The 2023 Florida Statutes (including Special Session C)
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. . . . § 413.24(a)-(b) (requiring that "[p]roviders receiving payment on the basis of reimbursable cost must . . .
. . . . §§ 413.20(c), 413.24(f). . . .
. . . must provide accurate documentation with enough detail to support its reimbursement claim. 42 C.F.R. 413.24 . . . expectation on the part of any agency paying for services on a cost-reimbursement basis." 42 C.F.R. 413.24 . . . But these extrapolations are not "adequate cost data" under 42 C.F.R. 413.24(a). . . .
. . . . §§ 413.20, 413.24(f). . . .
. . . . § 413.24(a). . . .
. . . . § 413.24. . . . Documentation, by contrast, is a real requirement. 42 C.F.R. § 413.24(a)-(c). . . .
. . . . § 413.24(a). . . .
. . . . §§ 413.20(b), 413.24. . . .
. . . . §§ 405.1801(b)(1), 413.24(f), 421.100; see also MaineGen. Med. Ctr. v. . . .
. . . . §§ 405.1801(a), 413.24(f). . . .
. . . . § 413.24(f). . . .
. . . . §§ 413.20, 413.24. . . .
. . . . §§ 413.20(c), 413.24(f). . . .
. . . . §§ 413.24, 413.50.” University of Kansas Hospital Authority, 953 F.Supp.2d at 182. . . .
. . . . §§ 413.24, 413.50.” University of Kansas Hospital Authority, 953 F.Supp.2d at 182. . . .
. . . . § 413.24(a). . . . See 42 U.S.C. § 1395h; 42 C.F.R. § 413.24(f). . . .
. . . . § 413.24(a); the cost information had to “be accurate and in sufficient detail” “to support payments . . . made for services furnished to beneficiaries,” id. § 413.24(c); see also id. § 413.20(d) (recordkeeping . . . Id. § 413.24(c). . . . See 42 C.F.R. §§ 413.20(e), 413.24(c) (1999). . . . & Associates to fulfill its oblb gation to maintain records “capable of being audited,” 42 C.F.R. § 413.24 . . .
. . . . § 413.24(a); the cost information had to “be accurate and in sufficient detail” “to support payments . . . made for services furnished to beneficiaries,” id. § 413.24(c); see also id. § 413.20(d) (recordkeeping . . . Id. § 413.24(c). . . . See 42 C.F.R. §§ 413.20(e), 413.24(c) (1999). . . . & Associates to fulfill its obligation to maintain records “capable of being audited,” 42 C.F.R. § 413.24 . . .
. . . . § 413.24(f)(4)(iv)). . . .
. . . . § 413.24. . . . . § 413.24 and based on Generally Accepted Accounting Principles that provides step-by-step guidance . . .
. . . . §§ 413.20, 413.24; see also Sebelius v. Auburn RegT, Med. . . .
. . . . § 413.24(a). . . . See, e.g., 42 C.F.R. §§ 413.20, 413.24(a), 413.24(c). B. . . . maintain documentation that is “capable of verification by qualified auditors.” 42 C.F.R. §§ 413.20, 413.24 . . . , specifically called for in both the federal Medicaid regulations, see, e.g., 42 C.F.R. §§ 413.20, 413.24 . . . (a), 413.24(c), and the District’s Medicaid Plan, see District Medicaid Plan § 9(a)(1). . . .
. . . . §§ 413.20, 413.24. . . .
. . . . § 413.24(f)(4)(iv)). . . .
. . . . §§ 413.20; 413.24(f). . . .
. . . . §§ 413.20, 413.24. . . .
. . . . § 413.24(f)(2)(i); see also id. §§ 413.20; 413.24. . Id. § 413.24(f)(5)(iii). . . . .
. . . . §§ 413.24, 413.50. . . .
. . . . § 413.24(a); Via Christi, 509 F.3d at 1277; Mercy Home Health v. . . .
. . . . §§ 413.20, 413.24. . . .
. . . . §§ 413.20, 413.24. . . . For a provider like Kaiser that has filed cost reports pursuant to 42 C.F.R §§ 413.20 and 413.24(f), . . .
. . . . §§ 413.20(b) and 413.24; Little Co. of Mary Hosp. v. Sebelius, 587 F.3d 849, 851 (7th Cir.2009). . . .
. . . . §§ 413.20, 413.24. . . . .
. . . . § 413.24(a)). . . .
. . . . § 413.24(a). . . .
. . . . §§ 413.20, 413.24. . . .
. . . . §§ 413.20, 413.24. . . .
. . . . § 413.24. This report is then reviewed and is subject to audit by the Intermediary. See id. . . .
. . . . § 413.24(a); Mercy Home Health, 436 F.3d at 380. . . .
. . . . §§ 413.20 through 413.24 and 413.180(b). . . . . . §§ 413.20 through 413.24 and 413.180(b). . . . .
. . . . § 413.24. Using this method, a provider’s first step is to assign all costs to “cost centers.” . . . ordinarily kept by a provider to ascertain costs of the various types of services furnished.” 42 C.F.R. § 413.24 . . . number, that center which has the greatest amount of expense should be allocated first. 42 C.F.R. § 413.24 . . .
. . . . § 413.24(f)(4)(iv)). . . . prerequisite to eligibility under the Medicare Program,” see appellant’s br. at 41 (citing 42 C.F.R. § 413.24 . . .
. . . . §§ 413.20, 413.24. Irvine Med. Ctr. v. . . .
. . . . §§ 413.20, 413.24.' . . .
. . . . § 413.24(a); Via Christi, 509 F.3d at 1277; Mercy Home Health v. . . .
. . . . § 413.24(f); § 405.1801(b)(1). . . .
. . . . § 413.24(f)(4)(iv). C. . . .
. . . . § 413.20(b)(1996), § 413.24(f)(2005). . . . .
. . . . §§ 405.1801(b)(1), 413.24(f), 413.64(f). . . .
. . . . § 413.24(f). . . . .
. . . . §§ 405.1801(b), 413.24(f). . . .
. . . . §§ 413.24, 413.50, 413.53. . . .
. . . . §§ 413.20(b), 413.24(f). . . .
. . . . § 413.24(a). . . .
. . . . § 413.24(a). . . .
. . . . § 413.24(f). . . .
. . . . §§ 405.1803, 413.20, 413.24, 413.50. . . .
. . . . § 413.24(f). . . .
. . . . §§ 405.1801(b), 413.20-413.24. . . .
. . . . § 413.24(f). See also 42 U.S.C. §§ 1395h, 1395kk-1. . . . .
. . . . §§ 413.20(b), 413.24(f). . . .
. . . . §§ 405.1801(b), 413.24(f). . . . See 42 C.F.R. § 413.24(b)(2), (e). . . . Id. § 413.24(b)(2). . . . In accordance with the accounting principles set forth in 42 C.F.R. § 413.24(a), the County recorded . . .
. . . . §§ 405.1801(b), 413.24(f). . . .
. . . . §§ 413.20(b), 413.24(f). . . .
. . . . § 413.24(a). . . . Id. § 413.24(f)(4)(iv); see also United States ex rel. A + Homecare, Inc. v. Medshares Mgmt. . . .
. . . . §§ 413.20, 413.24. . . . Medicare beneficiaries, a provider must file a cost report basis with its intermediary as specified in § 413.24 . . .
. . . . § 413.24(f)(4)(iv) (emphasis added). . . .
. . . . § 413.24(f). . . .
. . . . §§ 413.20(a), (d), 413.24(a). . . . See 42 C.F.R. §§ 413.20(a), (d), 413.24(a); PRM, Pt. 2 § 115.2. 3. . . . Pt. 2 § 115, and did not retain adequate supporting documentation, see 42 C.F.R. §§ 413.20(a), (d), 413.24 . . . See 42 U.S.C. § 1395cc; 42 C.F.R. §§ 411.406, 413.24(f), 489.11. . . .
. . . . §§ 413.20(a), (d), 413.24(a). . . . See 42 C.F.R. §§ 413.20(a), (d), 413.24(a); PRM, Pt. 2 § 115.2. 3. . . . Pt. 2 § 115, and did not retain adequate supporting documentation, see 42 C.F.R. §§ 413.20(a), (d), 413.24 . . . See 42 U.S.C. § 1395cc; 42 C.F.R. §§ 411.406, 413.24(f), 489.11. . . .
. . . . §§ 413.20(a), 413.24(a), (f) (2001). . . . share of each non-revenue producing cost center based on the amount of services received. 42 C.F.R. § 413.24 . . . services furnished] by the allocation of direct costs and pro-ration of indirect costs.” 42 C.F.R. § 413.24 . . . number, that center which has the greatest amount of expense should be allocated first. 42 C.F.R. § 413.24 . . . The regulations at 42 CFR 413.24 and PRM at chapter 23 prohibit the use of a less appropriate and accurate . . .
. . . . § 413.24(f). . . .
. . . . § 413.24. . . .
. . . . § 413.24(f)(4)(iv). . . .
. . . . §§ 413.20(b), 413.24. . . . . § 413.24. . . .
. . . . § 413.24(f). . . .
. . . . §§ 413.9, 413.24, and 413.20(a) (“[t]he principles of cost reimbursement require that providers maintain . . .
. . . . §§ 413.100(c)(1) (1995), § 413.24(b)(2) (1986). . . .
. . . . § 413.24. . . . officer certifying the accuracy of the electronic file or the manually prepared cost report. 42 C.F.R. § 413.24 . . . See 42 C.F.R. 413.24. . . . See 42 C.F.R. § 413.24(f)(4)(iv). . . . .
. . . . §§ 413.20, 413.24. . . .
. . . . § 413.20(b), 413.24(f). AHN Homecare, L.L.C. v. . . .
. . . . §§ 413.20(b), 413.24(f). . . .
. . . . § 413.24(a). . . . Id. at § 413.24(c). 3. . . . providers receiving payment on the basis of reimbursable cost must provide adequate cost data.” 42 C.F.R. § 413.24 . . . accurate and in sufficient detail to accomplish the purposes for which it is intended.” 42 C.F.R. § 413.24 . . .
. . . . § 413.24(f)(1) (2000) (“A provider that ... experiences a change of ownership must file a cost report . . .
. . . . § 413.24(f)(1) (2000) (“A provider that ... experiences a change of ownership must file a cost report . . .
. . . . §§ 413.20(b), 413.24. . . .
. . . . §§ 413.20(a), 413.24(a), (f), 405.1803. . . . The failure to produce this data, as required by CFR 413.24 ..., resulted in the Intermediary’s disallowance . . . Providers had not complied with the regulations’ record-keeping provisions, 42 C.F.R. §§ 413.20(a) and 413.24 . . . documentation of ownership costs,” required under the Medicare regulations, 42 C.F.R. §§ 413.20(a) and 413.24 . . .
. . . following: (1) With respect to a provider of services that has filed a cost report under §§ 413.20 and 413.24 . . .
. . . . § 413.24(a). . . . intermediaries “must provide adequate cost data ... capable of verification by qualified auditors.” 42 C.F.R. § 413.24 . . .
. . . . §§ 413.20(b), 413.24(f)(2). . . . based on the agency’s cost per visit as determined from the annual cost report. 42 C.F.R. §§ 413.20(b), 413.24 . . .
. . . . § 413.24(f)(4)(iv); Cohimbia/HCA Healthcare, 125 F.3d at 902. . . .
. . . . §§ 413.24(f)(4), 413.64(f). . . .
. . . . §§ 413.20(b), 413.24(f). . . .
. . . . § 413.20(b), 413.24(f). . . .
. . . . § 413.24(a). . . .
. . . . §§ 413.20, 413.24(f). . . .
. . . . § 413.24(f)(2)© (2001). . . .
. . . . §§ 413.20, 413.24. . . .
. . . . §§ 413.20(b), 413.24(f). . . .
. . . . § 413.24. . . .