allowable costs

allowable costs

charges for health care services and/or supplies for which insurance benefits are available. In general, costs of services not considered to be reasonable or necessary to the proper provision of health services are excluded from allowable costs. Allowable costs vary across insurance companies.
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These requirements include a description of the services provided, a fund balance sheet and revenue/expenditure statements, a listing of all transfers in and out of the fund, the methodology used to charge the cost of services, a comparison of the revenues of each fund including imputed revenue where some users are not billed the full billing rate, and an explanation of how variances between revenues and allowable costs are adjusted.
The Common Rule also references OMB Circulars which establish allowable costs based upon the type of agency involved.
This situation is only partly mitigated by the classification of pension costs as allowable costs under government cost accounting standards.
2015: The allowable costs for the sewage, water- and gas equipment (410 KG) is estimated at approximately 630 000 EUR (gross).
The Dodd-Frank Act was signed into law by President Obama in July 2010 and in December, the Fed issued a proposed rule that limited allowable costs for interchange to no more than the issuer's allowable costs divided by the number of electronic debit transactions on which the issuer received or charged an interchange transaction fee in the calendar year.
Categories: July 14, 2010, Accounting systems, Allowable costs, Contract administration, Contractor payments, Contracts, Cost analysis, Cost plus fixed fee contracts, Cost reimbursement contracts, Electronic health records, Fees, Health care planning, Invoices, Medicare Trust Fund, National Quality Forum (NQF), Nonprofit organizations, Overhead costs, Performance measures, Quality assurance, Reporting requirements, Standards, Work measurement
The IRS recently issued taxpayer-favorable guidance, ruling that an accrual-method taxpayer recognizes income from the reimbursement of allowable costs under cost-plus contracts when the amounts are billed and due, not when the taxpayer incurs the reimbursable costs.
Contractors must ensure that unallowable costs are being properly segregated in the accounting system from allowable costs.
Meanwhile, state lawmakers nationwide are discussing such steps as reduction in Medicaid pharmacy payments, cuts in dispensing fees, brand-drug limits, prescription limits, preferred drug lists (PDLs)*, state maximum allowable costs, generic substitution, prior authorization and assisted-living-related medication management, among others.
39 last year although its actual allowable costs were $105.
The resulting data, fielded from 36 states, reflects the weighted average Medicaid rates and allowable costs for the years for which information was available.
In its defense, the State argued that 86 percent of providers' total allowable costs were being paid by the Medicaid program.