CMS Rulings

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

Wed, 21 Sep 2005 11:54:00 EST

Title: CMS Ruling 05-01
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

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.

Wed, 21 Sep 2005 11:55:00 EST

Title: HCFA Ruling 95-1
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.

Medicare Supplementary Medical Insurance (Part B) CLARIFICATION OF THE TERMS "ORTHOTICS," "BRACES," AND "DURABLE MEDICAL EQUIPMENT" UNDER MEDICARE PART B

Wed, 21 Sep 2005 11:58:00 EST

Title: HCFA Ruling 96-1
Subject: Medicare Supplementary Medical Insurance (Part B) CLARIFICATION OF THE TERMS "ORTHOTICS," "BRACES," AND "DURABLE MEDICAL EQUIPMENT" UNDER MEDICARE PART B

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.

Wed, 21 Sep 2005 11:59:00 EST

Title: HCFA Ruling 96-2
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.

Hospital Insurance (Part A). INTERPRETATION OF MEDICAID DAYS INCLUDED IN THE MEDICARE DISPROPORTIONATE SHARE ADJUSTMENT CALCULATION

Wed, 21 Sep 2005 12:00:00 EST

Title: HCFA Ruling 97-2
Subject: Hospital Insurance (Part A). INTERPRETATION OF MEDICAID DAYS INCLUDED IN THE MEDICARE DISPROPORTIONATE SHARE ADJUSTMENT CALCULATION

Medicare Supplementary Medical Insurance (Part B) 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

Wed, 21 Sep 2005 12:01:00 EST

Title: HCFA Ruling 98-1
Subject: Medicare Supplementary Medical Insurance (Part B) 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

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.

Wed, 21 Sep 2005 12:04:00 EST

Title: HCFA Ruling 96-3
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.

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.

Wed, 21 Sep 2005 12:06:00 EST

Title: CMS Ruling 01-01
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.

Changes in Medicare appeals procedures under section 521 of BIPA.

Wed, 21 Sep 2005 12:07:00 EST

Title: CMS Ruling 02-01
Subject: Changes in Medicare appeals procedures under section 521 of BIPA.

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.

Tue, 21 Feb 2006 15:54:00 EST

Title: HCFA Ruling 97-1
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.

Allocation of Donor Acquisition Costs Incurred by Organ Procurement Organizations (OPOs)

Fri, 22 Dec 2006 08:38:00 EST

Title: CMS-1543-R
Subject: Allocation of Donor Acquisition Costs Incurred by Organ Procurement Organizations (OPOs)

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.

Mon, 22 Jan 2007 16:11:00 EST

Title: CMS-1536-R
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.

MEDICARE PROGRAM, Medicare Supplemental Medical Insurance (Part B), PHASE-IN OF CORRECTION TO PAYMENT LOCALITY ASSIGNMENT FOR AUSTIN COUNTY AND HOUSTON COUNTY TEXAS

Tue, 23 Jun 2009 10:15:00 EST

Title: CMS-1423-R
Subject: MEDICARE PROGRAM, Medicare Supplemental Medical Insurance (Part B), PHASE-IN OF CORRECTION TO PAYMENT LOCALITY ASSIGNMENT FOR AUSTIN COUNTY AND HOUSTON COUNTY TEXAS