§ 417.800 Payment to HCPPs: Definitions and basic rules
§ 417.801 Agreements between CMS and health care prepayment plans
§ 417.802 Allowable costs
§ 417.804 Cost apportionment
§ 417.806 Financial records, statistical data, and cost finding
§ 417.808 Interim per capita payments
§ 417.810 Final settlement
§ 417.830 Scope of regulations on beneficiary appeals
§ 417.832 Applicability of requirements and procedures
§ 417.834 Responsibility for establishing administrative review procedures
§ 417.836 Written description of administrative review procedures
§ 417.838 Organization determinations
§ 417.840 Administrative review procedures

Terms Used In CFR > Title 42 > Chapter IV > Subchapter B > Part 417 > Subpart U - Health Care Prepayment Plans

  • 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
  • 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.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • 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.