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<generator>Centers for Medicare and Medicaid Services</generator><item><title>HCFA Ruling 79-60c</title><pubDate>Tue, 09 Apr 2024 11:12:00 -0400</pubDate><link>https://www.cms.gov//medicare/regulations-guidance/cms-rulemaking/rulings/cms/hcfa-ruling-79-60c</link><guid>https://www.cms.gov//medicare/regulations-guidance/cms-rulemaking/rulings/cms/hcfa-ruling-79-60c</guid><description><![CDATA[<p>subject: Reasonable Costs-Related Part Supplier -Burden of Proof</p><p>title: HCFA Ruling 79-60c</p>]]></description></item><item><title>CMS-1498-R3</title><pubDate>Tue, 05 Mar 2024 11:51:54 -0500</pubDate><link>https://www.cms.gov//medicare/regulations-guidance/cms-rulemaking/rulings/cms/cms-1498-r3</link><guid>https://www.cms.gov//medicare/regulations-guidance/cms-rulemaking/rulings/cms/cms-1498-r3</guid><description><![CDATA[<p>subject: Hospital Insurance (Part A); Disproportionate Share Hospital Payments: Inclusion of Total Days in the Medicare Fraction</p><p>title: CMS-1498-R3</p>]]></description></item><item><title>CMS-1738-R</title><pubDate>Fri, 13 May 2022 13:50:54 -0400</pubDate><link>https://www.cms.gov//regulations-and-guidanceguidancerulingscms-rulings/cms-1738-r</link><guid>https://www.cms.gov//regulations-and-guidanceguidancerulingscms-rulings/cms-1738-r</guid><description><![CDATA[<p>subject: Medicare Part B and Part C Reimbursement Claims for Continuous Glucose Monitors (CGMs)</p><p>title: CMS-1738-R</p>]]></description></item><item><title>HCFA Ruling 93-1</title><pubDate>Thu, 05 Nov 2020 15:02:01 -0500</pubDate><link>https://www.cms.gov//httpseditcmsgovregulations-and-guidanceguidancerulingscms-rulings/hcfa-ruling-93-1</link><guid>https://www.cms.gov//httpseditcmsgovregulations-and-guidanceguidancerulingscms-rulings/hcfa-ruling-93-1</guid><description><![CDATA[<p>subject: WEIGHT TO BE GIVEN TO A TREATING PHYSICIAN'S OPINION IN DETERMINING MEDICARE COVERAGE OF INPATIENT CARE IN A HOSPITAL OR SKILLED NURSING FACILITY</p><p>title: HCFA Ruling 93-1</p>]]></description></item><item><title>HCFA Ruling 86-1</title><pubDate>Thu, 05 Nov 2020 15:00:29 -0500</pubDate><link>https://www.cms.gov//httpseditcmsgovregulations-and-guidanceguidancerulingscms-rulings/hcfa-ruling-86-1</link><guid>https://www.cms.gov//httpseditcmsgovregulations-and-guidanceguidancerulingscms-rulings/hcfa-ruling-86-1</guid><description><![CDATA[<p>subject: USE OF STATISTICAL SAMPLING TO PROJECT OVERPAYMENTS TO MEDICARE PROVIDERS AND SUPPLIERS</p><p>title: HCFA Ruling 86-1</p>]]></description></item><item><title>HCFA Ruling 83-1</title><pubDate>Thu, 05 Nov 2020 14:58:31 -0500</pubDate><link>https://www.cms.gov//httpseditcmsgovregulations-and-guidanceguidancerulingscms-rulings/hcfa-ruling-83-1</link><guid>https://www.cms.gov//httpseditcmsgovregulations-and-guidanceguidancerulingscms-rulings/hcfa-ruling-83-1</guid><description><![CDATA[<p>subject: Provider Reimbursement Review Board Decision on the Lack of Jurisdiction</p><p>title: HCFA Ruling 83-1</p>]]></description></item><item><title>HCFA Ruling 80-4</title><pubDate>Thu, 05 Nov 2020 14:55:22 -0500</pubDate><link>https://www.cms.gov//httpseditcmsgovregulations-and-guidanceguidancerulingscms-rulings/hcfa-ruling-80-4</link><guid>https://www.cms.gov//httpseditcmsgovregulations-and-guidanceguidancerulingscms-rulings/hcfa-ruling-80-4</guid><description><![CDATA[<p>subject: Provider Reimbursement—Related Organizations—Inclusion in Allowable Costs of Payments Made Pursuant to Lease and Management Agreements</p><p>title: HCFA Ruling 80-4</p>]]></description></item><item><title>HCFA Ruling 79-60c </title><pubDate>Thu, 05 Nov 2020 14:38:46 -0500</pubDate><link>https://www.cms.gov//httpseditcmsgovregulations-and-guidanceguidancerulingscms-rulings/hcfa-ruling-78-60c</link><guid>https://www.cms.gov//httpseditcmsgovregulations-and-guidanceguidancerulingscms-rulings/hcfa-ruling-78-60c</guid><description><![CDATA[<p>subject: Reasonable Costs-Related Part Supplier -Burden of Proof</p><p>title: HCFA Ruling 79-60c </p>]]></description></item><item><title>CMS Ruling 2020-1-R2</title><pubDate>Fri, 16 Oct 2020 16:44:08 -0400</pubDate><link>https://www.cms.gov//regulations-and-guidanceguidancerulingscms-rulings/cms-ruling-2020-1-r2</link><guid>https://www.cms.gov//regulations-and-guidanceguidancerulingscms-rulings/cms-ruling-2020-1-r2</guid><description><![CDATA[<p>subject: Lab Administrative Ruling</p><p>title: CMS Ruling 2020-1-R2</p>]]></description></item><item><title>CMS-1739-R</title><pubDate>Thu, 20 Aug 2020 10:17:31 -0400</pubDate><link>https://www.cms.gov//regulations-and-guidanceguidancerulingscms-rulings/cms-1739-r</link><guid>https://www.cms.gov//regulations-and-guidanceguidancerulingscms-rulings/cms-1739-r</guid><description><![CDATA[<p>subject: Hospital Insurance (Part A); Jurisdiction over Appeals of Disproportionate Share Hospital Payments Involving Challenges to the Treatment of Part C Days in the SSI and Medicaid Fractions for Cost Reports With Discharges before October 1, 2013.</p><p>title: CMS-1739-R</p>]]></description></item><item><title>CMS-2020-01-R</title><pubDate>Mon, 13 Apr 2020 23:04:30 -0400</pubDate><link>https://www.cms.gov//regulations-and-guidanceguidancerulingscms-rulings/cms-2020-01-r</link><guid>https://www.cms.gov//regulations-and-guidanceguidancerulingscms-rulings/cms-2020-01-r</guid><description><![CDATA[<p>subject: Payment for Laboratory Tests for the detection of SARS–CoV–2 or the diagnosis of the virus that causes COVID–19 making use of the technologies marketed as the Roche cobas ® analyzer or the Abbott RealTime System® as of April 13, 2020</p><p>title: CMS-2020-01-R</p>]]></description></item><item><title>CMS-1727-R</title><pubDate>Mon, 04 Nov 2019 02:45:17 -0500</pubDate><link>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms-1727-r</link><guid>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms-1727-r</guid><description><![CDATA[<p>subject: Hospital Insurance (Part A) Jurisdiction of the Provider Reimbursement Review Board and Other Administrative Appeals Tribunals Over Appeals of Specific Matters that are Subject to a Payment Regulation or Policy that Gives the Medicare Contractor No Authority or Discretion to Make Payment in the Manner the Provider Sought</p><p>title: CMS-1727-R</p>]]></description></item><item><title>CMS-1682-R</title><pubDate>Mon, 04 Nov 2019 02:42:30 -0500</pubDate><link>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms1682r</link><guid>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms1682r</guid><description><![CDATA[<p>subject: Classification of Therapeutic Continuous Glucose Monitors as ?Durable Medical Equipment? under Medicare Part B</p><p>title: CMS-1682-R</p>]]></description></item><item><title>CMS1498-R2</title><pubDate>Mon, 04 Nov 2019 02:39:17 -0500</pubDate><link>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms1498-r2</link><guid>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms1498-r2</guid><description><![CDATA[<p>subject: Hospital Insurance (Part A); Appeals of Disproportionate Share Hospital (DSH) Payments, Recalculations of DSH Payments Following Remands from Administrative Tribunals, and Amendment of CMS Ruling 1498-R</p><p>title: CMS1498-R2</p>]]></description></item><item><title>CMS-4176-R</title><pubDate>Mon, 04 Nov 2019 02:38:50 -0500</pubDate><link>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms4176-r</link><guid>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms4176-r</guid><description><![CDATA[<p>subject: Implementing United States v. Windsor for Purposes of Entitlement and Enrollment in Medicare Hospital Insurance and Supplementary Medical Insurance</p><p>title: CMS-4176-R</p>]]></description></item><item><title>CMS-1455-R</title><pubDate>Mon, 04 Nov 2019 02:33:13 -0500</pubDate><link>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms1455r</link><guid>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms1455r</guid><description><![CDATA[<p>subject: Medicare Hospital Insurance (Part A) and Medicare Supplementary Medical Insurance (Part B) CLARIFICATION OF BILLING UNDER MEDICARE PARTS A AND B</p><p>title: CMS-1455-R</p>]]></description></item><item><title>CMS-1355-R</title><pubDate>Mon, 04 Nov 2019 02:14:36 -0500</pubDate><link>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms1246856</link><guid>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms1246856</guid><description><![CDATA[<p>subject: Hospice Appeals for Review of an Overpayment Determination</p><p>title: CMS-1355-R</p>]]></description></item><item><title>CMS Ruling 05-01</title><pubDate>Mon, 04 Nov 2019 02:14:36 -0500</pubDate><link>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms026530</link><guid>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms026530</guid><description><![CDATA[<p>subject: Requirements for Determining Coverage of Presbyopia-Correcting Intraocular Lenses that Provide Two Distinct Services for the Patient: (1) Restoration of Distance Vision Following Cataract Surgery, and (2) Refractive Correction of Near and Intermediate Vision with Less Dependency on Eyeglasses or Contact Lenses</p><p>title: CMS Ruling 05-01</p>]]></description></item><item><title>HCFA Ruling 96-1</title><pubDate>Mon, 04 Nov 2019 02:14:36 -0500</pubDate><link>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms026537</link><guid>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms026537</guid><description><![CDATA[<p>subject: Medicare Supplementary Medical Insurance (Part B)
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CLARIFICATION OF THE TERMS "ORTHOTICS," "BRACES," AND "DURABLE MEDICAL EQUIPMENT" UNDER MEDICARE PART B</p><p>title: HCFA Ruling 96-1</p>]]></description></item><item><title>CMS-1543-R</title><pubDate>Mon, 04 Nov 2019 02:14:18 -0500</pubDate><link>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms1190761</link><guid>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms1190761</guid><description><![CDATA[<p>subject: Allocation of Donor Acquisition Costs Incurred by Organ Procurement Organizations (OPOs)</p><p>title: CMS-1543-R</p>]]></description></item><item><title>HCFA Ruling 97-2</title><pubDate>Mon, 04 Nov 2019 02:14:18 -0500</pubDate><link>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms026540</link><guid>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms026540</guid><description><![CDATA[<p>subject: Hospital Insurance (Part A). INTERPRETATION OF MEDICAID DAYS INCLUDED IN THE MEDICARE DISPROPORTIONATE SHARE ADJUSTMENT CALCULATION</p><p>title: HCFA Ruling 97-2</p>]]></description></item><item><title>CMS-1423-R</title><pubDate>Mon, 04 Nov 2019 02:14:18 -0500</pubDate><link>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms1219392</link><guid>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms1219392</guid><description><![CDATA[<p>subject: MEDICARE PROGRAM, Medicare Supplemental Medical Insurance (Part B), PHASE-IN OF CORRECTION TO PAYMENT LOCALITY ASSIGNMENT FOR AUSTIN COUNTY AND HOUSTON COUNTY TEXAS</p><p>title: CMS-1423-R</p>]]></description></item><item><title>CMS Ruling 02-01</title><pubDate>Mon, 04 Nov 2019 02:14:17 -0500</pubDate><link>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms026546</link><guid>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms026546</guid><description><![CDATA[<p>subject: Changes in Medicare appeals procedures under section 521 of BIPA.</p><p>title: CMS Ruling 02-01</p>]]></description></item><item><title>HCFA Ruling 97-1</title><pubDate>Mon, 04 Nov 2019 02:14:16 -0500</pubDate><link>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms058141</link><guid>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms058141</guid><description><![CDATA[<p>subject: Requirements for determining limitation on liability of a medicare beneficiary, provider, practitioner, or other supplier for partial hospitalization services for which Medicare payment is denied.</p><p>title: HCFA Ruling 97-1</p>]]></description></item><item><title>HCFA Ruling 96-3</title><pubDate>Mon, 04 Nov 2019 02:14:16 -0500</pubDate><link>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms026543</link><guid>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms026543</guid><description><![CDATA[<p>subject: Hospital Insurance (Part A) and Supplementary Medical Insurance (Part B) REQUIREMENTS FOR DETERMINING LIMITATION ON LIABILITY OF A MEDICARE BENEFICIARY, PROVIDER, PRACTITIONER, OR OTHER SUPPLIER FOR PARENTERAL AND ENTERAL NUTRITION THERAPY, INCLUDING INTRADIALYTIC PARENTERAL NUTRITION THERAPY, SERVICES AND ITEMS FOR WHICH MEDICARE PAYMENT IS DENIED.</p><p>title: HCFA Ruling 96-3</p>]]></description></item><item><title>CMS-1498-R</title><pubDate>Mon, 04 Nov 2019 02:14:16 -0500</pubDate><link>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms1235094</link><guid>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms1235094</guid><description><![CDATA[<p>subject: Hospital Insurance (Part A)Jurisdiction over Appeals of Disproportionate Share Hospital (DSH) Payments, and Recalculations of DSH Payments Following Remands From Administrative Tribunals</p><p>title: CMS-1498-R</p>]]></description></item><item><title>HCFA Ruling 95-1</title><pubDate>Mon, 04 Nov 2019 02:14:15 -0500</pubDate><link>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms026534</link><guid>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms026534</guid><description><![CDATA[<p>subject: Hospital Insurance (Part A) and Supplementary Medical Insurance (Part B) REQUIREMENTS FOR DETERMINING LIMITATION ON LIABILITY OF A MEDICARE BENEFICIARY, PROVIDER, PRACTITIONER, OR OTHER SUPPLIER FOR CERTAIN SERVICES AND ITEMS FOR WHICH MEDICARE PAYMENT IS DENIED.</p><p>title: HCFA Ruling 95-1</p>]]></description></item><item><title>HCFA Ruling 96-2</title><pubDate>Mon, 04 Nov 2019 02:14:15 -0500</pubDate><link>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms026538</link><guid>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms026538</guid><description><![CDATA[<p>subject: Hospital Insurance (Part A) and Supplementary Medical Insurance (Part B) REQUIREMENTS FOR DETERMINING LIMITATION ON LIABILITY OF A MEDICARE BENEFICIARY, SUPPLIER, PRACTITIONER, OR OTHER SUPPLIER FOR PAP SMEARS AND MAMMOGRAPHY SERVICES FOR WHICH MEDICARE PAYMENT IS DENIED.</p><p>title: HCFA Ruling 96-2</p>]]></description></item><item><title>HCFA Ruling 98-1</title><pubDate>Mon, 04 Nov 2019 02:14:15 -0500</pubDate><link>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms026541</link><guid>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms026541</guid><description><![CDATA[<p>subject: Medicare Supplementary Medical Insurance (Part B)
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THE ADMINISTRATIVE APPEALS PROCESS FOR PHYSICIANS, NON-PHYSICIAN PRACTITIONERS, AND ENTITIES THAT RECEIVE REASSIGNED BENEFITS AND THAT ARE NOT PROVIDED APPEAL RIGHTS UNDER 42 CFR PART 498</p><p>title: HCFA Ruling 98-1</p>]]></description></item><item><title>CMS Ruling 01-01</title><pubDate>Mon, 04 Nov 2019 02:14:15 -0500</pubDate><link>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms026545</link><guid>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms026545</guid><description><![CDATA[<p>subject: The National and Local Coverage Determination Review Process for an Individual with Standing as Defined in Section 522 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protections Act of 2000.</p><p>title: CMS Ruling 01-01</p>]]></description></item><item><title>CMS-1536-R</title><pubDate>Mon, 04 Nov 2019 02:14:15 -0500</pubDate><link>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms1192605</link><guid>https://www.cms.gov//regulations-and-guidance/guidance/rulings/cms-rulings-items/cms1192605</guid><description><![CDATA[<p>subject: This Ruling sets forth the policy of the CMS concerning the requirements for determining payment made for insertion of astigmatism-conecting intraocular lenses following cataract surgery under the following sections of the Act.</p><p>title: CMS-1536-R</p>]]></description></item></channel></rss> |