42 CFR 414, Subpart B - Physicians and Other Practitioners
- § 414.20 — Formula for computing fee schedule amounts.
- § 414.21 — Medicare payment basis.
- § 414.22 — Relative value units (RVUs).
- § 414.24 — Review, revision, and addition of RVUs for physician services.
- § 414.26 — Determining the GAF.
- § 414.28 — Conversion factors.
- § 414.30 — Conversion factor update.
- § 414.32 — Determining payments for certain physicians' services furnished in facility settings.
- § 414.34 — Payment for services and supplies incident to a physician's service.
- § 414.36 — Payment for drugs incident to a physician's service.
- § 414.39 — Special rules for payment of care plan oversight.
- § 414.40 — Coding and ancillary policies.
- § 414.42 — Adjustment for first 4 years of practice.
- § 414.44 — Transition rules.
- § 414.46 — Additional rules for payment of anesthesia services.
- § 414.48 — Limits on actual charges of nonparticipating suppliers.
- § 414.50 — Physician or other supplier billing for diagnostic tests performed or interpreted by a physician who does not share a practice with the billing physician or other supplier.
- § 414.52 — Payment for physician assistants' services.
- § 414.54 — Payment for certified nurse-midwives' services.
- § 414.56 — Payment for nurse practitioners' and clinical nurse specialists' services.
- § 414.58 — Payment of charges for physician services to patients in providers.
- § 414.60 — Payment for the services of CRNAs.
- § 414.61 — Payment for anesthesia services furnished by a teaching CRNA.
- § 414.62 — Fee schedule for clinical psychologist services.
- § 414.63 — Payment for outpatient diabetes self-management training.
- § 414.64 — Payment for medical nutrition therapy.
- § 414.65 — Payment for telehealth services.
- § 414.66 — Incentive payments for physician scarcity areas.
- § 414.67 — Incentive payments for services furnished in Health Professional Shortage Areas.
- § 414.68 — Imaging accreditation.
- § 414.80 — Incentive payment for primary care services.
- § 414.90 — Physician Quality Reporting System.
- § 414.92 — Electronic Prescribing Incentive Program.
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].
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§ 1395a - Free choice by patient guaranteed
§ 1395d - Scope of benefits
§ 1395g - Payments to providers of services
42 USC § -
42 USC § 1395w–3b - Competitive acquisition of outpatient drugs and biologicals
42 USC § 1395w–3a - Use of average sales price payment methodology
42 USC § 1395w–3 - Competitive acquisition of certain items and services
42 USC § 1395w–2 - Intermediate sanctions for providers or suppliers of clinical diagnostic laboratory tests
42 USC § 1395w–1 - Repealed.
§ 1395w - Appropriations to cover Government contributions and contingency reserve
§ 1395v - Agreements with States
§ 1395u - Provisions relating to the administration of part B
42 USC § 1395w–4 - Payment for physicians’ services
§ 1395x - Definitions
§ 1395rr - End stage renal disease program
§ 1395tt - Hospital providers of extended care services
§ 1395ww - Payments to hospitals for inpatient hospital services
113 Stat. 1501A-332
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. 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.)