evekhm/cms_iom_500 huggingface dataset:
(A)Prior authorization determination.The Secretary shall make a determination, prior to the service beingfurnished, of whether the service would or would not meet the applicablerequirements of section 1862(a)(1)(A).(B)Denial of payment.Subject to paragraph(5), no payment may be made under this part for the service unlessthe Secretary determines pursuant to subparagraph (A) that the servicewould meet the applicable requirements of such section 1862(a)(1)(A).(4)Submissionof information.A chiropractor describedin section 1861(r)(5) may submitthe information necessary for medical review by fax, by mail, or byelectronic means. The Secretary shall make available the electronicmeans described in the preceding sentence as soon as practicable.(5)Timeliness.If the Secretary does not make a prior authorization determinationunder paragraph (3)(A) within 14 business days of the date of thereceipt of medical documentation needed to make such determination,paragraph (3)(B) shall not apply.(6)Applicationof limitation on beneficiary liability.Where payment may not be made as a result of the application of paragraph(2)(B), section 1879 shall applyin the same manner as such section applies to a denial that is madeby reason of section 1862(a)(1).(7)Reviewby contractors.The medical review describedin paragraph (2) may be conducted by medicare administrative contractorspursuant to section 1874A(a)(4)(G) or by any other contractor determined appropriate by the Secretarythat is not a recovery audit contractor.(8)Multipleservices.The Secretary shall, wherepracticable, apply the medical review under this subsection in a mannerso as to allow an individual described in paragraph (1) to obtain,at a single time rather than on a service-by-service basis, an authorizationin accordance with paragraph (3)(A) for multiple services.(9)Construction.With respect to a service described in paragraph (1) that hasbeen affirmed by medical review under this subsection, nothing inthis subsection shall be construed to preclude the subsequent denialof a claim for such service that does not meet other applicable requirementsunder this Act.
(10)Authority.(A) The Secretary may implement theprovisions of this subsection by interim final rule with comment period.(B)Administration.Chapter 35 of title 44, United States Code, shall not applyto medical review under this subsection.(bb)[143]Additional Paymentsfor Certain Rural Health Clinics With Physicians or PractitionersReceiving DATA Waiveres.(1)In general.In the case of a rural health clinic with respect to which,beginning on or after January 1, 2019, rural health clinic services(as defined in section 1861(aa)(1)) are furnished for the treatment of opioid use disorder by a physicianor practitioner who meets the requirements described in paragraph(3), the Secretary shall, subject to availability of funds under paragraph(4), make a payment (at such time and in such manner as specifiedby the Secretary) to such rural health clinic after receiving andapproving an application described in paragraph (2). Such paymentshall be in an amount determined by the Secretary, based on an estimateof the average costs of training for purposes of receiving a waiverdescribed in paragraph (3)(B). Such payment may be made only one timewith respect to each such physician or practitioner.(2)ApplicationIn order to receive a payment described in paragraph (1), arural health clinic shall submit to the Secretary an application forsuch a payment at such time, in such manner, and containing such informationas specified by the Secretary. A rural health clinic may apply forsuch a payment for each physician or practitioner described in paragraph(1) furnishing services described in such paragraph at such clinic.(3)Requirements.For purposes of paragraph (1), the requirements described inthis paragraph, with respect to a physician or practitioner, are thefollowing:(A) The physician or practitioneris employed by or working under contract with a rural health clinicdescribed in paragraph (1) that submits an application under paragraph(2).(B) The physician or practitionerfirst receives a waiver under section 303(g)[144]of the Controlled SubstancesAct on or after January 1, 2019.(4)Funding.For purposes of making payments under this subsection, thereare appropriated, out of amounts in the Treasury not otherwise appropriated,$2,000,000, which shall remain available until expended.
[71]See Vol. II, P.L. 108-173,416, with respect to treatment of certain clinical diagnosticlaboratory tests furnished to hospital outpatients in certain ruralareas and 733, with respect to payments for pancreatic isletcell investigational transplants for medicare beneficiaries in clinicaltrials.See Vol. II, P.L. 112-96, 3005(d),with respect to the implementation of the amendments made by 3005;3005(e), with respect to the effective date for the amendmentto 1833(g)(5)(B); 3005(g), with respect to the collectionof additional data; and 3005(h), with respect to a GAO reporton manual medical review process implementation.[72]Formattingfor this subparagraph appears different than in law because of limitationsof the software used in designation of clauses and subclauses.[73]P.L. 113-93, 216(b)(1)(A)(i), struck (i) onthe basis and inserted (i)(I) on the basis. EffectiveApril 1, 2014.[74]P.L. 113-93, 216(b)(1)(A)(ii), struck subsection (h)(1)and inserted subsection (h)(1) (for tests furnished beforeJanuary 1, 2017). Effective April 1, 2014.[75]P.L.113-93, 216(b)(1)(A)(iii), struck or (ii) andinserted or (II) under section 1834A (for tests furnished onor after January 1, 2017), the amount paid shall be equal to 80 percent(or 100 percent, in the case of such tests for which payment is madeon an assignment-related basis) of the lesser of the amount determinedunder such section or the amount of the charges billed for the tests,or (ii). Effective April 1, 2014.P.L.113-93, 216(b)(1)(A)(iv), struck on the basisand inserted for tests furnished before January 1, 2017, onthe basis. Effective April 1, 2014.
[76]As in original law. 2nd comma should be deleted.[77]P.L.114-113,504(b)(1) inserted subparagraph (AA). Effective for devicesfurnished on or after January 1, 2017.[78]P.L.114-255, 5012(c)(1), inserted new subparagraph (BB), Effectivefor items and services furnished on or after January 1, 2021.[79]P.L.115271, 2005(c), inserted subparagraph (CC). EffectiveOctober 24, 2018.[80]P.L. 113-93, 216(b)(1)(B)(i), struck (i) onthe basis and inserted (i)(I) on the basis. EffectiveApril 1, 2014.[81]P.L. 113-93, 216(b)(1)(B)(ii), struck subsection(h)(1) and inserted subsection (h)(1) (for tests furnishedbefore January 1, 2017). Effective April 1, 2014.[82]P.L.113-93, 216(b)(1)(B)(iii), struck or (ii) andinserted or (II) under section 1834A (for tests furnished onor after January 1, 2017), the amount paid shall be equal to 80 percent(or 100 percent, in the case of such tests for which payment is madeon an assignment-related basis or to a provider having an agreementunder section 1866) of the lesser of the amount determined under suchsection or the amount of the charges billed for the tests, or (ii).Effective April 1, 2014.[83]P.L. 113-93, 216(b)(1)(B)(iv), struck on the basisand inserted for tests furnished before January 1, 2017, onthe basis. Effective April 1, 2014.[84]As in original. Should be (o)rather than (O).[85]*Punctuation as in original.
[86]P.L. 113-93, 216(b)(1)(C), struck on the basisand inserted for tests furnished before January 1, 2017, onthe basis. Effective April 1, 2014.[87]P.L. 112-96,3005(b)(1), struck out but not described in section 1833(a)(8)(B)and inserted but (except as provided in paragraph (6)) notdescribed in section 1833(a)(8)(B), effective February 22,2012.P.L. 115123, 50202(1) struckSubject to paragraphs (4) and (5); inserted (A)Subject to paragraphs (4) and (5) in paragraph (1); added thefollowing new sentence at the end of subparagraph (A), Thepreceding sentence shall not apply to expenses incurred with respectto services furnished after December 31, 2017.; and added newsubparagraph (B). Effective February 9, 2018.[88]P.L.112-96, 3005(b)(1), struck out but not described in section1833(a)(8)(B) and inserted but (except as provided inparagraph (6)) not described in section 1833(a)(8)(B),effective February 22, 2012.P.L. 115123,50202(2) struck Subject to paragraphs (4) and (5);inserted (A) Subject to paragraphs (4) and (5) in paragraph(3); added the following new sentence at the end of subparagraph (A),The preceding sentence shall not apply to expenses incurredwith respect to services furnished after December 31, 2017.;and added new subparagraph (B). Effective February 9, 2018.[89]P.L.112-96, 3005(a)(1), inserted (A).P.L. 11278, 304, struck December 31,2011 and inserted February 29, 2012. EffectiveDecember 23, 2011.
P.L. 11278, 304, struck December 31,2011 and inserted February 29, 2012. EffectiveDecember 23, 2011.P.L. 112-96, 3005(a)(3), inserted and if therequirement of subparagraph (B) is met, effective February22, 2012.P.L. 112-96, 3005(a)(4), inserted made inaccordance with such requirement, effective February 22, 2012.P.L. 113-67 1103, struck out December 31,2013 and inserted March 31, 2014*, effectiveDecember 26, 2013.P.L. 113-93 103(1), struck out March 31, 2014and inserted March 31, 2015*, effective April 1, 2014.P.L. 114-10 202(a)(1), struck out March 31,2015 and inserted December 31, 2017, effectiveApril 16, 2015.[90]P.L.112-96, 3005(a)(5), added subparagraph (B), effective February22, 2012, applicable to services furnished on or after March 1, 2012.[91]P.L.112-96, 3005(a)(5), added subparagraph (C), effective February22, 2012.[92]P.L. 114-10 202(b)(1), Inserted , subjectto subparagraph (E),'' after manual medical review processthat, effective April 16, 2015.[93]P.L.112-240, 603(c), added subparagraph (D), effective January 2,2012.P.L. 115123, 50202(3)(A), redesignatedand moved this subparagraph 1833(g)(5)(D) to paragraph (g)(8). Theamendment did not redesignate subparagraph (E) below. Effective February9, 2018.
[94]P.L.114-10, 202(b)(1)(B) added subparagraph 1833(g)(5)(E). EffectiveApril 16, 2015.P.L. 115123, 50202(3)(B)inserted text following implemented. Effective February9, 2018.[95]P.L.112-96, 3005(b)(2), added paragraph (6), effective February22, 2012.P.L. 112-240, 603(b)(1), struckout In applying and inserted (A) In applying,effective January 2, 2013.P.L. 113-67, 1103, struck out December 31,2013 and inserted March 31, 2014, effective December26, 2013.P.L. 113-67 1103, struck or 2013, andinserted , 2013 or the first three months of 2014. EffectiveDecember 26, 2013.P.L. 113-93 103(2), struck out March 31, 2014and inserted March 31, 2015*, effective April 1, 2014.P.L. 113-93 103(2)(B), struck , or the firstthree months of 2014, and inserted , 2014 or the firstthree months of 2015. Effective April 1, 2014.P.L. 114-10 202(a)(2)(A), struck out March31, 2015 and inserted December 31, 2017, effectiveApril 16, 2015.P.L. 114-10 202(a)(2)(B), struck 2012, 2013,2014, or the first three months of 2015 and inserted 2012through 2017, effective April 16, 2015.[96]P.L. 112-240, 603(b)(2),added subparagraph (B), effective January 2, 2013.[97]P.L. 115123,50202(4) added paragraph (7). Effective February 9, 2018.
[98]Thisparagraph was originally designated by P.L. 112-240, 603(c)as subparagraph (g)(5)(D), effective January 2, 2012.P.L. 115123, 50202(3)(A) moved subparagraph1833(g)(5)(D) to paragraph (8). Effective February 9, 2018.[99]P.L. 11296, 3202(1), struck out paragraph (4)and inserted clause (v), subparagraph (B), and paragraph (4),effective February 22, 2012.[100]P.L. 113-93, 216(b)(1)(D), struck andsubject to and inserted and, for tests furnished beforethe date of enactment of section 1834A, subject to. EffectiveApril 1, 2014.[101]P.L. 112-96,3202(3), added clause (v), effective February 22, 2012.[102]P.L. 113-93, 216(b)(1)(E), struckout fee schedules and inserted fee schedules(for tests furnished before January 1, 2017) or under section 1834A(for tests furnished on or after January 1, 2017), subject to subsection(b)(5) of such section, effective April 1, 2014.[103]P.L. 113-93,216(b)(1)(F), struck out in the case and insertedFor tests furnished before January 1, 2017, in the case,effective April 1, 2014.[104]P.L.113-93, 216(b)(1)(G)(i) and P.L. 113-93, 216(b)(1)(G)(ii), struck out and (4) and inserted and (4) andsection 1834A; and struck out under this subsectionand inserted under this part, effective April 1, 2014.
[105]P.L. 115271, 6082(b),added this paragraph. Effective October 24, 2018.[106]See Vol. II, P.L. 99-509, 9320(k).[107]P.L. 101-239, 6132; 103 Stat. 2222.[108]P.L. 99-509, 9320; 100 Stat. 2013.[109]Probably should be subparagraph.[110]See Vol. II, P.L. 78-410, 332(a).[111]P.L. 103-432, 123(b)(2)(A)(ii); 108 Stat. 4411.[112]See Vol.II, P.L. 115271, 6072, with respect to MEDPAC reportto Congress on payments, adverse incentives and data regarding painmanagement treatment, including opioid prescriptions.[113]P.L. 114-74,603(a)(1)(C) Inserted clause (v). Effective November 2, 2016.[114]P.L. 115141,Div. S, Title XIII, 1301(a)(1)(A), struck The paymentand inserted Subject to subparagraph (G), the payment.Effective March 23, 2018.[115]P.L. 115141, Div. S, Title XIII, 1301(a)(1)(B),inserted subject to subparagraph (H), before inthe case. Effective March 23, 2018.[116]P.L. 115141, Div. S, TitleXIII, 1301(a)(2), added This clause shall not apply for2018. at the end of clause (i).P.L. 11694,Div. N, 107(a), struck 2018 and inserted 2018or 2020. Effective December 20, 2019.
[117]P.L. 115141,Div. S, Title XIII, 1301(a)(1)(C), added subparagraph (G). EffectiveMarch 23, 2018.[118]P.L. 115141,Div. S, Title XIII, 1301(a)(1)(C), added subparagraph (H). EffectiveMarch 23, 2018.[119]P.L. 115141,Div. S, Title XIII, 1301(a)(1)(C), added subparagraph (I). EffectiveMarch 23, 2018.[120]P.L. 11694,Div. N, 107(a)(2), added subparagraph (J). Effective December20, 2019. P.L. 11694, Div. N. 107(b), authorized implementationby program instruction or otherwise.[121]P.L. 112-78, 308(1)(A),struck out January 1, 2012 and inserted March1, 2012*, effective December 23, 2011.*P.L. 112-96, 3002(a)(1)(A), struck out March 1, 2012and inserted January 1, 2013, effective February 22,2012.[122]P.L. 112-78, 308(1)(B), struck out or 2011and inserted 2011, or the first two months of 2012*,effective December 23, 2011.*P.L. 112-96, 3002(a)(1)(B),struck out or the first two months of 2012 and insertedor 2012, effective February 22, 2012.[123]P.L. 112-78, 308(2)(A), struck out 2009, andbefore January 1, 2012, for which and inserted 2009,and before March 1, 2012*, for which, effective December 23,2011.P.L. 112-96, 3002(a)(2), struck outMarch 1, 2012 and inserted January 1, 2013,effective February 22, 2012.
[124]P.L. 112-78, 308(2)(B), struckout 2010, and before January 1, 2012, the precedingand inserted 2010, and before March 1, 2012*, the preceding,effective December 23, 2011.P.L. 112-96, 3002(a)(2),struck out March 1, 2012 and inserted January1, 2013, effective February 22, 2012.[125]P.L. 105-33, 4521; 110 Stat. 444.[126]P.L.112-240, 634, added this new subparagraph (D), effective January2, 2013.[127]P.L. 113-93, 218(b)(2), added subparagraph (E). EffectiveApril 1, 2014..[128]P.L.114-255,16002(b)(1), inserted , subject to subparagraph (C),after shall in subparagraph (B), and added new subparagraph(C). 16002(c) applied these changes retroactively as if enactedas part of P.L. 11174, effective November 2, 2015.[129]P.L. 113-93, 218(a)(20(A), added paragraph (20). EffectiveApril 1, 2014.
[129]P.L. 113-93, 218(a)(20(A), added paragraph (20). EffectiveApril 1, 2014.[130]P.L. 114-74, 603(a)(2) Inserted subparagraph (C).Effective November 2, 2016.[131]P.L.114-255, 16001(a)(1)(A),struck clause (ii) in clause(i), and inserted thesubsequent provisions of this subparagraph; and added new clauses(iii) through (viiI). 16001(b) applied these changes retroactivelyas if enacted as part of P.L. 11174, effective November 2,2015.[132]P.L. 114255, 16002(a)(1)inserted new clause (vi).  16002(c) applied these changes retroactivelyas if enacted as part of P.L. 11174, effective November 2,2015[133]P.L.114-255, 16002(a)(2),inserted Not later than 2 years after the date the Secretaryreceives an attestation under clause (vi) relating to compliance ofa department of a provider with requirements referred to in such clause,the Secretary shall audit the compliance with such requirements withrespect to the department. after the first sentence.  16002(c)applied these changes retroactively as if enacted as part of P.L.11174, effective November 2, 2015.[134]P.L.114-255, 16002(a)(3),added at the end of subclause (III), For purposes of carryingout this subparagraph with respect to clause (vi) (and clause (vii)insofar as it relates to such clause), $2,000,000 shall be availablefrom the Federal Supplementary Medical Insurance Trust Fund undersection 1841, to remain available until expended..  16002(c)applied these changes retroactively as if enacted as part of P.L.11174, effective November 2, 2015.[135]P.L.114-255,16001(a)(2); inserted clause (iv). Effective December 10, 2016.
[136]P.L. 115271,6082, inserted this paragraph. Effective October 24, 2018.[137]P.L. 114-10, 101(e)(3)(A)Appended sentence referencing subsection (z). Effective April 16,2015.[138]See Vol. II, P.L. 78410,332(a)(1)(A).[139]P.L. 114-10, 101(e)(3)(B) Appended sentence referencingsubsection (z). Effective April 16, 2015.[140]P.L. 114-10, 101(e)(2) Appended subsection (z). EffectiveApril 16, 2015.P.L. 114-10, 514(a); directedadding new subsection (z) to Section 1833 (follows). Effective April16, 2015
[141]P.L. 114-10, 101(e)(2) Appended subsection (z). EffectiveApril 16, 2015.[142]P.L. 114-10, 514(a); directed adding new subsection, also designatedas (z), to Section 1833. Effective April 16, 2015P.L. 115271, 6083(b) redesignated this subsection (z)as subsection (aa). Effective October 24, 2018.[143]P.L. 115271,6083(b)(2), added new subsection (bb). Effective October 24,2018.[144]21U.S.C. 823(g).END CONTENTPAGE FOOTERFooter menuSSA INTERNET BODY SCRIPTS
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Medicare Claims Processing Manual  Chapter 23 - Fee Schedule Administration and Coding Requirements    Table of Contents  (Rev. 12326; Issued:10- 26-23)  Transmittals for Chapter 23     10 - Reporting ICD Diagnosis and Procedure Codes  10.1 -  General Rules for Diagnosis Codes  10.2 -  Inpatient Claim Diagnosis Reporting  10.3 -  Outpatient Claim Diagnosis Reporting  10.4 -  ICD Procedure Code 10.5 -  Coding for Outpatient Services and Physician Offices  10.6 -  Relationship of Diagnosis Codes and Date of Service  20 - Description of Healthcare Common Procedure Coding System (HCPCS)  20.1 -  Use and Maintenance of CPT -4 in HCPCS  20.2 -  RESERVED  20.3 -  Use and Acceptance of HCPCS Codes and Modifiers  20.4 -  Deleted HCPCS Codes/Modifiers  20.5 -  The HCPCS Codes Training 20.6 -  Professional/Public Relations for HCPCS  20.7 -  Use of the American Medical Associations (AMAs) Physicians Current Procedural Terminology (CPT) Fourth Edition Codes, and Use of the Americian Dental Associationss (ADA) Current Dental Terminology- Fourth Edition (CDT) Codes on A/B MACs (A)s, (B)s, (HHH)s, and DME MACs Web Sites and Other Electronic Media
(Medicare Claims Processing Manual)
20.8 -  Payment, Utilization Review (UR), and Coverage Information on CMS Quarterly  HCPCS Codes Update File  20.9 -  National  Correct Coding Initiative ( NCCI)  20.9.1 -  Correct Coding Modifier Indicators (CCMI) and HCPCS Codes Modifiers  20.9.1.1 -  Instructions for Codes With Modifiers ( A/B MACs (B)  Only)  20.9.2 -  Limiting Charge and CCI Edits  20.9.3  Appeals                                                                                                                            20.9.3.1 Procedure -to-Procedure  (PTP) Edits                                                                            20.9.3.2 Medically Unlikely (MUEs) Edits                                                     20.9.4 -  Savings Report                                                                          20.9.4.1 -  Savings Record Format  20.9.5  Adjustments                                                                                   20.9.6 -  Correct Coding Edit (CCE) File Record Format  20.9.7  National Correct Coding Initiative (NCCI) Edits Quarterly Updates  30 - Services Paid Under the Medicare Physicians Fee Schedule  30.1 -  Maintenance Process for the Medicare Physician Fee Schedule Database (MPFSDB)  30.2 -  MPFSDB Record Layout  30.2.1 -  Payment Concerns While Updating Codes  30.2.2 -  MPFSDB Status Indicators  30.3 -  Furnishing Pricing Files  30.3.1 -  RESERVED  30.3.2 -  A/B MAC (A), (B), or (HHH) Furnishing Physician Fee Schedule Data for National Codes  30.3.3 -  Furnishing Other Fee Schedule, Prevailing Charge, and Conversion Factor Data  30.3.4 -  Responsibility to Obtain and Implement Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedules  30.3.5 -  File Specifications  30.5 -  Payment Amounts for Portable X -Ray Transportation Services  40 - Clinical Diagnostic Laboratory Fee Schedule  40.1 -  Access to Clinical Diagnostic Lab Fee Schedule Files  40.2 -  A/B MAC (B)  Record Layout for Clinical Laboratory Fee Schedule  40.3 -  Institutional Claim Record Layout for Clinical Laboratory Fee Schedule  40.4 -  Gap -Filled Fees Submitted to CMS by A/B MACs (B)  40.4.1 -  A/B MACs (B)  Forward HCPCS Gap Fill Amounts to A/B MACs (A)  and (HHH)  50 - Fee Schedules Used by Medicare
(Medicare Claims Processing Manual)
A/B MACs (B)  40.4.1 -  A/B MACs (B)  Forward HCPCS Gap Fill Amounts to A/B MACs (A)  and (HHH)  50 - Fee Schedules Used by Medicare A/B MACs (A) and (HHH) Processing Institutional Claims  50.1 -  Institutional Claim Record Layout for Hospice, Radiology and Other Diagnostic Prices and Local HCPCS Codes  50.2 -  Institutional Claim Record Layout for the Durable Medical Equipment, Prosthetic, Orthotic and Supply Fee Schedule  50.3 -  Institutional Claim Record Layout for the Outpatient Rehabilitation and CORF Services Fee Schedule 50.4 -  Institutional Claim Record Layout for the Skilled Nursing Facility Fee Schedule  50.5 -  RESERVED  50.6 -  Physician Fee  Schedule Payment Policy Indicator File Record Layout  50.7 -  Institutional Claim Record Layout for the Mammography Fee Schedule  50.8 -  Institutional Claim Record Layout for the Ambulance Fee Schedule  60 - Durable Medical Equipment Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule  60.1 -  Record Layout for DMEPOS Fee Schedule  60.2 -  Quarterly Update Schedule for DMEPOS Fee Schedule  60.3 -  Gap -filling DMEPOS Fees  60.3.1 -  Payment Concerns While Updating Codes  60.4 -  Process for Submitting Revisions to DMEPOS Fee Schedule to CMS  60.5  Rural ZIP Code Claim Record Layout for Medicare Contractors Processing Rural DMEPOS Fee Schedule Claims  70 - Parenteral and Enteral Nutrition (PEN) Fee Schedule  70.1-  Record Layout for PEN Fee Schedule  80 - Reasonable Charges as Basis for A/B MAC (B)/DME MAC  Payments  80.1 -  Criteria for Determining Reasonable Charge 80.2 -  Updating Customary and Prevailing Charges  80.3 -  The Customary Charge  80.3.1 -  Calculating Customary Charge  80.3.1.1 -  Equity Adjustments in Customary Charge Screens  80.3.2 -  Customary Charge Profile  80.4 -  Prevailing Charge  80.4.1 -  Rounding of Reasonable Charge Calculation 80.5 -  Filling Gaps in A/B MAC (B)  Reasonable Charge Screens  80.5.1 -  Use of Relative Value Scale and Conversion Factors for Reasonable Charge Gap -Filling  80.6 -  Inflation Indexed Charge (IIC) for Nonphysician Services  80.7 -  Determination of Comparable Circumstances  80.8 -  Applying Criteria for Reasonable Charge Determinations