42 CFR 413.20 - Financial data and reports
| Cite as | 42 CFR 413.20 |
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340 practice notes
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Part III
...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......
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Lenox Hill Hospital v. Shalala, Civil Action No. 99-CV03087SSH.
...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 ......
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Maximum Home Health Care, Inc. v. Shalala, No. 3:99-0299.
...(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......
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Cmty. Health Sys., Inc. v. Burwell, Civil Action No. 14–1432 (BAH)
...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
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Lenox Hill Hospital v. Shalala, Civil Action No. 99-CV03087SSH.
...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 ......
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Maximum Home Health Care, Inc. v. Shalala, No. 3:99-0299.
...(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......
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Cmty. Health Sys., Inc. v. Burwell, Civil Action No. 14–1432 (BAH)
...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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California Seniors v. Catholic Healthcare, No. B140639.
...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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3 firm's commentaries
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Fiscal Year 2022 IPPS Proposals Related to GME Payments
...rotation schedules, etc. to determine the point at which the requisite threshold of FTE residents are trained. As required under 42 C.F.R. §§ 413.20 and 413.24, hospitals must provide sufficient documentation to ensure proper payment (for GME this includes, but is not limited to, rotation s......
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D.C. Circuit Determines that Physical Possession of Medicare Records Not Required in Implied-Certification Claim Against the District of Columbia
...adequate supporting cost data available for audit when it presented its year-end cost report, in contravention of federal regulations (42 C.F.R. §§ 413.20, 413.24) that were incorporated into the District of Columbia’s Medicaid State Plan. In reversing the decision of the lower court, the D......
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Reminder to providers: CMS modified supporting documentation requirements for cost-reporting periods beginning on or after October 1, 2018
...Services (CMS) issued the FY 2019 Medicare IPPS final rule. Part of the rule modified the supporting documentation required under 42 CFR 413.20 to be submitted with provider cost reports. The new requirements are applicable for cost reports submitted for cost-reporting periods beginning on ......