Medicare Payment: Cost Basis | Midpage

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Code of Federal Regulations

Subpart O

Medicare Payment: Cost Basis

417.530Basis and scope.417.531Hospice care services.417.532General considerations.417.533Part B carrier responsibilities.417.534Allowable costs.417.536Cost payment principles.417.538Enrollment and marketing costs.417.540Enrollment costs.417.542Reinsurance costs.417.544Physicians' services furnished directly by the HMO or CMP.417.546Physicians' services and other Part B supplier services furnished under arrangements.417.548Provider services through arrangements.417.550Special Medicare program requirements.417.552Cost apportionment: General provisions.417.554Apportionment: Provider services furnished directly by the HMO or CMP.417.556Apportionment: Provider services furnished by the HMO or CMP through arrangements with others.417.558Emergency, urgently needed, and out-of-area services for which the HMO or CMP accepts responsibility.417.560Apportionment: Part B physician and supplier services.417.564Apportionment and allocation of administrative and general costs.417.566Other methods of allocation and apportionment.417.568Adequate financial records, statistical data, and cost finding.417.570Interim per capita payments.417.572Budget and enrollment forecast and interim reports.417.574Interim settlement.417.576Final settlement.