42 CFR 413.20 - Financial data and reports

Cite as42 CFR 413.20
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340 practice notes
  • Part III
    • United States
    • Federal Register November 18, 2008
    • November 18, 2008
    ...clear, hospitals are required to complete the cost report in a manner that is appropriate for their internal accounting system structure (42 CFR 413.20) and that is within the framework of Medicare reimbursement principles and cost report instructions. With regard to the overhead allocation......
  • Lenox Hill Hospital v. Shalala, Civil Action No. 99-CV03087SSH.
    • United States
    • United States District Courts. United States District Court (Columbia)
    • November 14, 2000
    ...the total amount of reimbursement, and sets forth this amount in a notice of program reimbursement ("NPR"). See 42 C.F.R. §§ 405.1803, 413.20, 413.24, and 413.60 (1998). If a provider is dissatisfied with the final determination of reimbursement, it may obtain a hearing before the Provider ......
  • Maximum Home Health Care, Inc. v. Shalala, No. 3:99-0299.
    • United States
    • United States District Courts. 6th Circuit. United States District Court of Middle District of Tennessee
    • July 27, 2000
    ...(plaintiff) management fees was not supported by adequate documentation, as addressed in the regulations noted above, (42 CFR §§ 413.9, 413.20, and 413.24), the intermediary had to resort to other analyses. Competitive bids were not obtained for the management services. Documentation was no......
  • Cmty. Health Sys., Inc. v. Burwell, Civil Action No. 14–1432 (BAH)
    • United States
    • U.S. District Court — District of Columbia
    • July 7, 2015
    ...program, through the Intermediaries, health care providers such as the plaintiffs must submit "cost reports ... on an annual basis." 42 C.F.R. § 413.20(b). After receiving and reviewing these cost reports, Intermediaries "must within a reasonable period of time ... furnish the provider ... ......
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235 cases
  • Lenox Hill Hospital v. Shalala, Civil Action No. 99-CV03087SSH.
    • United States
    • United States District Courts. United States District Court (Columbia)
    • November 14, 2000
    ...the total amount of reimbursement, and sets forth this amount in a notice of program reimbursement ("NPR"). See 42 C.F.R. §§ 405.1803, 413.20, 413.24, and 413.60 (1998). If a provider is dissatisfied with the final determination of reimbursement, it may obtain a hearing before the Provider ......
  • Maximum Home Health Care, Inc. v. Shalala, No. 3:99-0299.
    • United States
    • United States District Courts. 6th Circuit. United States District Court of Middle District of Tennessee
    • July 27, 2000
    ...(plaintiff) management fees was not supported by adequate documentation, as addressed in the regulations noted above, (42 CFR §§ 413.9, 413.20, and 413.24), the intermediary had to resort to other analyses. Competitive bids were not obtained for the management services. Documentation was no......
  • Cmty. Health Sys., Inc. v. Burwell, Civil Action No. 14–1432 (BAH)
    • United States
    • U.S. District Court — District of Columbia
    • July 7, 2015
    ...program, through the Intermediaries, health care providers such as the plaintiffs must submit "cost reports ... on an annual basis." 42 C.F.R. § 413.20(b). After receiving and reviewing these cost reports, Intermediaries "must within a reasonable period of time ... furnish the provider ... ......
  • California Seniors v. Catholic Healthcare, No. B140639.
    • United States
    • California Court of Appeals
    • February 28, 2001
    ...for audit and review. (See Your Home Visiting Nurse Services, Inc. v. Shalala, supra, 525 U.S. at p. 451, 119 S.Ct. 930; 42 C.F.R. § 413.20(b); Medicare Provider Reimbursement Manual, Pt. II, HCFA Pub. No. 15-2, §§ 100-106, [as of Dec. 14, 2000]; and see Fundamentals, supra, pp. 45-46.) Thi......
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