42 C.F.R. §405.501 - Determination of reasonable charges
| Cite as | 42 C.F.R. §405.501 |
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29 cases
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Walsh v. McGee, 89 Civ. 1310 (DNE).
...it was "reasonable 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......
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Abbott Radiology Associates v. Shalala, 94-CV-390H.
...other providers of medical services.8 The Secretary maintains that any provider classified as a reasonable charge basis provider under 42 C.F.R. § 405.501 (1991) may be subject to comparability I find that the Secretary's interpretation of the phrase "on a charge basis" is a reasonable one ......
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Alexander v. Schweicker, H-80-2.
...2450, attached to Complaint of Intervenor Bernard V. Dunne as Exhibit II. 42 U.S.C. §§ 1395l (a), 1395l(b), 1395u(a), 1395u(b)(3); 42 C.F.R. §§ 405.501-405.501-405.511.3 Jurisdiction is alleged under 28 U.S.C. § 1331 (general federal question jurisdiction) and 28 U.S.C. § 1361 (mandamus jur......
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Haygood v. De Escabedo, 09–0377.
...ch. 204, § 13.08, 2003 Tex. Gen. Laws 847, 889. 2. Tex. Civ. Prac. & Rem.Code § 41.0105. 3. 283 S.W.3d 3 (Tex.App.-Tyler 2009). 4. 42 C.F.R. § 405.501(a). 5. 42 C.F.R. § 405.502(a). 6. 42 U.S.C. § 1395cc(a)(1)–(2). 7. The record indicates that almost all of what has been paid was by insuran......
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