Title 42 published on 2012-10-01
The following are only the Rules published in the Federal Register after the published date of Title 42.
For a complete list of all Rules, Proposed Rules, and Notices view the Rulemaking tab.
This notice announces a CMS Ruling that establishes a policy that revises the current policy on Part B billing following the denial of a Part A inpatient hospital claim by a Medicare review contractor on the basis that the inpatient admission was determined not reasonable and necessary. This revised policy is intended as an interim measure until CMS can finalize a policy to address the issues raised by the Administrative Law Judge and Medicare Appeals Council decisions going forward. To that end, elsewhere in this issue of the Federal Register , we published a proposed rule entitled, “Medicare Program; Part B Inpatient Billing in Hospitals,” to propose a permanent policy that would apply on a prospective basis.
This is a list of United States Code sections, Statutes at Large, Public Laws, and Presidential Documents, which provide rulemaking authority for this CFR Part.
This list is taken from the Parallel Table of Authorities and Rules provided by GPO [Government Printing Office].
It is not guaranteed to be accurate or up-to-date, though we do refresh the database weekly. More limitations on accuracy are described at the GPO site.
§ 1302 - Rules and regulations; impact analyses of Medicare and Medicaid rules and regulations on small rural hospitals
42 USC § 1395w–101 - Eligibility, enrollment, and information
42 USC § 1395w–102 - Prescription drug benefits
42 USC § 1395w–103 - Access to a choice of qualified prescription drug coverage
42 USC § 1395w–104 - Beneficiary protections for qualified prescription drug coverage
42 USC § 1395w–111 - PDP regions; submission of bids; plan approval
42 USC § 1395w–112 - Requirements for and contracts with prescription drug plan (PDP) sponsors
42 USC § 1395w–113 - Premiums; late enrollment penalty
42 USC § 1395w–114 - Premium and cost-sharing subsidies for low-income individuals
42 USC § 1395w–114a - Medicare coverage gap discount program
42 USC § 1395w–115 - Subsidies for part D eligible individuals for qualified prescription drug coverage
42 USC § 1395w–116 - Medicare Prescription Drug Account in the Federal Supplementary Medical Insurance Trust Fund
42 USC § 1395w–131 - Application to Medicare Advantage program and related managed care programs
42 USC § 1395w–132 - Special rules for employer-sponsored programs
42 USC § 1395w–133 - State Pharmaceutical Assistance Programs
42 USC § 1395w–134 - Coordination requirements for plans providing prescription drug coverage
42 USC § 1395w–141 - Medicare prescription drug discount card and transitional assistance program
42 USC § 1395w–151 - Definitions; treatment of references to provisions in part C
42 USC § 1395w–152 - Miscellaneous provisions
§ 1395hh - Regulations
§ 1395nn - Limitation on certain physician referrals
The following are ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 42 CFR 411 after this date.
This proposed rule would revise the exception to the physician self-referral prohibition for certain arrangements involving the donation of electronic health records items and services. Specifically, it would extend the sunset date of the exception, remove the electronic prescribing capability requirement, and update the provision under which electronic health records technology is deemed interoperable. In addition, we are requesting public comment on other changes we are considering.