§ 413.330 Basis and scope
§ 413.333 Definitions
§ 413.335 Basis of payment
§ 413.337 Methodology for calculating the prospective payment rates
§ 413.338 Skilled nursing facility value-based purchasing program
§ 413.340 Transition period
§ 413.343 Resident assessment data
§ 413.345 Publication of Federal prospective payment rates
§ 413.348 Limitation on review
§ 413.350 Periodic interim payments for skilled nursing facilities receiving payment under the skilled nursing facility prospective payment system for Part A services
§ 413.355 Additional payment: QIO reimbursement for cost of sending records electronically or by photocopy and mailing
§ 413.360 Requirements under the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP)

Terms Used In CFR > Title 42 > Chapter IV > Subchapter B > Part 413 > Subpart J - Prospective Payment for Skilled Nursing Facilities

  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Balanced budget: A budget in which receipts equal outlays.
  • Baseline: Projection of the receipts, outlays, and other budget amounts that would ensue in the future without any change in existing policy. Baseline projections are used to gauge the extent to which proposed legislation, if enacted into law, would alter current spending and revenue levels.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • provider: means a hospital, rural emergency hospital, skilled nursing facility, home health agency, hospice, organ procurement organization, histocompatibility laboratory, rural health clinic, federally qualified health center, community mental health center, or end-stage renal disease facility. See 42 CFR 413.24
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.