GroundRules
Browse Federal regulations
Read the original sections, or search by topic.
- 42 CFR 412.434 · Reconsideration and appeals procedures of Inpatient Psychiatric Facilities Quality Reporting (IPFQR) Program decisions.
- 42 CFR 412.500 · Basis and scope of subpart.
- 42 CFR 412.503 · Definitions.
- 42 CFR 412.505 · Conditions for payment under the prospective payment system for long-term care hospitals.
- 42 CFR 412.507 · Limitation on charges to beneficiaries.
- 42 CFR 412.508 · Medical review requirements.
- 42 CFR 412.509 · Furnishing of inpatient hospital services directly or under arrangement.
- 42 CFR 412.511 · Reporting and recordkeeping requirements.
- 42 CFR 412.513 · Patient classification system.
- 42 CFR 412.515 · LTC-DRG weighting factors.
- 42 CFR 412.517 · Revision of LTC-DRG group classifications and weighting factors.
- 42 CFR 412.521 · Basis of payment.
- 42 CFR 412.522 · Application of site neutral payment rate.
- 42 CFR 412.523 · Methodology for calculating the Federal prospective payment rates.
- 42 CFR 412.525 · Adjustments to the Federal prospective payment.
- 42 CFR 412.526 · Payment provisions for a “subclause (II)” long-term care hospital.
- 42 CFR 412.529 · Special payment provision for short-stay outliers.
- 42 CFR 412.531 · Special payment provisions when an interruption of a stay occurs in a long-term care hospital.
- 42 CFR 412.533 · Transition payments.
- 42 CFR 412.534 · Special payment provisions for long-term care hospitals-within-hospitals and satellites of long-term care hospitals, effective for discharges occurring in cost reporting periods beginning on or before September 30, 2016.
- 42 CFR 412.535 · Publication of the Federal prospective payment rates.
- 42 CFR 412.536 · Special payment provisions for long-term care hospitals and satellites of long-term care hospitals that discharge Medicare patients admitted from a hospital not located in the same building or on the same campus as the long-term care hospital or satellite of the long-term care hospital, effective for discharges occurring on or before September 30, 2016 or in cost reporting periods beginning on or before June 30, 2016.
- 42 CFR 412.538 · [Reserved]
- 42 CFR 412.540 · Method of payment for preadmission services under the long-term care hospital prospective payment system.
- 42 CFR 412.541 · Method of payment under the long-term care hospital prospective payment system.
- 42 CFR 412.560 · Requirements under the Long-Term Care Hospital Quality Reporting Program (LTCH QRP).
- 42 CFR 412.600 · Basis and scope of subpart.
- 42 CFR 412.602 · Definitions.
- 42 CFR 412.604 · Conditions for payment under the prospective payment system for inpatient rehabilitation facilities.
- 42 CFR 412.606 · Patient assessments.
- 42 CFR 412.608 · Patients' rights regarding the collection of patient assessment data.
- 42 CFR 412.610 · Assessment schedule.
- 42 CFR 412.612 · Coordination of the collection of patient assessment data.
- 42 CFR 412.614 · Transmission of patient assessment data.
- 42 CFR 412.616 · Release of information collected using the patient assessment instrument.
- 42 CFR 412.618 · Assessment process for interrupted stays.
- 42 CFR 412.620 · Patient classification system.
- 42 CFR 412.622 · Basis of payment.
- 42 CFR 412.624 · Methodology for calculating the Federal prospective payment rates.
- 42 CFR 412.626 · Transition period.
- 42 CFR 412.628 · Publication of the Federal prospective payment rates.
- 42 CFR 412.630 · Limitation on review.
- 42 CFR 412.632 · Method of payment under the inpatient rehabilitation facility prospective payment system.
- 42 CFR 412.634 · Requirements under the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP).
- 42 CFR 413.1 · Introduction.
- 42 CFR 413.5 · Cost reimbursement: General.
- 42 CFR 413.9 · Cost related to patient care.
- 42 CFR 413.13 · Amount of payment if customary charges for services furnished are less than reasonable costs.
- 42 CFR 413.17 · Cost to related organizations.
- 42 CFR 413.20 · Financial data and reports.
- 42 CFR 413.24 · Adequate cost data and cost finding.
- 42 CFR 413.30 · Limitations on payable costs.
- 42 CFR 413.35 · Limitations on coverage of costs: Charges to beneficiaries if cost limits are applied to services.
- 42 CFR 413.40 · Ceiling on the rate of increase in hospital inpatient costs.
- 42 CFR 413.50 · Apportionment of allowable costs.
- 42 CFR 413.53 · Determination of cost of services to beneficiaries.
- 42 CFR 413.56 · [Reserved]
- 42 CFR 413.60 · Payments to providers: General.
- 42 CFR 413.64 · Payments to providers: Specific rules.
- 42 CFR 413.65 · Requirements for a determination that a facility or an organization has provider-based status.
- 42 CFR 413.70 · Payment for services of a CAH.
- 42 CFR 413.74 · Payment to a foreign hospital.
- 42 CFR 413.75 · Direct GME payments: General requirements.
- 42 CFR 413.76 · Direct GME payments: Calculation of payments for GME costs.
- 42 CFR 413.77 · Direct GME payments: Determination of per resident amounts.
- 42 CFR 413.78 · Direct GME payments: Determination of the total number of FTE residents.
- 42 CFR 413.79 · Direct GME payments: Determination of the weighted number of FTE residents.
- 42 CFR 413.80 · Direct GME payments: Determination of weighting factors for foreign medical graduates.
- 42 CFR 413.81 · Direct GME payments: Application of community support and redistribution of costs in determining FTE resident counts.
- 42 CFR 413.82 · Direct GME payments: Special rules for States that formerly had a waiver from Medicare reimbursement principles.
- 42 CFR 413.83 · Direct GME payments: Adjustment of a hospital's target amount or prospective payment hospital-specific rate.
- 42 CFR 413.84 · Prohibition against unlawful discrimination.
- 42 CFR 413.85 · Cost of approved nursing and allied health education activities.
- 42 CFR 413.87 · Payments for Medicare + Choice nursing and allied health education programs.
- 42 CFR 413.88 · Incentive payments under plans for voluntary reduction in number of medical residents.
- 42 CFR 413.89 · Bad debts, charity, and courtesy allowances.
- 42 CFR 413.90 · Research costs.
- 42 CFR 413.92 · Costs of surety bonds.
- 42 CFR 413.94 · Value of services of nonpaid workers.
- 42 CFR 413.98 · Purchase discounts and allowances, and refunds of expenses.
- 42 CFR 413.99 · Qualified and Non-Qualified Deferred Compensation Plans.
- 42 CFR 413.100 · Special treatment of certain accrued costs.
- 42 CFR 413.102 · Compensation of owners.
- 42 CFR 413.106 · Reasonable cost of physical and other therapy services furnished under arrangements.
- 42 CFR 413.114 · Payment for posthospital SNF care furnished by a swing-bed hospital.
- 42 CFR 413.118 · Payment for facility services related to covered ASC surgical procedures performed in hospitals on an outpatient basis.
- 42 CFR 413.122 · Payment for hospital outpatient radiology services and other diagnostic procedures.
- 42 CFR 413.123 · Payment for screening mammography performed by hospitals on an outpatient basis.
- 42 CFR 413.124 · Reduction to hospital outpatient operating costs.
- 42 CFR 413.125 · Payment for home health agency services.
- 42 CFR 413.130 · Introduction to capital-related costs.
- 42 CFR 413.134 · Depreciation: Allowance for depreciation based on asset costs.
- 42 CFR 413.139 · Depreciation: Optional allowance for depreciation based on a percentage of operating costs.
- 42 CFR 413.144 · Depreciation: Allowance for depreciation on fully depreciated or partially depreciated assets.
- 42 CFR 413.149 · Depreciation: Allowance for depreciation on assets financed with Federal or public funds.
- 42 CFR 413.153 · Interest expense.
- 42 CFR 413.157 · Return on equity capital of proprietary providers.
- 42 CFR 413.170 · Scope.
- 42 CFR 413.171 · Definitions.
- 42 CFR 413.172 · Principles of prospective payment.