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Federal regulations · Through 2026-08-25 · Newer source version available

42 CFR 418.405: Effect of coinsurance liability on Medicare payment.

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Where this section sits in the code
  1. Title 42—Public Health
  2. CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  3. SUBCHAPTER B—MEDICARE PROGRAM
  4. PART 418—HOSPICE CARE
  5. Subpart H—Coinsurance

The Medicare payment rates established by CMS in accordance with § 418.306 are not reduced when the individual is liable for coinsurance payments. Instead, when establishing the payment rates, CMS offsets the estimated cost of services by an estimate of average coinsurance amounts hospices collect.

Collected 2026-08-27T02:26:11Z. Source file · JSON

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