45 CFR 162.1000 - General requirements
| Cite as | 45 CFR 162.1000 |
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14 practice notes
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Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Fiscal Year 2015 Rates; Quality Reporting Requirements for Specific Providers; Reasonable Compensation Equivalents for Physician Services in Excluded Teaching Hospitals; Provider Administrative Appeals and Judicial Review; Enforcement Provisions for Organ Transplant Centers; and Electronic Health Record (EHR) Incentive Program
...162.1102). HIPAA requires covered entities to use the applicable medical data code set requirements when conducting HIPAA transactions (45 CFR 162.1000). Currently, upon the discharge of the patient, the LTCH must assign appropriate diagnosis and procedure codes from the most current versio......
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Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2015 Rates; Quality Reporting Requirements for Specific Providers; Reasonable Compensation Equivalents for Physician Services in Excluded Hospitals and Certain Teaching Hospitals; Provider Administrative Appeals and Judicial Review; Enforcement Provisions for Organ Transplant Centers; and Electronic Health Record (EHR) Incentive Program
...162.1102). HIPAA requires covered entities to use the applicable medical data code set requirements when conducting HIPAA transactions (45 CFR 162.1000). Currently, upon the discharge of Page 50169 patient, the LTCH must assign appropriate diagnosis and procedure codes from the most current......
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Almy v. Sebelius, Civil Action No. RDB–08–1245.
...§ 424.5(a)(6). In addition, an electronic DME claim must include a Healthcare Common Procedure Coding System (“HCPCS”) billing code. 45 C.F.R. §§ 162.1000(a), 162.1002(b)(3). Medicare benefit claims are processed by administrative contractors, which are private insurance companies hired by ......
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Gordian Med., Inc. v. Sebelius, No. CV 10-3933 CAS (FFMx)
...claim must include the appropriate billing code from the Healthcare Common Procedure Coding System ("HCPCS") Level II codes. 45 C.F.R. §§ 162.1000(a), 162.1002(b)(3). See also id. §§ 160.103, 162.100. 5. If a Medicare beneficiary or any assignee of the individual's benefit claim is dissatis......
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2 cases
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Almy v. Sebelius, Civil Action No. RDB–08–1245.
...§ 424.5(a)(6). In addition, an electronic DME claim must include a Healthcare Common Procedure Coding System (“HCPCS”) billing code. 45 C.F.R. §§ 162.1000(a), 162.1002(b)(3). Medicare benefit claims are processed by administrative contractors, which are private insurance companies hired by ......
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Gordian Med., Inc. v. Sebelius, No. CV 10-3933 CAS (FFMx)
...claim must include the appropriate billing code from the Healthcare Common Procedure Coding System ("HCPCS") Level II codes. 45 C.F.R. §§ 162.1000(a), 162.1002(b)(3). See also id. §§ 160.103, 162.100. 5. If a Medicare beneficiary or any assignee of the individual's benefit claim is dissatis......