Health Care Financing Administration definition

Health Care Financing Administration means the Health Care Financing

Health Care Financing Administration. 2000: n. pag. Data Sets for Research. 5 Feb. 2002.

Health Care Financing Administration. [`HHS'] to carry out the provisions of the Social Security Act by administering Part B of the Medicare program (a copy of the contract is attached as Exhibit A). Medicare Part B provides supplemental benefits for aged and disabled individuals who elect to enroll under such program and is financed by premium payments from enrollees, together with funds appropriated by the federal government, 42 U.S.C. 1395j. The Secretary of HHS is authorized to enter into contracts with entities to carry out the provisions of the Act, 42 U.S.C. 1395u. The Act sets out requirements for the contract and, pursuant to the contract, [the Company] assumes many of the responsibilities of the government in administering the Medicare Program. "[The Company] determines the coverage of services; the reasonable charges for the services furnished; and makes the payments determined to be due for those services rendered to eligible individuals. (Article II, p.2, Contract). The contract details the procedure [the Company] must utilize in determining reasonable charges and coverage of services. (Article V, p.5, Contract). It also provides a hearing procedure that must be followed when requests for payment are denied, not acted upon with reasonable promptness, or when the amount or such payments is in controversy. (Article XI, p.10, Contract).

Examples of Health Care Financing Administration in a sentence

• I authorize any holder of medical information about me to release to the Health Care Financing Administration and its agents any information needed to determine these benefits or the benefits payable for related services.

• Experimental for the purposes of this rule shall mean those transplants and/or procedures which are not considered reasonable and necessary and which have not been approved by the Health Care Financing Administration and as published in the Federal Register.

• All contracts entered into must be cost effective and further approved by the Health Care Financing Administration.

• Further, the Parties hereto agree to comply with and to be bound by, to the same extent as if the sections were restated in their entirety herein, the provisions of 42 CFR §417.479 and 42 CFR §434.70, as amended by the final rule effective January 1, 1997, and as promulgated by the CMS (formerly the Health Care Financing Administration, DHHS).

• The provisions of this section shall apply only to such contracts as are within the definition established by the Health Care Financing Administration, as may be amended or modified from time to time.

• The Department shall apply for a waiver from the United States Health Care Financing Administration to allow for the implementation of Partnerships under this Section.

• I authorize any holder of medical information about me to release to the Health Care Financing Administration and its agents any information needed to determine these benefits or the benefits payable to related services.

• The maximum payment for clinical diagnostic laboratory tests performed by an independent laboratory will be the areawide fee schedule established by the Health Care Financing Administration (HCFA).

• Further, the parties hereto agree to comply with and to be bound by, to the same extent as if the sections were restated in their entirety herein, the provisions of 42 CFR §417.479 and 42 CFR §434.70, as amended by the final rule effective January 1, 1997, and as promulgated by the CMS (formerly the Health Care Financing Administration, DHHS).

• The adjusted cap amount will be obtained from the Health Care Financing Administration (HCFA) prior to the end of each cap period.