Hospital-based EP.

Hospital-based EP. Unless it meets the requirements of 495.5, a hospital-based EP means an EP who furnishes 90 percent or more of his or her covered professional services in sites of service identified by the codes used in the HIPAA standard transaction as an inpatient hospital or emergency room setting in the year preceding the payment year, or in the case of a payment adjustment year, in either of the 2 years before the year preceding such payment adjustment year.


42 CFR § 495.4

Scoping language

In this part, unless otherwise indicated -

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