Source: https://www.law.cornell.edu/cfr/text/42/417.552
Timestamp: 2018-06-23 23:56:25
Document Index: 341169323

Matched Legal Cases: ['art 417', '§ 417', '§ 300', '§ 300', '§ 300', 'art 417', 'arts 413']

42 CFR 417.552 - Cost apportionment: General provisions. | US Law | LII / Legal Information Institute
CFR › Title 42 › Chapter IV › Subchapter B › Part 417 › Subpart O › Section 417.552
§ 417.552 Cost apportionment: General provisions.
(a)Basic rule. The HMO or CMP must apportion its total allowable direct and indirect costs among its Medicare enrollees, its other enrollees, and its nonenrolled patients -
(1) In accordance with this subpart; and
(2) Using methods approved by CMS.
(b)Purpose of apportionment. The purpose of apportionment is to ensure that -
(1) The cost of services furnished to Medicare enrollees is not borne by other enrollees and nonenrolled patients; and
(2) The cost of the services furnished to other enrollees and nonenrolled patients is not borne by Medicare.
[ 50 FR 1346, Jan. 10, 1985, as amended at 58 FR 38082, July 15, 1993; 60 FR 46230, Sept. 6, 1995]
§ 300e - Requirements of health maintenance organizations
§ 300e-5
§ 300e-9
The following are ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 42 CFR Part 417 after this date.
2012-11-09; vol. 77 # 218 - Friday, November 9, 2012
FR Doc. 2012-26903
RIN 0938-AR13
CMS-1352-F
Effective Date: These regulations are effective on January 1, 2013. Applicability Date: The regulations setting forth the reductions in Medicare bad debt pursuant to section 3201 of the Middle Class Tax Extension and Job Creation Act of 2012 (Pub. L. 112-96) are applicable for cost reporting periods beginning October 1, 2012.
42 CFR Parts 413 and 417
This final rule updates and makes revisions to the end-stage renal disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2013. This rule also sets forth requirements for the ESRD quality incentive program (QIP), including for payment year (PY) 2015 and beyond. In addition, this rule implements changes to bad debt reimbursement for all Medicare providers, suppliers, and other entities eligible to receive Medicare payment for bad debt and removes the cap on bad debt reimbursement to ESRD facilities. (See the Table of Contents for a listing of the specific issues addressed in this final rule.)
77 FR 40952 - Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Bad Debt Reductions for All Medicare Providers
FR Doc. 2012-16566
To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. E.S.T. on August 31, 2012.
This rule proposes to update and make revisions to the End-Stage Renal Disease (ESRD) prospective payment system (PPS) for calendar year (CY) 2013. This rule also proposes to set forth requirements for the ESRD quality incentive program (QIP), including for payment year (PY) 2015 and beyond. This proposed rule will implement changes to bad debt reimbursement for all Medicare providers, suppliers, and other entities eligible to receive bad debt. (See the Table of Contents for a listing of the specific issues addressed in this proposed rule.)
42 CFR 417.804 — Cost Apportionment.
42 CFR 417.564 — Apportionment and Allocation of Administrative and General Costs.