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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 417—HEALTH MAINTENANCE ORGANIZATIONS, COMPETITIVE MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS
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Subpart O—Medicare Payment: Cost Basis

  • §417.530 Basis and scope.
  • §417.531 Hospice care services.
  • §417.532 General considerations.
  • §417.533 Part B carrier responsibilities.
  • §417.534 Allowable costs.
  • §417.536 Cost payment principles.
  • §417.538 Enrollment and marketing costs.
  • §417.540 Enrollment costs.
  • §417.542 Reinsurance costs.
  • §417.544 Physicians' services furnished directly by the HMO or CMP.
  • §417.546 Physicians' services and other Part B supplier services furnished under arrangements.
  • §417.548 Provider services through arrangements.
  • §417.550 Special Medicare program requirements.
  • §417.552 Cost apportionment: General provisions.
  • §417.554 Apportionment: Provider services furnished directly by the HMO or CMP.
  • §417.556 Apportionment: Provider services furnished by the HMO or CMP through arrangements with others.
  • §417.558 Emergency, urgently needed, and out-of-area services for which the HMO or CMP accepts responsibility.
  • §417.560 Apportionment: Part B physician and supplier services.
  • §417.564 Apportionment and allocation of administrative and general costs.
  • §417.566 Other methods of allocation and apportionment.
  • §417.568 Adequate financial records, statistical data, and cost finding.
  • §417.570 Interim per capita payments.
  • §417.572 Budget and enrollment forecast and interim reports.
  • §417.574 Interim settlement.
  • §417.576 Final settlement.

About SCCE

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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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About HCCA

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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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