Table of Contents

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


42 CFR 416.1 - Basis and scope.

42 CFR 416.2 - Definitions.

Subpart B: General Conditions and Requirements


42 CFR 416.25 - Basic requirements.

42 CFR 416.26 - Qualifying for an agreement.

42 CFR 416.30 - Terms of agreement with CMS.

42 CFR 416.35 - Termination of agreement.

Subpart C: Specific Conditions for Coverage


42 CFR 416.47 - Condition for coverage—Medical records.

42 CFR 416.40 - Condition for coverage—Compliance with State licensure law.

42 CFR 416.44 - Condition for coverage—Environment.

42 CFR 416.48 - Condition for coverage—Pharmaceutical services.

42 CFR 416.41 - Condition for coverage—Governing body and management.

42 CFR 416.45 - Condition for coverage—Medical staff.

42 CFR 416.49 - Condition for coverage—Laboratory and radiologic services.

42 CFR 416.42 - Condition for coverage—Surgical services.

42 CFR 416.46 - Condition for coverage—Nursing services.

42 CFR 416.43 - Conditions for coverage—Quality assessment and performance improvement.

Subpart D: Scope of Benefits for Services Furnished Before January 1, 2008


42 CFR 416.61 - Scope of facility services.

42 CFR 416.65 - Covered surgical procedures.

42 CFR 416.75 - Performance of listed surgical procedures on an inpatient hospital basis.

42 CFR 416.60 - General rules.

Subpart E: Prospective Payment System for Facility Services Furnished Before January 1, 2008


42 CFR 416.130 - Publication of revised payment methodologies.

42 CFR 416.120 - Basis for payment.

42 CFR 416.140 - Surveys.

42 CFR 416.125 - ASC facility services payment rate.

42 CFR 416.150 - Beneficiary appeals.

Subpart G: Adjustment in Payment Amounts for New Technology Intraocular Lenses Furnished by Ambulatory Service Centers


42 CFR 416.185 - Process for establishing a new class of new technology IOLs.

42 CFR 416.190 - Request for review of payment amount.

42 CFR 416.195 - Determination of membership in new classes of new technology IOLs.

42 CFR 416.180 - Basis and scope.

42 CFR 416.200 - Payment adjustment.

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