42 C.F.R. 409.43 - Plan of care requirements
| Cite as | 42 C.F.R. 409.43 |
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15 cases
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Healey v. Thompson, 3:98CV418(DJS).
...beyond the greater of sixty days from the end of the episode or sixty days from the issuance of the request for anticipated payment. 42 C.F.R. § 409.43(c)(2). In addition to the change in the payment system, the Secretary has also required that HHAs provide a mandatory notice Page 111 benef......
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United States ex rel. Prather v. Brookdale Senior Living Cmtys., Inc., 15–6377
...that anticipated payments for the same episodes of care would be recouped by Medicare if the final request was not submitted, see 42 C.F.R. § 409.43(c)(2).In view of this crisis, the defendants revamped the way in which they review and submit Medicare claims. They had previously delegated t......
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In re Gentiva Sec. Litig., 10–cv–5064 (ADS)(WDW).
...the professional who will provide the services; the nature of the individual services; and the frequency of the services. See42 C.F.R. § 409.43(b) ( “The physician's orders for services in the plan of care must specify the medical treatments to be furnished as well as the type of home healt......
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In re Gentiva Sec. Litig., 10–cv–5064 (ADS)(WDW).
...the professional who will provide the services; the nature of the individual services; and the frequency of the services. See42 C.F.R. § 409.43(b) ( “The [932 F.Supp.2d 359]physician's orders for services in the plan of care must specify the medical treatments to be furnished as well as the......
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