42 CFR § 424.126 - Payment to the hospital.
(a) Conditions for payment. Medicare pays the hospital if it -
(1) Has in effect an election that -
(i) Meets the requirements set forth in § 424.104; and
(ii) Reflects the hospital's intent to claim for all covered services furnished during a calendar year.
(3) Submits evidence requested by CMS to establish that the services meet the requirements of this subpart.
(b) Amount of payment. Payment is made (in accordance with § 413.74 of this chapter) on the basis of 100 percent of the hospital's customary charges, subject to the applicable deductible and coinsurance provisions set forth elsewhere in this chapter.
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