Code of Federal Regulations: Containing a Codification of Documents of General Applicability and Future Effect as of December 31, 1948, with Ancillaries and IndexDivision of the Federal Register, the National Archives, 2000 - Administrative law |
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Page 247
( ii ) Participating providers shall be ( i ) Assigned claims are claims
subreimbursed at the equivalent of a per - mitted directly by the nonparticicentile
of prevailing charges suffi pating provider and are paid directly to ciently above
the 50th ...
( ii ) Participating providers shall be ( i ) Assigned claims are claims
subreimbursed at the equivalent of a per - mitted directly by the nonparticicentile
of prevailing charges suffi pating provider and are paid directly to ciently above
the 50th ...
Page 262
To standardize the charge records for area wage differences , each charge
record will be divided into labor - related and nonlabor - related portions , and the
labor - related portion shall be divided by the most recently available Medi - care
...
To standardize the charge records for area wage differences , each charge
record will be divided into labor - related and nonlabor - related portions , and the
labor - related portion shall be divided by the most recently available Medi - care
...
Page 278
propriate charge levels will be cal - OCHAMPUS ( or a designee ) . culated on a
national level . There will ( C ) For purposes of paragraph then be calculated a
national ( g ) ( 1 ) ( ii ) ( B ) of this section , the base peCHAMPUS Maximum ...
propriate charge levels will be cal - OCHAMPUS ( or a designee ) . culated on a
national level . There will ( C ) For purposes of paragraph then be calculated a
national ( g ) ( 1 ) ( ii ) ( B ) of this section , the base peCHAMPUS Maximum ...
Page 280
( 3 ) For each primary care procedure , Providers or beneficiaries in a locality the
level shall be adjusted by the MEI , may submit to the as the MEI is applied to
Medicare preDirector , OCHAMPUS a petition , together with vailing charge
levels .
( 3 ) For each primary care procedure , Providers or beneficiaries in a locality the
level shall be adjusted by the MEI , may submit to the as the MEI is applied to
Medicare preDirector , OCHAMPUS a petition , together with vailing charge
levels .
Page 281
The combined allowable charge for the proallowable charge for clinical
diagnostic cedure may not exceed the allowable ... The allowable charge able
charges for other individual health for physician assistant services percare
providers are ...
The combined allowable charge for the proallowable charge for clinical
diagnostic cedure may not exceed the allowable ... The allowable charge able
charges for other individual health for physician assistant services percare
providers are ...
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Common terms and phrases
accordance action active active duty additional administrative agency agreement allowable amount appeal applicable appropriate approved assistance authorized banking basis beneficiary benefits certified CHAMPUS charge claims commander contract copy cost covered Defense dental Department dependents designee determination Directive Director document DoD Component effect eligible established excluded facility Federal Forces funds Government hearing hospital individual inpatient installation institution interest involving issued land limited meet ment military necessary notice obtained officer operations organization otherwise paragraph participation party patient payment period person personnel physician procedures professional proposed qualified reasonable received records regulations request responsible result Secretary serv specific standards submitted supplies termination tion treatment Uniformed United
Popular passages
Page 67 - veteran" means a person who served in the active military, naval, or air service, and who was discharged or released therefrom under conditions other than dishonorable.
Page 13 - ... submission to such conduct is made either explicitly or implicitly a term or condition of an individual's employment, (2) submission to or rejection of such conduct by an individual is used as the basis for employment decisions affecting such individual...
Page 551 - Directive applies to the Office of the Secretary of Defense, the Military Departments, the Organization of the Joint Chiefs of Staff, the Unified and Specified Commands, and the Defense Agencies (hereafter referred to as "DoD Components").
Page 41 - Definition of terms used in this part. (a) "uniformed services" means the Army, the Navy, the Air Force, the Marine Corps, the Coast Guard, the Commissioned Corps of the Coast and Geodetic Survey, and the Commissioned Corps of the Public Health Service. (b) "Member of a uniformed service...
Page 619 - Basic research is that type of research which is directed toward increase of knowledge in science. It is research where the primary aim of the investigator is a fuller knowledge or understanding of the subject under study, rather than a practical application thereof.
Page 375 - IRB review of research. (a) An IRB shall review and have authority to approve, require modifications in (to secure approval), or disapprove all research activities covered by this policy.
Page 375 - IRB shall notify investigators and the institution in writing of its decision to approve or disapprove the proposed research activity, or of modifications required to secure IRB approval of the research activity. If the IRB decides to disapprove a research activity, it shall include in its written notification a statement of the reasons for its decision and give the investigator an opportunity to respond in person or in writing. (e) An IRB shall conduct continuing review of research covered by these...
Page 32 - Restrict an individual in any way in the enjoyment of any advantage or privilege enjoyed by others receiving any service, financial aid, or other benefit under the program...
Page 35 - Department official or his designee during normal business hours to such of its books, records, accounts, and other sources of information, and its facilities as may be pertinent to ascertain compliance with this part. Where any information required of a recipient is in the exclusive possession of any other...
Page 499 - ... (6) disclose information of a personal nature where disclosure would constitute a clearly unwarranted invasion of personal privacy; (7) disclose investigatory records compiled for law enforcement purposes, or information which if written would be contained in such records, but only to the extent that the production of such records or information would (A) interfere with enforcement proceedings...