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Home Page > Executive Branch > Code of Federal Regulations > Electronic Code of Federal Regulations
e-CFR Data is current as of February 4, 2010
TITLE 42--Public Health
CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
SUBCHAPTER B--MEDICARE PROGRAM
PART 416--AMBULATORY SURGICAL SERVICES
Subpart A--GENERAL PROVISIONS AND DEFINITIONS
Subpart B--GENERAL CONDITIONS AND REQUIREMENTS
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| Qualifying for an agreement. |
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| Terms of agreement with CMS. |
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| Termination of agreement. |
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Subpart C--SPECIFIC CONDITIONS FOR COVERAGE
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| Condition for coverage--Compliance with State licensure law. |
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| Condition for coverage--Governing body and management. |
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| Condition for coverage--Surgical services. |
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| Conditions for coverage--Quality assessment and performance improvement. |
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| Condition for coverage--Environment. |
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| Condition for coverage--Medical staff. |
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| Condition for coverage--Nursing services. |
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| Condition for coverage--Medical records. |
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| Condition for coverage--Pharmaceutical services. |
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| Condition for coverage--Laboratory and radiologic services. |
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| Condition for coverage--Patient rights. |
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| Conditions for coverage--Infection control. |
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| Conditions for coverage--Patient admission, assessment and discharge. |
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Subpart D--SCOPE OF BENEFITS FOR SERVICES FURNISHED BEFORE JANUARY 1, 2008
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| Scope of facility services. |
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| Covered surgical procedures. |
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| Performance of listed surgical procedures on an inpatient hospital basis. |
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Subpart E--PROSPECTIVE PAYMENT SYSTEM FOR FACILITY SERVICES FURNISHED BEFORE JANUARY 1, 2008
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| ASC facility services payment rate. |
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| Publication of revised payment methodologies. |
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Subpart F--COVERAGE, SCOPE OF ASC SERVICES, AND PROSPECTIVE PAYMENT SYSTEM FOR ASC SERVICES FURNISHED ON OR AFTER JANUARY 1, 2008
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| Applicability of this subpart. |
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| Covered surgical procedures. |
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| Determination of payment rates for ASC services. |
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| Adjustments to national payment rates. |
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| Publication of revised payment methodologies and payment rates. |
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| Limitations on administrative and judicial review. |
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| Payment and coinsurance reduction for devices replaced without cost or when full or partial credit is received. |
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Subpart G--ADJUSTMENT IN PAYMENT AMOUNTS FOR NEW TECHNOLOGY INTRAOCULAR LENSES FURNISHED BY AMBULATORY SERVICE CENTERS
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| Process for establishing a new class of new technology IOLs. |
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| Request for review of payment amount. |
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| Determination of membership in new classes of new technology IOLs. |
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