§ 425.300 Compliance plan
§ 425.302 Program requirements for data submission and certifications
§ 425.304 Beneficiary incentives
§ 425.305 Other program safeguards
§ 425.306 Participant agreement and exclusivity of ACO participants
§ 425.308 Public reporting and transparency
§ 425.310 Marketing requirements
§ 425.312 Beneficiary notifications
§ 425.314 Audits and record retention
§ 425.315 Reopening determinations of ACO shared savings or shared losses to correct financial reconciliation calculations
§ 425.316 Monitoring of ACOs

Terms Used In CFR > Title 42 > Chapter IV > Subchapter B > Part 425 > Subpart D - Program Requirements and Beneficiary Protections

  • Allegation: something that someone says happened.
  • 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.
  • Fraud: Intentional deception resulting in injury to another.
  • 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.
  • Precedent: A court decision in an earlier case with facts and law similar to a dispute currently before a court. Precedent will ordinarily govern the decision of a later similar case, unless a party can show that it was wrongly decided or that it differed in some significant way.