42 CFR Part 414 - PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
- SUBPART A — General Provisions (§§ 414.1 - 414.4)
- SUBPART B — Physicians and Other Practitioners (§§ 414.20 - 414.92)
- SUBPART C — Fee Schedules for Parenteral and Enteral Nutrition (PEN) Nutrients, Equipment and Supplies (§§ 414.100 - 414.104)
- SUBPART D — Payment for Durable Medical Equipment and Prosthetic and Orthotic Devices (§§ 414.200 - 414.232)
- SUBPART E — Determination of Reasonable Charges Under the ESRD Program (§§ 414.300 - 414.335)
- SUBPART F — Competitive Bidding for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) (§§ 414.400 - 414.426)
- SUBPART G — Payment for New Clinical Diagnostic Laboratory Tests (§§ 414.500 - 414.510)
- SUBPART H — Fee Schedule for Ambulance Services (§§ 414.601 - 414.625)
- SUBPART I — Payment for Drugs and Biologicals (§§ 414.701 - 414.707)
- SUBPART J — Submission of Manufacturer's Average Sales Price Data (§§ 414.800 - 414.806)
- SUBPART K — Payment for Drugs and Biologicals Under Part B (§§ 414.900 - 414.930)
- SUBPART L — Supplying and Dispensing Fees (§§ 414.1000 - 414.1001)
- SUBPART M — Payment for Comprehensive Outpatient Rehabilitation Facility (CORF) Services (§§ 414.1100 - 414.1105)
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
§ 1395a - Free choice by patient guaranteed
§ 1395d - Scope of benefits
§ 1395g - Payments to providers of services
42 USC § -
§ 1395u - Provisions relating to the administration of part B
§ 1395v - Agreements with States
§ 1395w - Appropriations to cover Government contributions and contingency reserve
42 USC § 1395w–1 - Repealed.
42 USC § 1395w–2 - Intermediate sanctions for providers or suppliers of clinical diagnostic laboratory tests
42 USC § 1395w–3 - Competitive acquisition of certain items and services
42 USC § 1395w–3a - Use of average sales price payment methodology
42 USC § 1395w–3b - Competitive acquisition of outpatient drugs and biologicals
42 USC § 1395w–4 - Payment for physicians’ services
§ 1395x - Definitions
§ 1395hh - Regulations
§ 1395rr - End stage renal disease program
§ 1395tt - Hospital providers of extended care services
§ 1395ww - Payments to hospitals for inpatient hospital services
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 414 after this date.
GPO FDSys XML | Text type regulations.gov FR Doc. 2013-06163 RIN 0938-AR73 CMS-1455-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 May 17, 2013. 42 CFR Parts 414 and 419 The proposed rule would revise Medicare Part B billing policies when a Part A claim for an hospital inpatient admission is denied as not medically reasonable and necessary.
GPO FDSys XML | Text type regulations.gov FR Doc. 2012-26900 RIN 0938-AR11 CMS-1590-FC DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services Final rule with comment period. Effective date: The provisions of this final rule with comment period are effective on January 1, 2013 with the exception of provisions in § 410.38 which are effective on July 1, 2013. The incorporation by reference of certain publications listed in the rule was approved by the Director of the Federal Register on May 16, 2012. Comment date: To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on December 31, 2012. (See the SUPPLEMENTARY INFORMATION section of this final rule with comment period for a list of the provisions open for comment.) 42 CFR Parts 410, 414, 415, 421, 423, 425, 486, and 495 This major final rule with comment period addresses changes to the physician fee schedule, payments for Part B drugs, and other Medicare Part B payment policies to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. It also implements provisions of the Affordable Care Act by establishing a face-to-face encounter as a condition of payment for certain durable medical equipment (DME) items. In addition, it implements statutory changes regarding the termination of non-random prepayment review. This final rule with comment period also includes a discussion in the Supplementary Information regarding various programs . (See the Table of Contents for a listing of the specific issues addressed in this final rule with comment period.)