoln Memorial Hosp. v. Sebelius, 11–2809.
...require that reimbursable costs must necessarily take into account any amounts that defray a health care provider's costs. 42 C.F.R. §§ 413.5(c), 413.98. In determining allowable costs, the Secretary should not look at costs in a vacuum, but must look at the totality of the circumstances. T......
Request a trial to view additional results