Source: https://www.law.cornell.edu/cfr/text/42/part-405/subpart-C
Timestamp: 2017-06-28 22:50:53
Document Index: 600866174

Matched Legal Cases: ['art 405', 'art 405', 'art 405', '§ 405', '§ 405', '§ 405', '§ 405', '§ 405', '§ 405', '§ 405', '§ 405', '§ 405', '§ 405', '§ 405', '§ 405', '§ 405', '§ 405', '§ 405', '§ 405', '§ 405', '§ 405', '§ 405', '§ 405', '§ 405', '§ 405', '§ 405', 'art 405', 'art 405', 'art 405', 'arts 405']

42 CFR Part 405, Subpart C - Suspension of Payment, Recovery of Overpayments, and Repayment of Scholarships and Loans | US Law | LII / Legal Information Institute
CFR › Title 42 › Chapter IV › Subchapter B › Part 405 › Subpart C 42 CFR Part 405, Subpart C - Suspension of Payment, Recovery of Overpayments, and Repayment of Scholarships and Loans
General Provisions (§ 405.301)
§ 405.301 Scope of subpart.
Liability for Payments To Providers or Suppliers and Handling of Incorrect Payments (§§ 405.350 - 405.359)
§ 405.350 Individual's liability for payments made to providers and other persons for items and services furnished the individual.
§ 405.351 Incorrect payments for which the individual is not liable.
§ 405.353 Certification of amount that will be adjusted against individual title II or railroad retirement benefits.
§ 405.354 Procedures for adjustment or recovery - title II beneficiary.
§ 405.355 Waiver of adjustment or recovery.
§ 405.356 Principles applied in waiver of adjustment or recovery.
§ 405.357 Notice of right to waiver consideration.
§ 405.359 Liability of certifying or disbursing officer.
Suspension and Recoupment of Payment to Providers and Suppliers and Collection and Compromise of Overpayments (§§ 405.370 - 405.379)
§ 405.370 Definitions.
§ 405.371 Suspension, offset, and recoupment of Medicare payments to providers and suppliers of services.
§ 405.373 Proceeding for offset or recoupment.
§ 405.374 Opportunity for rebuttal.
§ 405.375 Time limits for, and notification of, administrative determination after receipt of rebuttal statement.
§ 405.376 Suspension and termination of collection action and compromise of claims for overpayment.
§ 405.377 Withholding Medicare payments to recover Medicaid overpayments.
§ 405.378 Interest charges on overpayment and underpayments to providers, suppliers, and other entities.
§ 405.379 Limitation on recoupment of provider and supplier overpayments.
Repayment of Scholarships and Loans (§ 405.380)
§ 405.380 Collection of past-due amounts on scholarship and loan programs.
Secs. 1102, 1815, 1833, 1842, 1862, 1866, 1870, 1871, 1879 and 1892 of the Social Security Act (42 U.S.C. 1302, 1395g, 1395l, 1395u, 1395y, 1395cc, 1395gg, 1395hh, 1395pp and 1395ccc) and 31 U.S.C. 3711.
31 FR 13534, Oct. 20, 1966, unless otherwise noted. Redesignated at 42 FR 52826, Sept. 30, 1977. Editorial Note:
Nomenclature changes to subpart C of part 405 appear at 76 FR 5961, Feb. 2, 2011.
Title 42 published on 19-Apr-2017 03:51The following are ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 42 CFR Part 405 after this date.2017-04-28; vol. 82 # 81 - Friday, April 28, 201782 FR 19796 - Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2018 Rates; Quality Reporting Requirements for Specific Providers; Medicare and Medicaid Electronic Health Record (EHR) Incentive Program Requirements for Eligible Hospitals, Critical Access Hospitals, and Eligible Professionals; Provider-Based Status of Indian Health Service and Tribal Facilities and Organizations; Costs Reporting and Provider Requirements; Agreement Termination Notices
2015-02-27; vol. 80 # 39 - Friday, February 27, 201580 FR 10611 - Medicare Program; Right of Appeal for Medicare Secondary Payer Determinations Relating to Liability Insurance (Including Self-Insurance), No-Fault Insurance, and Workers&apos; Compensation Laws and Plans
typeregulations.gov FR Doc.2015-04143 RIN0938-AS03 CMS-6055-F DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services Final rule. Effective Date: These regulations are effective on April 28, 2015. Applicability Date: Applicable plans are parties to initial determinations issued on or after April 28, 2015 where CMS pursues recovery directly from an applicable plan. 42 CFR Part 405 SummaryThis final rule implements provisions of the Strengthening Medicare and Repaying Taxpayers Act of 2012 (SMART Act) which require us to provide a right of appeal and an appeal process for liability insurance (including self-insurance), no-fault insurance, and workers&apos; compensation laws or plans when Medicare pursues a Medicare Secondary Payer (MSP) recovery claim directly from the liability insurance (including self-insurance), no-fault insurance, or workers&apos; compensation law or plan.
2013-09-06; vol. 78 # 173 - Friday, September 6, 201378 FR 54842 - Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Hospital Value-Based Purchasing Program; Organ Procurement Organizations; Quality Improvement Organizations; Electronic Health Records (EHR) Incentive Program; Provider Reimbursement Determinations and Appeals; Correction and Limited Extension of Comment Period
typeregulations.gov FR Doc.2013-21849 RIN0938-AR54 CMS-1601-CN DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services Correction and limited extension of comment period for proposed rule. Comment Period: The comment period, for the technical corrections set forth in this correcting document, is extended to 5 p.m. E.S.T. on September 16, 2013. 42 CFR Parts 405, 410, 412, 416, 419, 475, 476, 486, and 495 SummaryThis document corrects technical errors that appeared in the proposed rule published in the Federal Register on July 19, 2013, entitled “Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Hospital Value-Based Purchasing Program; Organ Procurement Organizations; Quality Improvement Organizations; Electronic Health Records (EHR) Incentive Program; Provider Reimbursement Determinations and Appeals.” This document extends the comment period for 10 days for the technical corrections set forth in this correcting document.