Federal (United States) · Agency guidance
Chapter 17b
80 sections
80 sections
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 10Provider Principles Applicable to Cost-Based Medicare Health
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 20Payment Procedures for Provider Services Paid for Directly by the
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 30Data Collection Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 40Filing Requirements for Providers Using Form CMS-2552
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 50Filing Requirements for Providers Using Other Cost Report Forms
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 60Fee-For-Service (FFS) System Final Settlement With the Provider
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 70Provider Receiving Payment Under the Prospective Payment
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 80Summary of Provider Reimbursement Principle Topics
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 90Provider Service Through Arrangements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 100Payments to Providers Participating Under §1886 of the Act
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 110Infrequently Purchased Provider Services
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 120Physician Services- General
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 130Physician and Other Part B Services Furnished Directly by the
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 140Physician and Other Part B Supplier Services Furnished Under
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 150Physician and Other Part B Supplier Services Not Furnished
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 150.1Payment for Services Rendered On or After April 1, 1994, by
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 150.2Payment for Services Rendered On or After April 1, 1994, by
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 160Enrollment and Marketing Costs
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 170Initial Enrollment
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 180Membership Costs
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 190Reinsurance
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 190.1Self Insurance
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 200Special Costs Paid In Full
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 210Beneficiary Liability
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 210.1Under and Over Collection of Premiums
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 220Determining Deductibles and Coinsurance
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 220.1Payment for Bad Debts
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 230Limitation on Payment
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 240End Stage Renal Disease (ESRD)
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 250Limitations on Costs
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 260Physical and Other Therapy Services Furnished Under
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 270Allowable Cost for Drugs in Provider Setting
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 280Lower of Costs or Charges
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 290The Prospective Payment System (PPS)
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 300Duplicate Payment Detection for Cost Contracting HCPPs and
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 300.1Coordination of Benefits
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 300.1.1Definition of Certain Terms Used in Coordination of Benefits
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 300.2The Medicare HMO/CMPs’ Obligations
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 300.3General Fee-For Service (FFS) Coordination of Benefits Rules
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 300.4Other Provisions
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 300.5Conflicting Claims by Medicare and Other Third Parties
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 300.6Coordination with Worker’s Compensation
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 300.6.1Definitions Under WC
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 300.7Additional Processing Instructions
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 310Coordination for ESRD Patients
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 310.1Definition of Employer Group Health Plan (EGHP) or Employer
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 310.2Additional Processing Instructions
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 320Coordination With No-Fault Insurance
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 320.1Definition of Automobile and No-Fault Insurance
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 320.2Additional Processing Instructions
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 330Benefit Coordination for Services Reimbursable Under Liability
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 330.1Definition Under Liability Insurance
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 330.2Additional Processing Instructions
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 340Benefit Coordination for Working Aged Individuals Entitled to
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 340.1Application of 20 Employee Threshold
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 340.2Definition Under EGHP
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 340.3Additional Special Rules Applicable to EGHPs
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 340.3.1Self-Employed Individuals
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 340.3.2Members of Clergy and Religious Orders Who Have Not
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 340.3.3Members of Religious Order Who Have Taken Vow of Poverty
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 340.4Individuals Who Receive Disability Payments
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 350Additional Processing Instructions
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 350.1Benefit Coordination with a Large Group Health Plan
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 350.2A Nonconforming LGHP
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 350.3Definition of an Active Individual
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 350.4Definition of an Employee
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 350.5Special Rules for Individual Employee Status
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 350.5.1Individuals Not Subject to This Limitation Payment
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 350.6Failure to Pay Primary Benefits
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 360Additional Processing Instructions
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 360.1Federal Government’s Right to Sue and Collect Double Damages
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 370Excise Tax Penalties for Contributors to Nonconforming Group
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 370.1Working Aged
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 370.2Disability
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 370.3End Stage Renal Disease (ESRD)
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 380Applying Recoveries to the Cost Report
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 390Alternative Method for Cost Report Treatment of Employer
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 400Determining Total Costs for Comparison with Capitation Limits
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 410Taxes Assessed Against the Medicare Cost-Based HMO/CMP
- Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 410.1Premium Taxes Assessed Against the Medicare Cost-Based