Source: https://www.law.cornell.edu/cfr/text/42/412.509
Timestamp: 2016-07-26 10:40:46
Document Index: 227012902

Matched Legal Cases: ['art 412', '§ 412', '§ 412', '§ 409', '§ 415', '§ 410', '§ 409', '§ 412', '§ 412', '§ 409', '§ 415', '§ 410', '§ 409', '§ 1302', '§ 1395', '§ 1395']

42 CFR 412.509 - Furnishing of inpatient hospital services directly or under arrangement. | US Law | LII / Legal Information Institute
CFR › Title 42 › Chapter IV › Subchapter B › Part 412 › Subpart O › Section 412.509 42 CFR 412.509 - Furnishing of inpatient hospital services directly or under arrangement.
§ 412.509
Subject to the provisions of § 412.521(b), the applicable payments made under this subpart are payment in full for all inpatient hospital services, as defined in § 409.10 of this chapter. Inpatient hospital services do not include the following:
Physicians' services that meet the requirements of § 415.102(a) of this subchapter for payment on a fee schedule basis.
Physician assistant services, as defined in section 1861(s)(2)(K)(i) of the Act.
Nurse practitioners and clinical nurse specialist services, as defined in section 1861(s)(2)(K)(ii) of the Act.
Certified nurse midwife services, as defined in section 1861(gg) of the Act.
Qualified psychologist services, as defined in section 1861(ii) of the Act.
Services of an anesthetist, as defined in § 410.69 of this subchapter.
Medicare does not pay any provider or supplier other than the long-term care hospital for services furnished to a Medicare beneficiary who is an inpatient of the hospital except for services described in paragraphs (a)(1) through (a)(6) of this section.
The long-term care hospital must furnish all necessary covered services to the Medicare beneficiary who is an inpatient of the hospital either directly or under arrangements (as defined in § 409.3 of this subchapter).
§ 412.509 Furnishing of inpatient
hospital services directly or under arrangement.
(a) Subject to the provisions of § 412.521(b), the applicable payments made under this subpart are payment in full for all inpatient
hospital services, as defined in § 409.10 of this chapter. Inpatient
hospital services do not include the following: (1) Physicians' services that meet the requirements of § 415.102(a) of this subchapter for payment on a fee schedule basis. (2) Physician assistant services, as defined in section 1861(s)(2)(K)(i) of the Act. (3) Nurse practitioners and clinical nurse specialist services, as defined in section 1861(s)(2)(K)(ii) of the Act. (4) Certified nurse midwife services, as defined in section 1861(gg) of the Act. (5) Qualified psychologist services, as defined in section 1861(ii) of the Act. (6) Services of an anesthetist, as defined in § 410.69 of this subchapter. (b)
Medicare does not pay any provider or supplier other than the long-term care hospital for services furnished to a Medicare
beneficiary who is an inpatient of the hospital except for services described in paragraphs (a)(1) through (a)(6) of this section. (c) The long-term care hospital must furnish all necessary covered services to the Medicare
beneficiary who is an inpatient of the hospital either directly or under arrangements (as defined in § 409.3 of this subchapter). This is a list of United States Code sections, Statutes at Large, Public Laws, and Presidential Documents, which provide rulemaking authority for this CFR Part.This list is taken from the Parallel Table of Authorities and Rules provided by GPO [Government Printing Office].It is not guaranteed to be accurate or up-to-date, though we do refresh the database weekly. More limitations on accuracy are described at the GPO site.United States CodeU.S. Code: Title 42 - THE PUBLIC HEALTH AND WELFARE§ 1302 - Rules and regulations; impact analyses of Medicare and Medicaid rules and regulations on small rural hospitals§ 1395y - Exclusions from coverage and medicare as secondary payer§ 1395hh - Regulations