§ 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

Terms Used In CFR > Title 42 > Chapter IV > Subchapter B > Part 417 > Subpart O - Medicare Payment: Cost Basis

  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • 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
  • Charity: An agency, institution, or organization in existence and operating for the benefit of an indefinite number of persons and conducted for educational, religious, scientific, medical, or other beneficent purposes.
  • Contract: A legal written agreement that becomes binding when signed.
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • 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.
  • 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.