§ 423.150 Scope
§ 423.153 Drug utilization management, quality assurance, medication therapy management programs (MTMPs), drug management programs, and access to Medicare Parts A and B claims data extracts
§ 423.154 Appropriate dispensing of prescription drugs in long-term care facilities under PDPs and MA-PD plans
§ 423.156 Consumer satisfaction surveys
§ 423.159 Electronic prescription drug program
§ 423.160 Standards for electronic prescribing
§ 423.162 Quality improvement organization activities
§ 423.165 Compliance deemed on the basis of accreditation
§ 423.168 Accreditation organizations
§ 423.171 Procedures for approval of accreditation as a basis for deeming compliance
§ 423.180 Basis and scope of the Part D Prescription Drug Plan Quality Rating System
§ 423.182 Part D Prescription Drug Plan Quality Rating System
§ 423.184 Adding, updating, and removing measures
§ 423.186 Calculation of Star Ratings

Terms Used In CFR > Title 42 > Chapter IV > Subchapter B > Part 423 > Subpart D - Cost Control and Quality Improvement Requirements

  • 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.
  • 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
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Entitlement: A Federal program or provision of law that requires payments to any person or unit of government that meets the eligibility criteria established by law. Entitlements constitute a binding obligation on the part of the Federal Government, and eligible recipients have legal recourse if the obligation is not fulfilled. Social Security and veterans' compensation and pensions are examples of entitlement programs.
  • 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.
  • Fraud: Intentional deception resulting in injury to another.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Legacy: A gift of property made by will.
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Statute: A law passed by a legislature.