Title 42

PART 414 SUBPART A

Subpart A - General Provisions

• 42 U.S.C. 1302, 1395hh, and 1395rr(b)(l).
• 55 FR 23441, June 8, 1990, unless otherwise noted.

42:3.0.1.1.1.1.3.1	SECTION 414.1	414.1 Basis and scope.
42:3.0.1.1.1.1.3.2	SECTION 414.2	414.2 Definitions.
42:3.0.1.1.1.1.3.3	SECTION 414.4	414.4 Fee schedule areas.
42:3.0.1.1.1.1.3.4	SECTION 414.5	414.5 Hospital services paid under Medicare Part B when a Part A hospital inpatient claim is denied because the inpatient admission was not reasonable and necessary, but hospital outpatient services would have been reasonable and necessary in treating the beneficiary.

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