42 CFR 413.53 - Determination of cost of services to beneficiaries
| Cite as | 42 CFR 413.53 |
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21 practice notes
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State of Fla., Office of Atty. v. Tenet Healthcare, 05-20591-CIV.
...be reasonably and consistently related to its costs of providing the services. Id. (citing Prov. Reimb. Man., Part 1, §§ 2202-2203; 42 C.F.R. § 413.53(b)(2)(ii)). As CMS indicated in September 1988, "the use of hospital-specific cost-to-charge ratios is essential to ensure that outlier paym......
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Visiting Nurse Ass'n of Brooklyn v. Thompson, 99CV7564 NGG/CLP.
...Manual ("PRM") § 3205. This provision, which was issued as an interpretation of the cost-reporting regulations contained in 42 C.F.R. § 413.53, instructs home health aide services providers to include only "Medicare-type" services in reporting the costs of services rendered to non-Medicare ......
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Good Samaritan Hospital v. Shalala, 91-2079
...services is apportioned on the basis of the ratio of Medicare beneficiary charges to total patient charges in each department. See 42 CFR § 413.53(a)(1) (1992). The combined reimbursement for all of the different services performed by a health care provider, as calculated under all of the d......
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UNIVERSITY HOSP., NY UNIV. MED. CTR. v. Bowen, 87 Civ. 1080 (WCC).
...specifically charged to particular patients. See 42 C.F.R. §§ 405.452(b)(1), 405.452(d)(2), 405.452(d)(5) (1982) (current version at 42 C.F.R. 413.53(a)(1), 413.53(b) 684 F. Supp. 1237 (1987)). Routine costs are themselves subdivided into routine costs for general patient care areas, and ro......
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15 cases
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Good Samaritan Hospital v. Shalala, No. 91-2079
...services is apportioned on the basis of the ratio of Medicare beneficiary charges to total patient charges in each department. See 42 CFR § 413.53(a)(1) (1992). The combined reimbursement for all of the different services performed by a health care provider, as calculated under all of the d......
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State of Fla., Office of Atty. v. Tenet Healthcare, No. 05-20591-CIV.
...be reasonably and consistently related to its costs of providing the services. Id. (citing Prov. Reimb. Man., Part 1, §§ 2202-2203; 42 C.F.R. § 413.53(b)(2)(ii)). As CMS indicated in September 1988, "the use of hospital-specific cost-to-charge ratios is essential to ensure that outlier paym......
-
Visiting Nurse Ass'n of Brooklyn v. Thompson, No. 99CV7564 NGG/CLP.
...Manual ("PRM") § 3205. This provision, which was issued as an interpretation of the cost-reporting regulations contained in 42 C.F.R. § 413.53, instructs home health aide services providers to include only "Medicare-type" services in reporting the costs of services rendered to non-Medicare ......
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UNIVERSITY HOSP., NY UNIV. MED. CTR. v. Bowen, No. 87 Civ. 1080 (WCC).
...specifically charged to particular patients. See 42 C.F.R. §§ 405.452(b)(1), 405.452(d)(2), 405.452(d)(5) (1982) (current version at 42 C.F.R. 413.53(a)(1), 413.53(b) 684 F. Supp. 1237 (1987)). Routine costs are themselves subdivided into routine costs for general patient care areas, and ro......
Request a trial to view additional results