¹Electronic mail message from Roberta Walker-Wren to Laurie Badanes Prather
(April 15, 1998); Letter from Thomas Hoyer to Laurie Badanes Prather (August 9, 1996).

²Medicare Program; Scope of Medicine Benefits and Application of the Outpatient Mental Health Treatment Limitation to Clinical Psychologist and Clinical Social Worker Services, 63 Fed. Reg. 20110 (1998) (codified at 42 CFR Parts 410, 417, 424 and 482).

³Id. at 20128 (codified at 42 CFR 410.71(d)(2)).

⁴Psychological Tests, Medicare Carriers Manual Section 2070.2.

⁵Letter from Robert Wren to Janice Zalen Steirs (July 31, 1991).

⁶Psychological Tests Performed by Psychologists Who Are Not Clinical Psychologists, Medicare Carriers Manual Section 5112.2.

⁷HCFA Memorandum, Further Clarification of New Individual Psychology Codes and Payment Policy for Clinical Psychologist and Clinical Social Worker Services (February 21, 1997).

⁸63 Fed. Reg., supra note 2, at 20129.

⁹42 CFR 410.155

¹⁰Services Subject to Limitation, Medicare Carriers Manual Section 2472.3.

¹¹Fraud Alert, Routine Waiver of Copayments or Deductible under Medicare Part B, U.S. Department of Health and Human Services, Office of the Inspector General Rep. 91-23 (1991).

¹²Medicare: Physician Fee Schedule (1998 CY), 62 Fed. Reg. 59048, 59055 (1997).

¹³Requirements for Determining Limitation on Liability, HCFA Ruling 95-1
(December 22, 1995).

¹⁴Biofeedback Therapy, Coverage Issues Manual Section 35-27.

¹⁵Determining Liability for Claims for Physician and Supplier Services, Medicare Carriers Manual Section 7300.5.

¹⁶Explanatory and Denial Messages, Medicare Carriers Manual Section 7012.

¹⁷Electronic mail message from Joan Mitchell to Laurie Badanes Prather
(September 17, 1999).

¹⁸Effect of Beneficiary Agreements Not To Use Medicare Coverage, Medicare Carriers Manual Section 3044.

¹⁹Consultations with a Beneficiary's Family and Associates, Coverage Issues Manual Section 35-14.

²⁰Walker-Wren electronic mail message and Hoyer letter, supra note 1.

²¹Medicare: Physician Fee Schedule (1999 CY), 63 Fed. Reg. 30818, 30847.

²²HCFA Memorandum, Inappropriate Physician Fee Schedule Payments in Hospitals (Oct. 28, 1996).

²³Supervising Physicians in Teaching Settings, Medicare Carriers Manual Section 15016.

Return to Top
Return to Table of Contents