42 CFR 414.220 - Inexpensive or routinely purchased items
| Cite as | 42 CFR 414.220 |
-
- This document is available in original version only for vLex customers
View this document and try vLex for 7 days - TRY VLEX
- This document is available in original version only for vLex customers
9 practice notes
-
Taxable Medical Devices
...the end of the rental term. The category of capped rental DME consists of DME that is not subject to the payment provisions set forth in 42 CFR 414.220 through 42 CFR 414.228. Medicare pays for capped rental DME other than complex rehabilitation power-driven wheelchairs on a rental basis. S......
-
United States ex rel. Bierman v. Orthofix Int'l, N.V., Civil Action No. 05–10557–RWZ.
...in this category, Mediocare reimburses suppliers "on a monthly rental basis or in a lump sum amount for purchase of the item." 42 C.F.R. § 414.220(b)(1).The statutes and regulations clearly contemplate a rental option for items like the bone growth stimulator devices. Yet, nothing in the re......
-
Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
...such as the addition of elevating leg rests to a manual wheelchair. The Medicare definition of routinely purchased equipment under 42 CFR Sec. 414.220(a)(2) specifies that routinely purchased equipment means ``equipment that was acquired by purchase on a national basis at least 75 percent o......
-
Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) and Fee Schedule Amounts, and Technical Amendments To Correct Existing Regulations Related to the CBP for Certain DMEPOS
...these items can be purchased new or used and can be rented; however, total payments cannot exceed the purchase new fee for the item. See 42 CFR 414.220. Items requiring frequent and Items, such as substantial servicing--section requiring frequent and substantial 1834(a)(3) of the Act servic......
Request a trial to view additional results
2 cases
-
United States ex rel. Bierman v. Orthofix Int'l, N.V., Civil Action No. 05–10557–RWZ.
...in this category, Mediocare reimburses suppliers "on a monthly rental basis or in a lump sum amount for purchase of the item." 42 C.F.R. § 414.220(b)(1).The statutes and regulations clearly contemplate a rental option for items like the bone growth stimulator devices. Yet, nothing in the re......
-
United States ex rel. Bierman v. Orthofix Int'l, N.V., CIVIL ACTION NO. 05–10557–RWZ
...devices. Medicare purchases devices at a flat rate that does not depend whatsoever on that device's estimated length of need. See 42 C.F.R. § 414.220(b)(1) (2016). 177 F.Supp.3d 715Likewise, Medicare's National Coverage Determinations Manual, which sets forth the criteria under which Medica......
7 provisions
-
Taxable Medical Devices
...the end of the rental term. The category of capped rental DME consists of DME that is not subject to the payment provisions set forth in 42 CFR 414.220 through 42 CFR 414.228. Medicare pays for capped rental DME other than complex rehabilitation power-driven wheelchairs on a rental basis. S......
-
Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
...such as the addition of elevating leg rests to a manual wheelchair. The Medicare definition of routinely purchased equipment under 42 CFR Sec. 414.220(a)(2) specifies that routinely purchased equipment means ``equipment that was acquired by purchase on a national basis at least 75 percent o......
-
Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) and Fee Schedule Amounts, and Technical Amendments To Correct Existing Regulations Related to the CBP for Certain DMEPOS
...these items can be purchased new or used and can be rented; however, total payments cannot exceed the purchase new fee for the item. See 42 CFR 414.220. Items requiring frequent and Items, such as substantial servicing--section requiring frequent and substantial 1834(a)(3) of the Act servic......
-
Taxable Medical Devices
...treatment and how those items can be consistently and specifically identified. For example, ``inexpensive equipment,'' as defined in 42 CFR 414.220(a)(1), appears to describe items that may meet the retail exception under an application of the facts and circumstances test. However, comments......
Request a trial to view additional results