42 CFR 411, Subpart J - Financial Relationships Between Physicians and Entities Furnishing Designated Health Services
- § 411.350 — Scope of subpart.
- § 411.351 — Definitions.
- § 411.352 — Group practice.
- § 411.353 — Prohibition on certain referrals by physicians and limitations on billing.
- § 411.354 — Financial relationship, compensation, and ownership or investment interest.
- § 411.355 — General exceptions to the referral prohibition related to both ownership/investment and compensation.
- § 411.356 — Exceptions to the referral prohibition related to ownership or investment interests.
- § 411.357 — Exceptions to the referral prohibition related to compensation arrangements.
- § 411.361 — Reporting requirements.
- § 411.362 — Additional requirements concerning physician ownership and investment in hospitals.
- § 411.370 — Advisory opinions relating to physician referrals.
- § 411.372 — Procedure for submitting a request.
- § 411.373 — Certification.
- § 411.375 — Fees for the cost of advisory opinions.
- § 411.377 — Expert opinions from outside sources.
- § 411.378 — Withdrawing a request.
- § 411.379 — When CMS accepts a request.
- § 411.380 — When CMS issues a formal advisory opinion.
- § 411.382 — CMS's right to rescind advisory opinions.
- § 411.384 — Disclosing advisory opinions and supporting information.
- § 411.386 — CMS's advisory opinions as exclusive.
- § 411.387 — Parties affected by advisory opinions.
- § 411.388 — When advisory opinions are not admissible evidence.
- § 411.389 — Range of the advisory opinion.
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 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
Title 42 published on 2012-10-01
The following are ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 42 CFR 411 after this date.
GPO FDSys XML | Text type regulations.gov FR Doc. 2013-08312 RIN 0938-AR70 CMS-1454-P DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services Proposed rule. To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on June 10, 2013. 42 CFR Part 411 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.
GPO FDSys XML | Text type regulations.gov FR Doc. 2013-06159 RIN CMS-1455-NR DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services Notice of CMS ruling. The CMS ruling announced in this notice is effective on March 13, 2013. 42 CFR Parts 405, 411, 412, 419, 424, and 489 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.