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  • Code of Federal Regulations
  • C.F.R. Title 42—Public Health
  • CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  • SUBCHAPTER B—MEDICARE PROGRAM
  • PART 422—MEDICARE ADVANTAGE PROGRAM
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Subpart G—Payments to Medicare Advantage Organizations

  • §422.300 Basis and scope.
  • §422.304 Monthly payments.
  • §422.306 Annual MA capitation rates.
  • §422.308 Adjustments to capitation rates, benchmarks, bids, and payments.
  • §422.310 Risk adjustment data.
  • §422.311 RADV audit dispute and appeal processes.
  • §422.312 Announcement of annual capitation rate, benchmarks, and methodology changes.
  • §422.314 Special rules for beneficiaries enrolled in MA MSA plans.
  • §422.316 Special rules for payments to Federally qualified health centers.
  • §422.318 Special rules for coverage that begins or ends during an inpatient hospital stay.
  • §422.320 Special rules for hospice care.
  • §422.322 Source of payment and effect of MA plan election on payment.
  • §422.324 Payments to MA organizations for graduate medical education costs.
  • §422.326 Reporting and returning of overpayments.
  • §422.330 CMS-identified overpayments associated with payment data submitted by MA organizations.

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The Society of Corporate Compliance and Ethics (SCCE) is a non-profit, member-based professional association. SCCE supports our members' work with education, news, and discussion forums. We are a community of leaders, defining and shaping the corporate compliance environment across a wide range of industries and geographic regions. In developing and maintaining effective ethics and compliance programs, our members strengthen and protect their companies.

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The Health Care Compliance Association (HCCA), is a 501(c)6 non-profit, member-based professional association. HCCA was established in 1996 and is headquartered in Minneapolis, MN. We provide training, certification, and other resources to over 10,000 members. Our members include compliance officers and staff from a wide range of organizations, including hospitals, research facilities, clinics and technology service providers.

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