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Regulatory Information
1999_register
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2010-09-24
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Medicare Program; Special Payment Limits for Certain Durable Medical Equipment and Prosthetic Devices
Notices
D09002ee1bdfc1784
D09002ee1bdfc1813
United States
Department of Health and Human Services
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United States Government Agency or Subagency
United States
Health Care Financing Administration
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org
United States Government Agency or Subagency
This notice proposes special payment limits, for five items of durable medical equipment and one prosthetic device, to replace the current fee schedule amounts for these items. Currently, payment under the Medicare program for these items is equal to 80 percent of the lesser of the actual charge for the item or the fee schedule amount for the item. We have determined that the Medicare fee schedule amounts for five durable medical equipment items and one prosthetic device are not inherently reasonable because they are grossly excessive relative to the amounts paid for these items by the Department of Veterans Affairs. This notice proposes that payment for these items be 80 percent of the actual charges for the items or the special payment limits we set for these items, whichever is less. It is intended to prevent continuation of excessive payment for these items. The special payment limits would be based on the median wholesale prices paid by the Department of Veterans Affairs for these items plus an appropriate markup.
64 FR 44227
https://www.govinfo.gov/app/details/FR-1999-08-13/99-20989
99-20989
fr13au99-86
RIN 0938-AJ34
4120-01-P
HCFA-1050-PN
https://www.govinfo.gov/app/details/FR-1999-08-13/99-20989
https://www.govinfo.gov/content/pkg/FR-1999-08-13/html/99-20989.htm
https://www.govinfo.gov/content/pkg/FR-1999-08-13/pdf/99-20989.pdf
5 p.
44227
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64 FR 44227
Regulation Identification Number 0938-AJ34
RIN 0938-AJ34
Medicare Program; Special Payment Limits for Certain Durable Medical Equipment and Prosthetic Devices; Federal Register Vol. 64, Issue
NOTICE
99-20989
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
1999-10-12
HCFA-1050-PN
4120-01-P
99-20989
Proposed notice.
This notice proposes special payment limits, for five items of durable medical equipment and one prosthetic device, to replace the current fee schedule amounts for these items. Currently, payment under the Medicare program for these items is equal to 80 percent of the lesser of the actual charge for the item or the fee schedule amount for the item. We have determined that the Medicare fee schedule amounts for five durable medical equipment items and one prosthetic device are not inherently reasonable because they are grossly excessive relative to the amounts paid for these items by the Department of Veterans Affairs. This notice proposes that payment for these items be 80 percent of the actual charges for the items or the special payment limits we set for these items, whichever is less. It is intended to prevent continuation of excessive payment for these items. The special payment limits would be based on the median wholesale prices paid by the Department of Veterans Affairs for these items plus an appropriate markup.
We will consider comments if we receive them at the appropriate address, as provided below, by 5 p.m. on October 12, 1999.
Joel Kaiser, (410) 786-4499.
Federal Register
Vol. 64, no. 156
Office of the Federal Register, National Archives and Records Administration
1999-08-13
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306 p.
Table of Contents:
AE 2.7:
GS 4.107:
AE 2.106:
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https://www.govinfo.gov/app/details/FR-1999-08-13
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0097-6326
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0364-1406
769-004-00000-9
000582072
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https://www.govinfo.gov/app/details/FR-1999-08-13
https://www.govinfo.gov/content/pkg/FR-1999-08-13/pdf/FR-1999-08-13.pdf
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2010-09-24
2023-05-05
FR-1999-08-13
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FR
FR-1999-08-13
64
156