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Medicare Program; Provider Reimbursement Determinations and Appeals
Federal Register · Proposed Rule · Jun 25, 2004
Bowen, 485 U.S. 399 (1988). … [FR Doc. 04-13246 Filed 6-24-04; 8:45 am] BILLING CODE 4120-01-P
69 FR 35716Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Current Good Manufacturing Practice, Hazard Analysis, and Risk-Based Preventive Controls for Human Food
Federal Register · Rule · Sep 17, 2015
See also Response 24 regarding comments on “one general physical location.” … (See Response 22, Response 23, Response 24, and Response 25.)
80 FR 55908Health and Human Services DepartmentFood and Drug Administration
Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2018; Amendments to Special Enrollment Periods and the Consumer Operated and Oriented Plan Program
Federal Register · Rule · Dec 22, 2016
We estimate that approximately 399 issuers have total premiums of $15 million or less, and that approximately one-third of these issuers would be subject to an initial validation audit each year. … As such, we estimate these enrollees with HCCs will have on average, 24 pharmacy claims each.
81 FR 94058Health and Human Services Department
Current Good Tissue Practice for Manufacturers of Human Cellular and Tissue-Based Products; Inspection and Enforcement
Federal Register · Proposed Rule · Jan 8, 2001
) $698/ $2,004 (5%) (d) Packaging—Validation $1,296 (95%) $1,296 (95%) $544 (95%) $544 (100%) $544 (100%) (f) Return to inventory—Procedures - - $299/ $471 (23%) $0/$399 … The estimated patient cost per cycle ranges from $8,000 to $10,000 (Refs. 24 to 26).
66 FR 1508Health and Human Services DepartmentFood and Drug Administration
Medicare Program; Prospective Payment System for Long-Term Care Hospitals RY 2007: Proposed Annual Payment Rate Updates, Policy Changes, and Clarification
Federal Register · Proposed Rule · Jan 27, 2006
For FY 2006 based on the FY 2004 MedPAR data, we identified 171 LTC-DRGs that contained between 1 and 24 cases. … 396 7 RED BLOOD CELL DISORDERS AGE 0-17 0.5837 21.3 397 COAGULATION DISORDERS 0.8675 22.9 398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC 0.8240 23.7 399
71 FR 4648Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule, Clinical Laboratory Fee Schedule & Other Revisions to Part B for CY 2014
Federal Register · Proposed Rule · Jul 19, 2013
The results must be made public within 24 months of the end of data collection. … The results must be made public within 24 months of the end of data collection.
78 FR 43282Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program; Medicaid Promoting Interoperability Program; Quality Payment Program-Extreme and Uncontrollable Circumstance Policy for the 2019 MIPS Payment Year; Provisions From the Medicare Shared Savings Program-Accountable Care Organizations-Pathways to Success; and Expanding the Use of Telehealth Services for the Treatment of Opioid Use Disorder Under the Substance Use-Disorder Prevention That Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act
Federal Register · Rule · Nov 23, 2018
L. 115-271, October 24, 2018) (the SUPPORT Act) makes several revisions to section 1834(m) of the Act. … For instance, HCPCS code Q9967 (Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml) was reported in 12,268 claim lines, but 1,168,393 times (claims units) in the aggregate.
83 FR 59452Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Medicare Program; Prospective Payment System for Long-Term Care Hospitals RY 2007: Annual Payment Rate Updates, Policy Changes, and Clarification
Federal Register · Rule · May 12, 2006
For FY 2006, based on the FY 2004 MedPAR data, we identified 171 LTC-DRGs that contained between 1 and 24 cases. … For a covered LOS of 24 days, the 120 percent of the LTC-DRG per diem amount would be $33,083.97.
71 FR 27798Health and Human Services DepartmentCenters for Medicare & Medicaid Services
HHS Acquisition Regulation: Regulatory Review
Federal Register · Proposed Rule · Oct 3, 2024
(End of clause) 24. Add section 352.205-70 to read as follows: 352.205-70 Advertisements, Publicizing Awards, and Releases. … PARTS 371-399 [RESERVED] Subchapters J through L [Removed] 52. Remove reserved subchapters J through L. [FR Doc. 2024-17095 Filed 10-2-24; 8:45 am] BILLING CODE 4151-19-P
89 FR 80634Health and Human Services Department
Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2004 Rates
Federal Register · Rule · Aug 1, 2003
While this DRG includes craniotomy, it is assigned to MDC 24 (Multiple Significant Trauma). … For this final rule, using LTCH cases from the FY 2002 MedPAR file, we identified 173 LTC-DRGs that contained between 1 and 24 cases.
68 FR 45346Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, DME Face to Face Encounters, Elimination of the Requirement for Termination of Non-Random Prepayment Complex Medical Review and Other Revisions to Part B for CY 2013; Hospital Outpatient Prospective and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Electronic Reporting Pilot; Inpatient Rehabilitation Facilities Quality Reporting Program; Quality Improvement Organization Regulations; Proposed Rules
Federal Register · Proposed Rule · Jul 30, 2012
L. 112-399) to extend the 1.0 work floor for GPCIs throughout the remainder of CY 2012 (that is, for services furnished no later than December 31, 2012). … Our proposed list of Specified Covered Items is in Table 24 of this proposed rule.
77 FR 44722Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Medicare and Medicaid Programs and the Children's Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes
Federal Register · Rule · Aug 28, 2024
Care. 2018 Sep;24(9):399-404. PMID: 30222918; PMCID: PMC6426124. … E715-24.
89 FR 68986Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2004 Payment Rates
Federal Register · Proposed Rule · Aug 12, 2003
Table 24. … 93227 E ECG monitor/review, 24 hrs 93230 E ECG monitor/report, 24 hrs 93231 X Ecg monitor/record, 24 hrs 0097 1.0565 $57.36 $23.80 $11.47
68 FR 47966Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Medicare Program; Proposed Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2006 Payment Rates; Correction
Federal Register · Proposed Rule · Aug 26, 2005
93227 B ECG monitor/review, 24 hrs 93230 B ECG monitor/report, 24 hrs 93231 X Ecg monitor/record, 24 hrs 0097 1.0223 $60.67 $23.79 $12.13 … 93232 X ECG monitor/report, 24 hrs 0097 1.0223 $60.67 $23.79 $12.13 93233 B ECG monitor/review, 24 hrs 93235 B ECG monitor/report, 24 hrs
70 FR 50680Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Medicare Program; Prospective Payment System for Long-Term Care Hospitals RY 2008: Proposed Annual Payment Rate Updates, and Policy Changes; and Proposed Hospital Direct and Indirect Graduate Medical Education Policy Changes
Federal Register · Proposed Rule · Feb 1, 2007
For FY 2007 based on the FY 2005 MedPAR data, we identified 180 LTC-DRGs that contained between 1 and 24 cases. … DISORDERS AGE 0-17 0.4175 17.0 14.2 4.5 397 COAGULATION DISORDERS 0.8276 20.4 17.0 8.2 398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC 0.6278 20.8 17.3 8.8 399
72 FR 4776Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2003 Payment Rates; and Changes to Payment Suspension for Unfiled Cost Reports
Federal Register · Proposed Rule · Aug 9, 2002
E ECG monitor/review, 24 hrs 93230 E ECG monitor/report, 24 hrs 93231 X Ecg monitor/record, 24 hrs 0100 1.34 $69.69 $38.33 $13.94 93232 X ECG … monitor/report, 24 hrs 0100 1.34 $69.69 $38.33 $13.94 93233 E ECG monitor/review, 24 hrs 93235 E ECG monitor/report, 24 hrs 93236 X ECG monitor
67 FR 52092Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Medicare Program; Proposed Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2006 Payment Rates
Federal Register · Proposed Rule · Jul 25, 2005
hrs X 93226 ECG monitor/report, 24 hrs X 93231 Ecg monitor/record, 24 hrs X 93232 ECG monitor/report, 24 hrs X 93236 ECG monitor/report, 24 hrs X 93270 … Table 24 contains the drug handling categories, C-codes, and APCs we are proposing for CY 2006. Table 24.
70 FR 42674Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Short Inpatient Hospital Stays; Transition for Certain Medicare-Dependent, Small Rural Hospitals Under the Hospital Inpatient Prospective Payment System
Federal Register · Proposed Rule · Jul 8, 2015
Administration, Processing and Storage for Blood and Blood Components; General Classification 392 Administration, Processing and Storage for Blood and Blood Components; Processing and Storage 399 … Studies have shown that readmissions can be prevented by providing detailed, personalized information about patients at the time they are transferred to home or any other site. 24 24 Jack
80 FR 39200Health and Human Services DepartmentCenters for Medicare & Medicaid Services
Requirements Related to the Mental Health Parity and Addiction Equity Act
Federal Register · Rule · Sep 23, 2024
the study, in September 2015, the last month of data considered, MHPAEA was associated with an average insurer cost increase of $16.17 for each member receiving treatment for mental health per month. 399 … 399 This is calculated by applying the coefficient estimates found in Table 2 of the study that denote the average monthly insurer spending per service user.
89 FR 77586Treasury DepartmentInternal Revenue Service
Medicare Program; Prospective Payment System for Long-Term Care Hospitals: Annual Payment Rate Updates, Policy Changes, and Clarification
Federal Register · Rule · May 6, 2005
For FY 2005 based on the FY 2003 MedPAR data, we identified 172 LTC-DRGs that contained between 1 and 24 cases. … Bed Size LTCHs were grouped into six categories based on bed size—0-24 beds, 25-49 beds, 50-74 beds, 75-124 beds, 125-199 beds, and 200+ beds.
70 FR 24168Health and Human Services DepartmentCenters for Medicare & Medicaid Services

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