Medicare Payment: Cost Basis

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medicare Program
  6. Health Maintenance Organizations, Competitive Medical Plans, and Health Care Prepayment Plans
  7. Medicare Payment: Cost Basis

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Section
417.530

Basis and scope.

Section
417.531

Hospice care services.

Section
417.532

General considerations.

Section
417.533

Part B carrier responsibilities.

Section
417.534

Allowable costs.

Section
417.536

Cost payment principles.

Section
417.538

Enrollment and marketing costs.

Section
417.540

Enrollment costs.

Section
417.542

Reinsurance costs.

Section
417.544

Physicians' services furnished directly by the HMO or CMP.

Section
417.546

Physicians' services and other Part B supplier services furnished under arrangements.

Section
417.548

Provider services through arrangements.

Section
417.550

Special Medicare program requirements.

Section
417.552

Cost apportionment: General provisions.

Section
417.554

Apportionment: Provider services furnished directly by the HMO or CMP.

Section
417.556

Apportionment: Provider services furnished by the HMO or CMP through arrangements with others.

Section
417.558

Emergency, urgently needed, and out-of-area services for which the HMO or CMP accepts responsibility.

Section
417.560

Apportionment: Part B physician and supplier services.

Section
417.564

Apportionment and allocation of administrative and general costs.

Section
417.566

Other methods of allocation and apportionment.

Section
417.568

Adequate financial records, statistical data, and cost finding.

Section
417.570

Interim per capita payments.

Section
417.572

Budget and enrollment forecast and interim reports.

Section
417.574

Interim settlement.

Section
417.576

Final settlement.