42 C.F.R. §410.50 - Institutional dialysis services and supplies: Scope and conditions
| Cite as | 42 C.F.R. §410.50 |
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5 cases
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Total Renal Laboratories, Inc. v. Shalala, 1:99-CV-436-CAM.
...The Secretary's regulations provide that the composite rate includes a few listed laboratory tests and "routine diagnostic tests." 42 C.F.R. §§ 410.50, 413.170(a), 413.180(a). Laboratory tests not included in the composite rate are paid for under Part B according to a fee schedule. 42 U.S.C......
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United States ex rel. Prather v. Brookdale Senior Living Cmtys., Inc., Civil No. 3:12-CV-00764
...are that the service provided must be reasonable and medically necessary. See, e.g., 42 U.S.C. §§ 1395y(a)(1)(A); 1396, et seq.; 42 C.F.R. § 410.50. Individuals who receive benefits under Medicare are commonly referred to as "beneficiaries." Medicare beneficiaries who are homebound can rece......
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United States ex rel. Prather v. Brookdale Senior Living Cmtys., Inc., Civil No. 3:12-CV-00764
...are that the service provided must be reasonable and medically necessary. See, e.g., 42 U.S.C. §§ 1395y(a)(1)(A); 1396, et seq.; 42 C.F.R. § 410.50. Home health agencies are not paid per service rendered. Instead, Medicare pays them under a Home Health Prospective Payment System that provid......
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Crowe v. Bio–Med. Application of La., LLC, s. 2014 CA 0917
...of an ESRD patient, routine dialysis monitoring tests, routine diagnostic tests, and "Epoetin (EPO)"18 and its administration.19 42 C.F.R. § 410.50.In order for a dialysis clinic to qualify and participate as a Medicare provider, the clinic must meet all Medicare regulations and various con......
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2 firm's commentaries
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About That Brand Memo . . .
...billed to Medicare or Medicaid be medically "reasonable and necessary." E.g., 42 U.S.C. § 1395y(a)(1)(A); 42 U.S.C. § 1396 et seq.; 42 C.F.R. § 410.50. Such usage does not give these documents the force of law, but rather aids in demonstrating that the standards in the relevant statutory an......
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About That Brand Memo . . .
...billed to Medicare or Medicaid be medically “reasonable and necessary.” E.g., 42 U.S.C. § 1395y(a)(1)(A); 42 U.S.C. § 1396 et seq.; 42 C.F.R. § 410.50. Such usage does not give these documents the force of law, but rather aids in demonstrating that the standards in the relevant statutory an......