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CMS Rulings

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CMS Rulings are decisions of the Administrator that serve as precedent final opinions and orders and statements of policy and interpretation. They provide clarification and interpretation of complex or ambiguous provisions of the law or regulations relating to Medicare, Medicaid, Utilization and Quality Control Peer Review, private health insurance, and related matters.

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HCFA Ruling 97-1Requirements for determining limitation on liability of a medicare beneficiary, provider, practitioner, or other supplier for partial hospitalization services for which Medicare payment is denied.
HCFA Ruling 97-2Hospital Insurance (Part A). INTERPRETATION OF MEDICAID DAYS INCLUDED IN THE MEDICARE DISPROPORTIONATE SHARE ADJUSTMENT CALCULATION
HCFA Ruling 98-1Medicare 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
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Data Last Updated : 11/02/2009
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