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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 419--PROSPECTIVE PAYMENT SYSTEM FOR HOSPITAL OUTPATIENT DEPARTMENT SERVICES
Subpart A--GENERAL PROVISIONS
Subpart B--CATEGORIES OF HOSPITALS AND SERVICES SUBJECT TO AND EXCLUDED FROM THE HOSPITAL OUTPATIENT PROSPECTIVE PAYMENT SYSTEM
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| Hospitals subject to the hospital outpatient prospective payment system. |
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| Hospital outpatient services subject to the outpatient prospective payment system. |
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| Hospital outpatient services excluded from payment under the hospital outpatient prospective payment system. |
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Subpart C--BASIC METHODOLOGY FOR DETERMINING PROSPECTIVE PAYMENT RATES FOR HOSPITAL OUTPATIENT SERVICES
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| Base expenditure target for calendar year 1999. |
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| Ambulatory payment classification (APC) system and payment weights. |
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| Calculation of prospective payment rates for hospital outpatient services. |
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Subpart D--PAYMENTS TO HOSPITALS
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| Calculation of national beneficiary copayment amounts and national Medicare program payment amounts. |
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| Hospital election to reduce coinsurance. |
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| Adjustments to national program payment and beneficiary copayment amounts. |
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| Payment reductions for procedures. |
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| Payment and copayment reduction for devices replaced without cost or when full or partial credit is received. |
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Subpart E--UPDATES
Subpart F--LIMITATIONS ON REVIEW
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| Limitations on administrative and judicial review. |
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Subpart G--TRANSITIONAL PASS-THROUGH PAYMENTS
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| Transitional pass-through payments: General rules. |
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| Transitional pass-through payments: Drugs and biologicals. |
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| Transitional pass-through payments: Medical devices. |
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Subpart H--TRANSITIONAL CORRIDORS
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| Transitional adjustments to limit decline in payments. |
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