42 C.F.R. §413.1 - Introduction
| Cite as | 42 C.F.R. §413.1 |
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44 cases
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Genesis Health Ventures, Inc. v. Sebelius, Civil Action No. 10–00381 (ESH).
...As directed by the Medicare Act, the Secretary has adopted implementing regulations which further define the term “reasonable cost,” 42 C.F.R. §§ 413.1(a)(1)(i)(C), 413.9(b) 1 In addition, the Secretary has issued a Provider Reimbursement Manual, which contains “guidelines and policies to i......
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In re Consol. Medical Transport, Inc., Bankruptcy No. 00 B 21108.
...cost of covered services, as determined under detailed statutory and regulatory criteria. 42 U.S.C. §§ 1395f(b), 1395h, 1395x(v); 42 CFR § 413.1 et seq. HHS's payment scheme is determined by a national fee schedule for ambulance services. 42 C.F.R. §§ 414.610, 414.615, 414.620. After interi......
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Cove Associates Joint Venture v. Sebelius, 1:10-cv-01316 (BJR)
...as defined in the Secretary's regulations and identified in a provider's annual cost report. See 42 U.S.C. §§ 1395f(b), 1395x(v)(1)(A); 42 C.F.R. § 413.1 et seq. Beginning on July 1, 1998, Congress established a prospective payment system under which facilities are reimbursed through prospe......
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Abington Crest Nursing and Rehab. v. Leavitt, Civil No. 06-1932 (RJL).
...or service to which no fee schedule applies, by using the existing payment methodology utilized under Part B for such item or service. 42 C.F.R. § 413.1(g)(2). Since the enactment of the BBA of 1997, the Secretary has continued to reimburse bad debts arising under the Part A prospective pay......
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