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- Title 42. Public Health
- Chapter IV. Centers For Medicare & Medicaid Services, Department of Health and Human Services
- Subchapter B. Medicare Program
- Part 413. Principles of Reasonable Cost Reimbursement; Payment For End-stage Renal Disease Services; Prospectively Determined Payment Rates For Skilled Nursing Facilities; Payment For Acute Kidney Injury Dialysis
- Subpart A. Introduction and General Rules
42 C.F.R. §413.9 - Cost related to patient care
| Cite as | 42 C.F.R. §413.9 |
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California Appellate Court Affirms Medi-Cal’s Obligation To Pay FQHCs 100% Of Their Reasonable Costs
- United States
- JD Supra United States
- July 16, 2020
...… The State cannot shirk its responsibility to pay health centers’ full costs.” Finally, the Court found that as a general rule, 42 C.F.R. Part 413 (Medicare reasonable cost principles) directs payment based on the actual costs of a provider rather than the costs of a contractor when an arm...... -
Hospitals Face Sizable Overpayment Liability for Not Reporting Medical Device Credits
- United States
- JD Supra United States
- April 10, 2018
...42 C.F.R. §§ 412.89 and 419.45. [vi] 42 U.S.C. § 1395y(a)(2). [vii] 42 C.F.R. § 413.9. [viii] OIG, “Hospitals Did Not Comply With Medicare Requirements for Reporting Certain Cardiac Device Credits”, A-05-16-00059 (March [ix]...