CMS Rulings Issued Prior to 1995 https://www.cms.gov/rss/32181 Tue, 25 Feb 2025 21:58:45 -0500 Centers for Medicare and Medicaid ServicesHCFA Ruling 84-1 Mon, 04 Nov 2019 02:41:30 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar841v508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar841v508pdfsubject: Provider Reimbursement Review Board Jurisdiction Over Appeals From Estimations of and Modifications to Base Year Costs Under the Prospective Payment System

title: HCFA Ruling 84-1

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HCFA Ruling 90-1 Mon, 04 Nov 2019 02:41:30 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar901v508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar901v508pdfsubject: Criteria for Medicare Coverage of Seat Lifts

title: HCFA Ruling 90-1

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HCFA Ruling 92-1 Mon, 04 Nov 2019 02:41:30 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar921v508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar921v508pdfsubject: Skilled Nursing Facility and Nursing Facility Provider Agreements

title: HCFA Ruling 92-1

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HCFA Ruling 86-2 Mon, 04 Nov 2019 02:41:27 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar862v508pfdhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar862v508pfdsubject: Provider Reimbursement Review Board Jurisdiction Over Challenges to the Application or the Validity of the Medicare Regulation Governing Apportionment of Malpractice Insurance Costs

title: HCFA Ruling 86-2

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HCFA Ruling 89-1 Mon, 04 Nov 2019 02:41:27 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar891v508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar891v508pdfsubject: Notice of Controlling Adverse Decisions by the Supreme Court and the DC Circuit Court of Appeals

title: HCFA Ruling 89-1

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HCFA Ruling 87-2 Mon, 04 Nov 2019 02:41:26 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar872v508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar872v508pdfsubject: Provider Reimbursement Review Board Jurisdiction Over Challenges to the Application or the Validity of the Medicare Regulation Governing Apportionment of Malpractice Insurance Costs

title: HCFA Ruling 87-2

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HCFA Ruling 93-1 Mon, 04 Nov 2019 02:41:26 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar931v508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar931v508pdfsubject: Weight to be Given to a Treating Physician's Opinion in Determining Medicare Coverage of Inpatient Care in a Hospital or Skilled Nursing Facility

title: HCFA Ruling 93-1

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HCFA Ruling 85-1 Mon, 04 Nov 2019 02:41:26 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar851v508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar851v508pdfsubject: Exclusion of Cytotoxic Leukocyte Testing from Medicare Coverage

title: HCFA Ruling 85-1

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HCFA Ruling 87-3 Mon, 04 Nov 2019 02:41:26 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar873v508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar873v508pdfsubject: Validity of Provider Reimbursement Manual Section 2345 Relating to the Inclusion of Labor-Delivery Room Days in the Calculation of Inpatient Days

title: HCFA Ruling 87-3

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HCFA Ruling 86-1 Mon, 04 Nov 2019 02:41:24 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar861v508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar861v508pdfsubject: Use of Statistical Sampling to Project Overpayments to Providers and Suppliers

title: HCFA Ruling 86-1

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HCFA Ruling 87-1 Mon, 04 Nov 2019 02:41:24 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar871v508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar871v508pdfsubject: Criteria for Medicare Coverage of Heart Transplants

title: HCFA Ruling 87-1

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HCFA Ruling 87-4 Mon, 04 Nov 2019 02:41:24 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar874v508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar874v508pdfsubject: Payments Under Medicare and Awards Under the Federal Tort Claims Act

title: HCFA Ruling 87-4

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HCFA Ruling 94-1 Mon, 04 Nov 2019 02:41:24 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar941v508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar941v508pdfsubject: Policy Regarding Medicare Payments in the Event a Primary Payer is Bankrupt or Insolvent

title: HCFA Ruling 94-1

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HCFA Ruling 89-2 Mon, 04 Nov 2019 02:41:24 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar892v508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar892v508pdfsubject: Notice of Intent to Settle HMO and CMP Cost Reports for Periods Beginning on or After January 1 1986 Without Application of Absolute Cost Limits

title: HCFA Ruling 89-2

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HCFA Ruling 91-1 Mon, 04 Nov 2019 02:41:24 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar911v508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar911v508pdfsubject: Notice of Decision to Follow a Consent Order Providing for the Discounted Application of the 1986 Medicare Malpractice Rule and a Reversion to the Pre-1979

title: HCFA Ruling 91-1

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HCFA Ruling 85-2 Mon, 04 Nov 2019 02:41:23 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar852v508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar852v508pdfsubject: Criteria for Medicare Coverage of Inpatient Hospital Rehabilitation Services

title: HCFA Ruling 85-2

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HCFA Ruling 83-1 Mon, 04 Nov 2019 02:41:22 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar831v508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar831v508pdfsubject: Provider Reimbursement Review Board Decision on the Lack of Jurisdiction

title: HCFA Ruling 83-1

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HCFA Ruling 83-2 Mon, 04 Nov 2019 02:41:22 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar832v508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar832v508pdfsubject: Criteria for Defining Skilled Nursing Facility Under Section 1861(j)(1) of the Social Security Act

title: HCFA Ruling 83-2

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HCFA Ruling 82-1 Mon, 04 Nov 2019 02:41:22 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar821v508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar821v508pdfsubject: Exclusion from Medicare Coverage of DMSO for Conditions Other Than Interstitial Cystitis

title: HCFA Ruling 82-1

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HCFA Ruling 83-3 Mon, 04 Nov 2019 02:41:22 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar833v508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar833v508pdfsubject: Revised Criteria for Defining Skilled Nursing Facility When Determinging a Beneficiary's Spell of Illness Status

title: HCFA Ruling 83-3

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HCFA Ruling 82-3 Mon, 04 Nov 2019 02:41:20 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar823v508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar823v508pdfsubject: Conditions for Medicare Coverage of Surgery to Relieve Obstructions to Vertebral Artery Blood Flow (Vertebral Artery Surgery)

title: HCFA Ruling 82-3

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HCFA Ruling 82-2c Mon, 04 Nov 2019 02:41:20 -0500https://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar822cv508pdfhttps://www.cms.gov//medicare/appeals-and-grievances/orgmedffsappeals/rulings-issued-prior-to-1995-items/hcfar822cv508pdfsubject: Constitutionality of Part B Fair Hearing Procedures

title: HCFA Ruling 82-2c

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