42 CFR 414.224 - Customized items
| Cite as | 42 CFR 414.224 |
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9 practice notes
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Taxable Medical Devices
...equipment, and supplies'' as defined in 42 CFR 411.351 and described in 42 CFR 414.102(b); (iii) ``customized items'' as described in 42 CFR 414.224; (iv) ``therapeutic shoes,'' as described in 42 CFR 414.228(c); or (v) supplies necessary for the effective use of DME, as described in sectio......
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Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
...chair to fit the needs of the next patient. Response: This rule has no impact on items that meet the definition of customized items at 42 CFR 414.224. For items that are affected by this rule, we agree that some items may have a higher cost because they are not mass produced; however, such ......
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404 F.Supp.2d 190 (D.D.C. 2005), 05 CV 2027, Power Mobility Coalition v. Leavitt
...or substantially modified for a specific beneficiary according to the description and orders of a physician." Id. (quoting 42 C.F.R. § 414.224(a)). All Medicare coverage is limited to services that are medically "reasonable and necessary" for the diagnosis or treatment of ill......
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Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) and Fee Schedule Amounts, and Technical Amendments To Correct Existing Regulations Related to the CBP for Certain DMEPOS
...purchase of the item based on the DME Medicare Administrative Contractor (MAC), Part A MAC, or Part B MAC's individual determination. See 42 CFR 414.224. Oxygen and oxygen equipment-- One bundled monthly rental section 1834(a)(5) of the Act amount is made, not to exceed a 36 month cap, for ......
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2 cases
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404 F.Supp.2d 190 (D.D.C. 2005), 05 CV 2027, Power Mobility Coalition v. Leavitt
...or substantially modified for a specific beneficiary according to the description and orders of a physician." Id. (quoting 42 C.F.R. § 414.224(a)). All Medicare coverage is limited to services that are medically "reasonable and necessary" for the diagnosis or treatment of ill......
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149 F.3d 73 (1st Cir. 1998), 97-2047, Warder v. Shalala
...different from another item used for the same purpose that the two items cannot be grouped together for pricing purposes." 42 C.F.R. § 414.224. In effect, Congress, and subsequently HCFA, treated as DME any wheelchair modified in light of an individual patient's disability, per a physi......
2 firm's commentaries
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IRS Issues Regulations to Implement ACA Medical Device Tax
...nutrients, equipment, and supplies as defined in 42 CFR 411.351 and described in 42 CFR 414.102(b);(c) customized items, as described in 42 CFR 414.224; (d) therapeutic shoes as described in 42 CFR 414.228(c); or (e) supplies necessary for the effective use of DME, as described in section 1......
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IRS Issues Final Regulations Implementing the Affordable Care Act’s Medical Device Excise Tax
...and supplies” as defined in 42 C.F.R. § 411.351 and described in 42 C.F.R. § 414.102(b); o “Customized items” as described in 42 C.F.R. § 414.224; o “Therapeutic shoes,” as described in 42 C.F.R. § 414.228(c); or o Supplies necessary for the effective use of DME as described in Section 110.......
5 provisions
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Taxable Medical Devices
...equipment, and supplies'' as defined in 42 CFR 411.351 and described in 42 CFR 414.102(b); (iii) ``customized items'' as described in 42 CFR 414.224; (iv) ``therapeutic shoes,'' as described in 42 CFR 414.228(c); or (v) supplies necessary for the effective use of DME, as described in sectio......
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Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
...chair to fit the needs of the next patient. Response: This rule has no impact on items that meet the definition of customized items at 42 CFR 414.224. For items that are affected by this rule, we agree that some items may have a higher cost because they are not mass produced; however, such ......
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Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) and Fee Schedule Amounts, and Technical Amendments To Correct Existing Regulations Related to the CBP for Certain DMEPOS
...purchase of the item based on the DME Medicare Administrative Contractor (MAC), Part A MAC, or Part B MAC's individual determination. See 42 CFR 414.224. Oxygen and oxygen equipment-- One bundled monthly rental section 1834(a)(5) of the Act amount is made, not to exceed a 36 month cap, for ......
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Taxable Medical Devices
...equipment, and supplies'' as defined in 42 CFR 411.351 and described in 42 CFR 414.102(b); (3) ``Customized items'' as described in 42 CFR 414.224; (4) ``Therapeutic shoes,'' as described in 42 CFR 414.228(c); (5) Supplies necessary for the effective use of DME, as described in section 110.......
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