Examples of Benefit Policy in a sentence
Since these patients would be acute care patients housed in the IRF solely to meet the demands of an emergency, they would not be required to meet the Medicare coverage requirements for IRFs found in 42 CFR 412.622(a)(3), (4), and (5), and guidance in Chapter 1, Section 110 of the Medicare Benefit Policy Manual (Pub.
The Medicare Benefit Policy Manual, Chapter 16, “General Exclusions from Coverage,” §180, instructs A/B MACs (B) to deny coverage of services related to the use of noncovered drugs as well.
See the Medicare Benefit Policy Manual, Chapter 16, “General Exclusions from Coverage,” for exclusions from coverage that apply to vision care services, and the Medicare Claims Processing Manual, Chapter 12, “Physician/Practitioner Billing,” for information dealing with payment for items and services furnished by optometrists.
A description of basic services for each benefit type is in the Medicare Benefit Policy Manual and also in the Medicare Claims Processing Manual chapter specific to the provider.
Medicare Benefit Policy, Outpatient Hospital Psychiatric Services, Manual, Chapter 6, Section 70 - Hospital Services Covered Under Part B, A3-3112.7, HO-230.5 (Rev.
Medications not authorized by NCH may be deemed as not approvable and therefore not reimbursable.The use of this drug must be supported by one of the following: FDA approved product labeling, CMS-approved compendia, National Comprehensive Cancer Network (NCCN), American Society of Clinical Oncology (ASCO) clinical guidelines, or peer-reviewed literature that meets the requirements of the CMS Medicare Benefit Policy Manual Chapter 15.
See the Medicare Benefit Policy Manual, Chapter 15, for a description of the policy.
Coverage requirements are in the Medicare Benefit Policy Manual and the National Coverage Determinations Manual.
The Medicare Benefit Policy Manual Publication 100-02 Chapter 9 Coverage of Hospice Service Section 20.4 Election by Managed Care Enrollee; Medicare Managed Care Manual Publication 100-16 Chapter 4 Benefits and beneficiary Protections Sections 10.22 – 10.4 and the CMS Change Request 8727 dated May 1, 2014, all outline payment responsibility and billing requirements for services rendered during a hospice election period.
As of each Advance Date, all Pledged Policies that constitute Retained Death Benefit Policies are listed on Schedule 8.1(x) and, except as set forth on Schedule 8.1(x), the portion of the Net Death Benefit payable to any Person other than the Securities Intermediary does not exceed fifteen percent (15%) of the Net Death Benefit of any such Retained Death Benefit Policy.