Subchapter G - REIMBURSEMENT PLANS

  1. § 22G .0101 - REIMBURSEMENT PRINCIPLES
  2. § 22G .0102 - RATE SETTING METHODS
  3. § 22G .0103 - REASONABLE AND NON-ALLOWABLE COSTS
  4. § 22G .0104 - COST REPORTING: AUDITING
  5. § 22G .0105 - CASE-MIX INDEX CALCULATION
  6. § 22G .0106 - RECONSIDERATION REVIEWS
  7. § 22G .0107 - PAYMENT ASSURANCE
  8. § 22G .0108 - REIMBURSEMENT METHODS FOR STATE-OPERATED FACILITIES
  9. § 22G .0109 - NURSING HOME PROVIDER ASSESSMENT
  10. § 22G .0110 - DEFINITIONS
  11. § 22G .0201 - REIMBURSEMENT PRINCIPLES
  12. § 22G .0202 - DRG RATE SETTING METHODOLOGY
  13. § 22G .0203 - EXCEPTIONS TO DRG REIMBURSEMENT
  14. § 22G .0204 - DISPROPORTIONATE SHARE HOSPITALS (DSH)
  15. § 22G .0205 - OUT OF STATE HOSPITALS
  16. § 22G .0206 - SPECIAL SITUATION
  17. § 22G .0207 - COST REPORTING AND AUDITS
  18. § 22G .0208 - REPEALED - ADMINISTRATIVE RECONSIDERATION REVIEWS
  19. § 22G .0209 - BILLING STANDARDS
  20. § 22G .0210 - PAYMENT OF MEDICARE PART A DEDUCTIBLES
  21. § 22G .0211 - PAYMENT ASSURANCES
  22. § 22G .0212 - PROVIDER PARTICIPATION
  23. § 22G .0213 - PAYMENT IN FULL
  24. § 22G .0301 - PAYMENT FOR SERVS-PROSPECTIVE REIMBURSEMENT PLAN ICF-MR FACILITIES
  25. § 22G .0302 - REPORTING REQUIREMENTS
  26. § 22G .0303 - REQUIREMENTS FOR FINANCIAL RECORDS
  27. § 22G .0304 - RATE SETTING METHOD FOR NON-STATE FACILITIES
  28. § 22G .0305 - ALLOWABLE COSTS
  29. § 22G .0306 - PAYMENT ASSURANCE
  30. § 22G .0307 - REIMBURSEMENT METHODS FOR STATE-OPERATED FACILITIES
  31. § 22G .0308 - RATE APPEALS
  32. § 22G .0309 - AUDITS
  33. § 22G .0401 - PHYSICIAN'S FEE SCHEDULE
  34. § 22G .0402 - OTHER SERVICES PERFORMED BY PHYSICIANS AND OTHER PRACTITIONERS
  35. § 22G .0501 - CLINIC SERVICES
  36. § 22G .0502 - REPEALED - MENTAL HEALTH CLINIC SERVICES
  37. § 22G .0503 - INPATIENT HOSPITAL: INAPPROPRIATE LEVEL OF CARE
  38. § 22G .0504 - HEALTH MAINTENANCE ORGANIZATIONS AND PREPAID HEALTH PLANS
  39. § 22G .0505 - PERSONAL CARE SERVICES
  40. § 22G .0506 - INDEPENDENT LABORATORY SERVICES
  41. § 22G .0507 - DURABLE MEDICAL EQUIPMENT AND RELATED SUPPLIES
  42. § 22G .0508 - PRIVATE DUTY NURSING
  43. § 22G .0509 - REPEALED - REIMBURSEMENT PRINCIPLES, HEARING AIDS/ACCESSORIES/BATTERIES
  44. § 22G .0510 - CASE MANAGEMENT SERVICES
  45. § 22G .0601 - REIMBURSEMENT PRINCIPLES
  46. § 22G .0602 - REIMBURSEMENT METHODS
  47. § 22G .0603 - APPEALS
  48. § 22G .0604 - COST REPORTING AND AUDITING
  49. § 22G .0605 - PAYMENT ASSURANCES

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