42 C.F.R. §413.64 - Payments to providers: Specific rules

Cite as42 C.F.R. §413.64
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68 cases
  • U.S. v. Rogan, No. 02 C 3310.
    • United States
    • United States District Courts. 7th Circuit. United States District Court (Northern District of Illinois)
    • 29 Septiembre 2006
    ...through interim payments or whether the provider was overpaid and was required to reimburse Medicare. 42 C.F.R. §§ 405.1803, 413.60 and 413.64(2)(1). When a hospital sought reimbursement for care provided to Medicaid patients, it was required to submit "Hospital Statements of Cost" to the I......
  • U.S. v. Bourseau, 06-56741.
    • United States
    • United States Courts of Appeals. United States Court of Appeals (9th Circuit)
    • 14 Julio 2008
    ...contracts with private insurance companies, known as fiscal intermediaries, to facilitate the reimbursement process. 42 U.S.C. § 1395h; 42 C.F.R. § 413.64. Intermediaries pay providers an interim amount periodically throughout the year that is based on estimated treatment costs for Medicare......
  • Visiting Nurse Ass'n of Brooklyn v. Thompson, 99CV7564 NGG/CLP.
    • United States
    • United States District Courts. 2nd Circuit. United States District Court (Eastern District of New York)
    • 7 Diciembre 2004
    ...on an interim basis throughout the year as the services are provided, based on reimbursement rates established for the previous year. 42 C.F.R. § 413.64(e). In the alternative, the fiscal intermediary may make biweekly periodic interim payments ("PIPs"), computed based on the approximate co......
  • In re Healthback, LLC, Bankruptcy No. 97-22616-BH.
    • United States
    • United States Bankruptcy Courts. Tenth Circuit. U.S. Bankruptcy Court — Western District of Oklahoma
    • 31 Julio 1998
    ...during the 12 month year, based on the provider's projections for the entire year which may then be adjusted depending on the audits. 42 C.F.R. § 413.64(b),(e). Medicare requires the Secretary to recompute the interim payment rate no less than four times a year and she may make adjustments ......
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