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- 42 CFR 414.67 · Incentive payments for services furnished in Health Professional Shortage Areas.
- 42 CFR 414.68 · Imaging accreditation.
- 42 CFR 414.80 · Incentive payment for primary care services.
- 42 CFR 414.84 · Payment for MDPP services.
- 42 CFR 414.90 · Physician Quality Reporting System (PQRS).
- 42 CFR 414.92 · Electronic Prescribing Incentive Program.
- 42 CFR 414.94 · [Reserved]
- 42 CFR 414.100 · Purpose.
- 42 CFR 414.102 · General payment rules.
- 42 CFR 414.104 · PEN Items and Services.
- 42 CFR 414.105 · Application of competitive bidding information.
- 42 CFR 414.106 · Splints and casts.
- 42 CFR 414.108 · IOLs inserted in a physician's office.
- 42 CFR 414.110 · Continuity of pricing when HCPCS codes are divided or combined.
- 42 CFR 414.112 · Establishing fee schedule amounts for new HCPCS codes for items and services without a fee schedule pricing history.
- 42 CFR 414.114 · Procedures for making benefit category determinations and payment determinations for new PEN items and services covered under the prosthetic device benefit; splints and casts; and IOLs inserted in a physician's office covered under the prosthetic device benefit.
- 42 CFR 414.200 · Purpose.
- 42 CFR 414.202 · Definitions.
- 42 CFR 414.210 · General payment rules.
- 42 CFR 414.220 · Inexpensive or routinely purchased items.
- 42 CFR 414.222 · Items requiring frequent and substantial servicing.
- 42 CFR 414.224 · Customized items.
- 42 CFR 414.226 · Oxygen and oxygen equipment.
- 42 CFR 414.228 · Prosthetic and orthotic devices.
- 42 CFR 414.229 · Other durable medical equipment—capped rental items.
- 42 CFR 414.230 · Determining a period of continuous use.
- 42 CFR 414.232 · Special payment rules for transcutaneous electrical nerve stimulators (TENS).
- 42 CFR 414.234 · Prior authorization for items frequently subject to unnecessary utilization.
- 42 CFR 414.236 · Continuity of pricing when HCPCS codes are divided or combined.
- 42 CFR 414.238 · Establishing fee schedule amounts for new HCPCS codes for items and services without a fee schedule pricing history.
- 42 CFR 414.240 · Procedures for making benefit category determinations and payment determinations for new durable medical equipment, prosthetic devices, orthotics and prosthetics, surgical dressings, and therapeutic shoes and inserts.
- 42 CFR 414.300 · Scope of subpart.
- 42 CFR 414.310 · Determination of reasonable charges for physician services furnished to renal dialysis patients.
- 42 CFR 414.313 · Initial method of payment.
- 42 CFR 414.314 · Monthly capitation payment method.
- 42 CFR 414.316 · Payment for physician services to patients in training for self-dialysis and home dialysis.
- 42 CFR 414.320 · Determination of reasonable charges for physician renal transplantation services.
- 42 CFR 414.330 · Payment for home dialysis equipment, supplies, and support services.
- 42 CFR 414.335 · Payment for EPO furnished to a home dialysis patient for use in the home.
- 42 CFR 414.400 · Purpose and basis.
- 42 CFR 414.402 · Definitions.
- 42 CFR 414.404 · Scope and applicability.
- 42 CFR 414.406 · Implementation of programs.
- 42 CFR 414.408 · Payment rules.
- 42 CFR 414.409 · Special payment rules.
- 42 CFR 414.410 · Phased-in implementation of competitive bidding programs.
- 42 CFR 414.411 · Special rule in case of competitions for diabetic testing strips conducted on or after January 1, 2011.
- 42 CFR 414.412 · Submission of bids under a competitive bidding program.
- 42 CFR 414.414 · Conditions for awarding contracts.
- 42 CFR 414.416 · Determination of competitive bidding payment amounts.
- 42 CFR 414.418 · Opportunity for networks.
- 42 CFR 414.420 · Physician or treating practitioner authorization and consideration of clinical efficiency and value of items.
- 42 CFR 414.422 · Terms of contracts.
- 42 CFR 414.423 · Appeals process for breach of a DMEPOS competitive bidding program contract actions.
- 42 CFR 414.424 · Administrative or judicial review.
- 42 CFR 414.425 · Claims for damages.
- 42 CFR 414.426 · Adjustments to competitively bid payment amounts to reflect changes in the HCPCS.
- 42 CFR 414.500 · Basis and scope.
- 42 CFR 414.502 · Definitions.
- 42 CFR 414.504 · Data reporting requirements.
- 42 CFR 414.506 · Procedures for public consultation for payment for a new clinical diagnostic laboratory test.
- 42 CFR 414.507 · Payment for clinical diagnostic laboratory tests.
- 42 CFR 414.508 · Payment for a new clinical diagnostic laboratory test.
- 42 CFR 414.509 · Reconsideration of basis for and amount of payment for a new clinical diagnostic laboratory test.
- 42 CFR 414.510 · Laboratory date of service for clinical laboratory and pathology specimens.
- 42 CFR 414.522 · Payment for new advanced diagnostic laboratory tests.
- 42 CFR 414.523 · Payment for laboratory specimen collection fee and travel allowance.
- 42 CFR 414.601 · Purpose.
- 42 CFR 414.605 · Definitions.
- 42 CFR 414.610 · Basis of payment.
- 42 CFR 414.615 · Transition to the ambulance fee schedule.
- 42 CFR 414.617 · Transition from regional to national ambulance fee schedule.
- 42 CFR 414.620 · Publication of the ambulance fee schedule.
- 42 CFR 414.625 · Limitation on review.
- 42 CFR 414.626 · Data reporting by ground ambulance organizations.
- 42 CFR 414.701 · Purpose.
- 42 CFR 414.704 · Definitions.
- 42 CFR 414.707 · Basis of payment.
- 42 CFR 414.800 · Purpose.
- 42 CFR 414.802 · Definitions.
- 42 CFR 414.804 · Basis of payment.
- 42 CFR 414.806 · Penalties associated with misrepresentation and the failure to submit timely and accurate ASP data.
- 42 CFR 414.900 · Basis and scope.
- 42 CFR 414.902 · Definitions.
- 42 CFR 414.904 · Average sales price as the basis for payment.
- 42 CFR 414.906 · Competitive acquisition program as the basis for payment.
- 42 CFR 414.908 · Competitive acquisition program.
- 42 CFR 414.910 · Bidding process.
- 42 CFR 414.912 · Conflicts of interest.
- 42 CFR 414.914 · Terms of contract.
- 42 CFR 414.916 · Dispute resolution for vendors and beneficiaries.
- 42 CFR 414.917 · Dispute resolution and process for suspension or termination of approved CAP contract and termination of physician participation under exigent circumstances.
- 42 CFR 414.918 · Assignment.
- 42 CFR 414.920 · Judicial review.
- 42 CFR 414.930 · Compendia for determination of medically-accepted indications for off-label uses of drugs and biologicals in an anti-cancer chemotherapeutic regimen.
- 42 CFR 414.940 · Refund for certain discarded single-dose container or single-use package drugs.
- 42 CFR 414.1000 · Purpose.
- 42 CFR 414.1001 · Basis of payment.
- 42 CFR 414.1100 · Basis and scope.
- 42 CFR 414.1105 · Payment for Comprehensive Outpatient Rehabilitation Facility (CORF) services.