42 CFR 413.65 - Requirements for a determination that a facility or an organization has provider-based status

Cite as42 CFR 413.65
    • This document is available in original version only for vLex customers

      View this document and try vLex for 7 days
    • TRY VLEX
122 practice notes
16 cases
  • 964 F.3d 1230 (D.C. Cir. 2020), 19-5352, American Hospital Association v. Azar
    • United States
    • Federal Cases United States Courts of Appeals United States Courts of Appeals. United States Court of Appeals (District of Columbia)
    • July 17, 2020
    ...away from the physical site of the hospital. Off-campus PBDs are considered part of the hospital for regulatory purposes. See 42 C.F.R. § 413.65. For that reason, services provided at off-campus PBDs are reimbursed through the OPPS system. HHS thus has generally pai......
  • United Healthcare Services, Inc. v. First Street Hospital LP, 112918 TXCA1, 01-17-00237-CV
    • United States
    • Texas Court of Appeals of Texas
    • November 29, 2018
    ...stated that, before 2012, "each location was organized in order to comply with the provider based entity requirements of 42 C.F.R. § 413.65, by being organizationally, clinically and financially integrated with the Hospital." But much like had allegedly occurre......
  • 58 N.E.3d 1207 (Ohio App. 6 Dist. 2016), L-15-1186, Capital Care Network of Toledo v. State Dep't of Health
    • United States
    • United States Court of Appeals (Ohio)
    • July 29, 2016
    ...and a hospital does not apply if either of the following is the case: (1) The facility is a provider-based entity, as defined in 42 C.F.R. 413.65(a)(2), of a hospital and the facility's policies and procedures to address situations when care beyond the care that can be provided at the ambul......
  • 263 F.Supp.2d 297 (D. Puerto Rico 2003), Civ. 02-1810, Rodriguez v. American Intern. Ins. Co. of Puerto Rico
    • United States
    • United States District Courts. 1st Circuit. District of Puerto Rico
    • May 12, 2003
    ...health care providers such as hospitals located in rural areas and off campus hospital outpatient departments. See 42 U.S.C. § 1395cc; 42 C.F.R. § 413.65. III. In Puerto Rico, unique health facilities known as CDTs exist. Under Puerto Rico Law, a CDT is defined as: an independent facility o......
  • Request a trial to view additional results
59 firm's commentaries
  • New Waivers And Rules To Allow Hospitals To Respond To The COVID-19 Crisis
    • United States
    • Mondaq United States
    • April 15, 2020
    ...sites, provided that the location is approved by the State. Temporary Expansion Sites. CMS is waiving the provider-based rules per 42 CFR §413.65 to allow hospitals to establish and operate as part of the hospital at any location meeting the conditions of participation for hospitals in oper......
  • New Waivers and Rules to Allow Hospitals to Respond to the COVID-19 Crisis
    • United States
    • JD Supra United States
    • April 3, 2020
    ...sites, provided that the location is approved by the State. Temporary Expansion Sites. CMS is waiving the provider-based rules per 42 CFR §413.65 to allow hospitals to establish and operate as part of the hospital at any location meeting the conditions of participation for hospitals in oper......
  • Stark Case Text – Apologies for the Missing Link
    • United States
    • LexBlog United States
    • February 4, 2009
    ...is based on a Medicare regulation setting forth requirements “for a determination that a facility . . . has provider-based status.” 42 C.F.R. § 413.65. HMA’s argument is that the Act is inapplicable to referrals by BMAA to the Hospital for diagnostic tests and other services because “patien......
  • EMTALA: Guide for Exams, Treatment and Transfers
    • United States
    • JD Supra United States
    • November 29, 2018
    ...definition of Dedicated emergency department. 15 68 Fed. Reg. 53228-33 (9/9/03). 16 Interpretive Guidelines for 489.24(a)(1). 17 42 CFR 413.65(b) and 489.24(b), definition of Hospital property. 18 Interpretive Guidelines at Tag A-2406; 68 Fed. Reg. 53249-50 (9/9/03). 19 42 CFR 489.24(b), de......
  • Request a trial to view additional results
49 provisions

VLEX uses login cookies to provide you with a better browsing experience. If you click on 'Accept' or continue browsing this site we consider that you accept our cookie policy. ACCEPT