42:2.0.1.2.13.1 | SUBPART A
| Subpart A - Introduction and General Rules | |
42:2.0.1.2.13.1.59.1 | SECTION 413.1
| 413.1 Introduction. | |
42:2.0.1.2.13.1.59.2 | SECTION 413.5
| 413.5 Cost reimbursement: General. | |
42:2.0.1.2.13.1.59.3 | SECTION 413.9
| 413.9 Cost related to patient care. | |
42:2.0.1.2.13.1.59.4 | SECTION 413.13
| 413.13 Amount of payment if customary charges for services furnished are less than reasonable costs. | |
42:2.0.1.2.13.1.59.5 | SECTION 413.17
| 413.17 Cost to related organizations. | |
42:2.0.1.2.13.1.61.1 | SECTION 413.1
| 413.1 Introduction. | |
42:2.0.1.2.13.1.61.2 | SECTION 413.5
| 413.5 Cost reimbursement: General. | |
42:2.0.1.2.13.1.61.3 | SECTION 413.9
| 413.9 Cost related to patient care. | |
42:2.0.1.2.13.1.61.4 | SECTION 413.13
| 413.13 Amount of payment if customary charges for services furnished are less than reasonable costs. | |
42:2.0.1.2.13.1.61.5 | SECTION 413.17
| 413.17 Cost to related organizations. | |
42:2.0.1.2.13.2 | SUBPART B
| Subpart B - Accounting Records and Reports | |
42:2.0.1.2.13.2.59.1 | SECTION 413.20
| 413.20 Financial data and reports. | |
42:2.0.1.2.13.2.59.2 | SECTION 413.24
| 413.24 Adequate cost data and cost finding. | |
42:2.0.1.2.13.2.61.1 | SECTION 413.20
| 413.20 Financial data and reports. | |
42:2.0.1.2.13.2.61.2 | SECTION 413.24
| 413.24 Adequate cost data and cost finding. | |
42:2.0.1.2.13.3 | SUBPART C
| Subpart C - Limits on Cost Reimbursement | |
42:2.0.1.2.13.3.59.1 | SECTION 413.30
| 413.30 Limitations on payable costs. | |
42:2.0.1.2.13.3.59.2 | SECTION 413.35
| 413.35 Limitations on coverage of costs: Charges to beneficiaries if cost limits are applied to services. | |
42:2.0.1.2.13.3.59.3 | SECTION 413.40
| 413.40 Ceiling on the rate of increase in hospital inpatient costs. | |
42:2.0.1.2.13.3.61.1 | SECTION 413.30
| 413.30 Limitations on payable costs. | |
42:2.0.1.2.13.3.61.2 | SECTION 413.35
| 413.35 Limitations on coverage of costs: Charges to beneficiaries if cost limits are applied to services. | |
42:2.0.1.2.13.3.61.3 | SECTION 413.40
| 413.40 Ceiling on the rate of increase in hospital inpatient costs. | |
42:2.0.1.2.13.4 | SUBPART D
| Subpart D - Apportionment | |
42:2.0.1.2.13.4.59.1 | SECTION 413.50
| 413.50 Apportionment of allowable costs. | |
42:2.0.1.2.13.4.59.2 | SECTION 413.53
| 413.53 Determination of cost of services to beneficiaries. | |
42:2.0.1.2.13.4.59.3 | SECTION 413.56
| 413.56 [Reserved] | |
42:2.0.1.2.13.4.61.1 | SECTION 413.50
| 413.50 Apportionment of allowable costs. | |
42:2.0.1.2.13.4.61.2 | SECTION 413.53
| 413.53 Determination of cost of services to beneficiaries. | |
42:2.0.1.2.13.4.61.3 | SECTION 413.56
| 413.56 [Reserved] | |
42:2.0.1.2.13.5 | SUBPART E
| Subpart E - Payments to Providers | |
42:2.0.1.2.13.5.59.1 | SECTION 413.60
| 413.60 Payments to providers: General. | |
42:2.0.1.2.13.5.59.2 | SECTION 413.64
| 413.64 Payments to providers: Specific rules. | |
42:2.0.1.2.13.5.59.3 | SECTION 413.65
| 413.65 Requirements for a determination that a facility or an organization has provider-based status. | |
42:2.0.1.2.13.5.59.4 | SECTION 413.70
| 413.70 Payment for services of a CAH. | |
42:2.0.1.2.13.5.59.5 | SECTION 413.74
| 413.74 Payment to a foreign hospital. | |
42:2.0.1.2.13.5.61.1 | SECTION 413.60
| 413.60 Payments to providers: General. | |
42:2.0.1.2.13.5.61.2 | SECTION 413.64
| 413.64 Payments to providers: Specific rules. | |
42:2.0.1.2.13.5.61.3 | SECTION 413.65
| 413.65 Requirements for a determination that a facility or an organization has provider-based status. | |
42:2.0.1.2.13.5.61.4 | SECTION 413.70
| 413.70 Payment for services of a CAH. | |
42:2.0.1.2.13.5.61.5 | SECTION 413.74
| 413.74 Payment to a foreign hospital. | |
42:2.0.1.2.13.6 | SUBPART F
| Subpart F - Specific Categories of Costs | |
42:2.0.1.2.13.6.59.1 | SECTION 413.75
| 413.75 Direct GME payments: General requirements. | |
42:2.0.1.2.13.6.59.2 | SECTION 413.76
| 413.76 Direct GME payments: Calculation of payments for GME costs. | |
42:2.0.1.2.13.6.59.3 | SECTION 413.77
| 413.77 Direct GME payments: Determination of per resident amounts. | |
42:2.0.1.2.13.6.59.4 | SECTION 413.78
| 413.78 Direct GME payments: Determination of the total number of FTE residents. | |
42:2.0.1.2.13.6.59.5 | SECTION 413.79
| 413.79 Direct GME payments: Determination of the weighted number of FTE residents. | |
42:2.0.1.2.13.6.59.6 | SECTION 413.80
| 413.80 Direct GME payments: Determination of weighting factors for foreign medical graduates. | |
42:2.0.1.2.13.6.59.7 | SECTION 413.81
| 413.81 Direct GME payments: Application of community support and redistribution of costs in determining FTE resident counts. | |
42:2.0.1.2.13.6.59.8 | SECTION 413.82
| 413.82 Direct GME payments: Special rules for States that formerly had a waiver from Medicare reimbursement principles. | |
42:2.0.1.2.13.6.59.9 | SECTION 413.83
| 413.83 Direct GME payments: Adjustment of a hospital's target amount or prospective payment hospital-specific rate. | |
42:2.0.1.2.13.6.59.10 | SECTION 413.85
| 413.85 Cost of approved nursing and allied health education activities. | |
42:2.0.1.2.13.6.59.11 | SECTION 413.87
| 413.87 Payments for Medicare + Choice nursing and allied health education programs. | |
42:2.0.1.2.13.6.59.12 | SECTION 413.88
| 413.88 Incentive payments under plans for voluntary reduction in number of medical residents. | |
42:2.0.1.2.13.6.59.13 | SECTION 413.89
| 413.89 Bad debts, charity, and courtesy allowances. | |
42:2.0.1.2.13.6.59.14 | SECTION 413.90
| 413.90 Research costs. | |
42:2.0.1.2.13.6.59.15 | SECTION 413.92
| 413.92 Costs of surety bonds. | |
42:2.0.1.2.13.6.59.16 | SECTION 413.94
| 413.94 Value of services of nonpaid workers. | |
42:2.0.1.2.13.6.59.17 | SECTION 413.98
| 413.98 Purchase discounts and allowances, and refunds of expenses. | |
42:2.0.1.2.13.6.59.18 | SECTION 413.100
| 413.100 Special treatment of certain accrued costs. | |
42:2.0.1.2.13.6.59.19 | SECTION 413.102
| 413.102 Compensation of owners. | |
42:2.0.1.2.13.6.59.20 | SECTION 413.106
| 413.106 Reasonable cost of physical and other therapy services furnished under arrangements. | |
42:2.0.1.2.13.6.59.21 | SECTION 413.114
| 413.114 Payment for posthospital SNF care furnished by a swing-bed hospital. | |
42:2.0.1.2.13.6.59.22 | SECTION 413.118
| 413.118 Payment for facility services related to covered ASC surgical procedures performed in hospitals on an outpatient basis. | |
42:2.0.1.2.13.6.59.23 | SECTION 413.122
| 413.122 Payment for hospital outpatient radiology services and other diagnostic procedures. | |
42:2.0.1.2.13.6.59.24 | SECTION 413.123
| 413.123 Payment for screening mammography performed by hospitals on an outpatient basis. | |
42:2.0.1.2.13.6.59.25 | SECTION 413.124
| 413.124 Reduction to hospital outpatient operating costs. | |
42:2.0.1.2.13.6.59.26 | SECTION 413.125
| 413.125 Payment for home health agency services. | |
42:2.0.1.2.13.6.61.1 | SECTION 413.75
| 413.75 Direct GME payments: General requirements. | |
42:2.0.1.2.13.6.61.2 | SECTION 413.76
| 413.76 Direct GME payments: Calculation of payments for GME costs. | |
42:2.0.1.2.13.6.61.3 | SECTION 413.77
| 413.77 Direct GME payments: Determination of per resident amounts. | |
42:2.0.1.2.13.6.61.4 | SECTION 413.78
| 413.78 Direct GME payments: Determination of the total number of FTE residents. | |
42:2.0.1.2.13.6.61.5 | SECTION 413.79
| 413.79 Direct GME payments: Determination of the weighted number of FTE residents. | |
42:2.0.1.2.13.6.61.6 | SECTION 413.80
| 413.80 Direct GME payments: Determination of weighting factors for foreign medical graduates. | |
42:2.0.1.2.13.6.61.7 | SECTION 413.81
| 413.81 Direct GME payments: Application of community support and redistribution of costs in determining FTE resident counts. | |
42:2.0.1.2.13.6.61.8 | SECTION 413.82
| 413.82 Direct GME payments: Special rules for States that formerly had a waiver from Medicare reimbursement principles. | |
42:2.0.1.2.13.6.61.9 | SECTION 413.83
| 413.83 Direct GME payments: Adjustment of a hospital's target amount or prospective payment hospital-specific rate. | |
42:2.0.1.2.13.6.61.10 | SECTION 413.85
| 413.85 Cost of approved nursing and allied health education activities. | |
42:2.0.1.2.13.6.61.11 | SECTION 413.87
| 413.87 Payments for Medicare + Choice nursing and allied health education programs. | |
42:2.0.1.2.13.6.61.12 | SECTION 413.88
| 413.88 Incentive payments under plans for voluntary reduction in number of medical residents. | |
42:2.0.1.2.13.6.61.13 | SECTION 413.89
| 413.89 Bad debts, charity, and courtesy allowances. | |
42:2.0.1.2.13.6.61.14 | SECTION 413.90
| 413.90 Research costs. | |
42:2.0.1.2.13.6.61.15 | SECTION 413.92
| 413.92 Costs of surety bonds. | |
42:2.0.1.2.13.6.61.16 | SECTION 413.94
| 413.94 Value of services of nonpaid workers. | |
42:2.0.1.2.13.6.61.17 | SECTION 413.98
| 413.98 Purchase discounts and allowances, and refunds of expenses. | |
42:2.0.1.2.13.6.61.18 | SECTION 413.100
| 413.100 Special treatment of certain accrued costs. | |
42:2.0.1.2.13.6.61.19 | SECTION 413.102
| 413.102 Compensation of owners. | |
42:2.0.1.2.13.6.61.20 | SECTION 413.106
| 413.106 Reasonable cost of physical and other therapy services furnished under arrangements. | |
42:2.0.1.2.13.6.61.21 | SECTION 413.114
| 413.114 Payment for posthospital SNF care furnished by a swing-bed hospital. | |
42:2.0.1.2.13.6.61.22 | SECTION 413.118
| 413.118 Payment for facility services related to covered ASC surgical procedures performed in hospitals on an outpatient basis. | |
42:2.0.1.2.13.6.61.23 | SECTION 413.122
| 413.122 Payment for hospital outpatient radiology services and other diagnostic procedures. | |
42:2.0.1.2.13.6.61.24 | SECTION 413.123
| 413.123 Payment for screening mammography performed by hospitals on an outpatient basis. | |
42:2.0.1.2.13.6.61.25 | SECTION 413.124
| 413.124 Reduction to hospital outpatient operating costs. | |
42:2.0.1.2.13.6.61.26 | SECTION 413.125
| 413.125 Payment for home health agency services. | |
42:2.0.1.2.13.7 | SUBPART G
| Subpart G - Capital-Related Costs | |
42:2.0.1.2.13.7.59.1 | SECTION 413.130
| 413.130 Introduction to capital-related costs. | |
42:2.0.1.2.13.7.59.2 | SECTION 413.134
| 413.134 Depreciation: Allowance for depreciation based on asset costs. | |
42:2.0.1.2.13.7.59.3 | SECTION 413.139
| 413.139 Depreciation: Optional allowance for depreciation based on a percentage of operating costs. | |
42:2.0.1.2.13.7.59.4 | SECTION 413.144
| 413.144 Depreciation: Allowance for depreciation on fully depreciated or partially depreciated assets. | |
42:2.0.1.2.13.7.59.5 | SECTION 413.149
| 413.149 Depreciation: Allowance for depreciation on assets financed with Federal or public funds. | |
42:2.0.1.2.13.7.59.6 | SECTION 413.153
| 413.153 Interest expense. | |
42:2.0.1.2.13.7.59.7 | SECTION 413.157
| 413.157 Return on equity capital of proprietary providers. | |
42:2.0.1.2.13.7.61.1 | SECTION 413.130
| 413.130 Introduction to capital-related costs. | |
42:2.0.1.2.13.7.61.2 | SECTION 413.134
| 413.134 Depreciation: Allowance for depreciation based on asset costs. | |
42:2.0.1.2.13.7.61.3 | SECTION 413.139
| 413.139 Depreciation: Optional allowance for depreciation based on a percentage of operating costs. | |
42:2.0.1.2.13.7.61.4 | SECTION 413.144
| 413.144 Depreciation: Allowance for depreciation on fully depreciated or partially depreciated assets. | |
42:2.0.1.2.13.7.61.5 | SECTION 413.149
| 413.149 Depreciation: Allowance for depreciation on assets financed with Federal or public funds. | |
42:2.0.1.2.13.7.61.6 | SECTION 413.153
| 413.153 Interest expense. | |
42:2.0.1.2.13.7.61.7 | SECTION 413.157
| 413.157 Return on equity capital of proprietary providers. | |
42:2.0.1.2.13.8 | SUBPART H
| Subpart H - Payment for End-Stage Renal Disease (ESRD) Services and Organ Procurement Costs | |
42:2.0.1.2.13.8.59.1 | SECTION 413.170
| 413.170 Scope. | |
42:2.0.1.2.13.8.59.2 | SECTION 413.171
| 413.171 Definitions. | |
42:2.0.1.2.13.8.59.3 | SECTION 413.172
| 413.172 Principles of prospective payment. | |
42:2.0.1.2.13.8.59.4 | SECTION 413.174
| 413.174 Prospective rates for hospital-based and independent ESRD facilities. | |
42:2.0.1.2.13.8.59.5 | SECTION 413.176
| 413.176 Amount of payments. | |
42:2.0.1.2.13.8.59.6 | SECTION 413.177
| 413.177 Quality incentive program payment. | |
42:2.0.1.2.13.8.59.7 | SECTION 413.178
| 413.178 ESRD quality incentive program. | |
42:2.0.1.2.13.8.59.8 | SECTION 413.180
| 413.180 Procedures for requesting exceptions to payment rates. | |
42:2.0.1.2.13.8.59.9 | SECTION 413.182
| 413.182 Criteria for approval of exception requests. | |
42:2.0.1.2.13.8.59.10 | SECTION 413.184
| 413.184 Payment exception: Pediatric patient mix. | |
42:2.0.1.2.13.8.59.11 | SECTION 413.186
| 413.186 Payment exception: Self-dialysis training costs in pediatric facilities. | |
42:2.0.1.2.13.8.59.12 | SECTION 413.194
| 413.194 Appeals. | |
42:2.0.1.2.13.8.59.13 | SECTION 413.195
| 413.195 Limitation on Review. | |
42:2.0.1.2.13.8.59.14 | SECTION 413.196
| 413.196 Notification of changes in rate-setting methodologies and payment rates. | |
42:2.0.1.2.13.8.59.15 | SECTION 413.198
| 413.198 Recordkeeping and cost reporting requirements for outpatient maintenance dialysis. | |
42:2.0.1.2.13.8.59.16 | SECTION 413.200
| 413.200 Payment of independent organ procurement organizations and histocompatibility laboratories. | |
42:2.0.1.2.13.8.59.17 | SECTION 413.202
| 413.202 Organ procurement organization (OPO) cost for kidneys sent to foreign countries or transplanted in patients other than Medicare beneficiaries. | |
42:2.0.1.2.13.8.59.18 | SECTION 413.203
| 413.203 Transplant center costs for organs sent to foreign countries or transplanted in patients other than Medicare beneficiaries. | |
42:2.0.1.2.13.8.59.19 | SECTION 413.210
| 413.210 Conditions for payment under the end-stage renal disease (ESRD) prospective payment system. | |
42:2.0.1.2.13.8.59.20 | SECTION 413.215
| 413.215 Basis of payment. | |
42:2.0.1.2.13.8.59.21 | SECTION 413.217
| 413.217 Items and services included in the ESRD prospective payment system. | |
42:2.0.1.2.13.8.59.22 | SECTION 413.220
| 413.220 Methodology for calculating the per-treatment base rate under the ESRD prospective payment system effective January 1, 2011. | |
42:2.0.1.2.13.8.59.23 | SECTION 413.230
| 413.230 Determining the per treatment payment amount. | |
42:2.0.1.2.13.8.59.24 | SECTION 413.231
| 413.231 Adjustment for wages. | |
42:2.0.1.2.13.8.59.25 | SECTION 413.232
| 413.232 Low-volume adjustment. | |
42:2.0.1.2.13.8.59.26 | SECTION 413.233
| 413.233 Rural facility adjustment. | |
42:2.0.1.2.13.8.59.27 | SECTION 413.234.
| 413.234. Drug designation process. | |
42:2.0.1.2.13.8.59.28 | SECTION 413.235
| 413.235 Patient-level adjustments. | |
42:2.0.1.2.13.8.59.29 | SECTION 413.236
| 413.236 Transitional add-on payment adjustment for new and innovative equipment and supplies. | |
42:2.0.1.2.13.8.59.30 | SECTION 413.237
| 413.237 Outliers. | |
42:2.0.1.2.13.8.59.31 | SECTION 413.239
| 413.239 Transition period. | |
42:2.0.1.2.13.8.59.32 | SECTION 413.241
| 413.241 Pharmacy arrangements. | |
42:2.0.1.2.13.8.61.1 | SECTION 413.170
| 413.170 Scope. | |
42:2.0.1.2.13.8.61.2 | SECTION 413.171
| 413.171 Definitions. | |
42:2.0.1.2.13.8.61.3 | SECTION 413.172
| 413.172 Principles of prospective payment. | |
42:2.0.1.2.13.8.61.4 | SECTION 413.174
| 413.174 Prospective rates for hospital-based and independent ESRD facilities. | |
42:2.0.1.2.13.8.61.5 | SECTION 413.176
| 413.176 Amount of payments. | |
42:2.0.1.2.13.8.61.6 | SECTION 413.177
| 413.177 Quality incentive program payment. | |
42:2.0.1.2.13.8.61.7 | SECTION 413.178
| 413.178 ESRD quality incentive program. | |
42:2.0.1.2.13.8.61.8 | SECTION 413.180
| 413.180 Procedures for requesting exceptions to payment rates. | |
42:2.0.1.2.13.8.61.9 | SECTION 413.182
| 413.182 Criteria for approval of exception requests. | |
42:2.0.1.2.13.8.61.10 | SECTION 413.184
| 413.184 Payment exception: Pediatric patient mix. | |
42:2.0.1.2.13.8.61.11 | SECTION 413.186
| 413.186 Payment exception: Self-dialysis training costs in pediatric facilities. | |
42:2.0.1.2.13.8.61.12 | SECTION 413.194
| 413.194 Appeals. | |
42:2.0.1.2.13.8.61.13 | SECTION 413.195
| 413.195 Limitation on Review. | |
42:2.0.1.2.13.8.61.14 | SECTION 413.196
| 413.196 Notification of changes in rate-setting methodologies and payment rates. | |
42:2.0.1.2.13.8.61.15 | SECTION 413.198
| 413.198 Recordkeeping and cost reporting requirements for outpatient maintenance dialysis. | |
42:2.0.1.2.13.8.61.16 | SECTION 413.200
| 413.200 Payment of independent organ procurement organizations and histocompatibility laboratories. | |
42:2.0.1.2.13.8.61.17 | SECTION 413.202
| 413.202 Organ procurement organization (OPO) cost for kidneys sent to foreign countries or transplanted in patients other than Medicare beneficiaries. | |
42:2.0.1.2.13.8.61.18 | SECTION 413.203
| 413.203 Transplant center costs for organs sent to foreign countries or transplanted in patients other than Medicare beneficiaries. | |
42:2.0.1.2.13.8.61.19 | SECTION 413.210
| 413.210 Conditions for payment under the end-stage renal disease (ESRD) prospective payment system. | |
42:2.0.1.2.13.8.61.20 | SECTION 413.215
| 413.215 Basis of payment. | |
42:2.0.1.2.13.8.61.21 | SECTION 413.217
| 413.217 Items and services included in the ESRD prospective payment system. | |
42:2.0.1.2.13.8.61.22 | SECTION 413.220
| 413.220 Methodology for calculating the per-treatment base rate under the ESRD prospective payment system effective January 1, 2011. | |
42:2.0.1.2.13.8.61.23 | SECTION 413.230
| 413.230 Determining the per treatment payment amount. | |
42:2.0.1.2.13.8.61.24 | SECTION 413.231
| 413.231 Adjustment for wages. | |
42:2.0.1.2.13.8.61.25 | SECTION 413.232
| 413.232 Low-volume adjustment. | |
42:2.0.1.2.13.8.61.26 | SECTION 413.233
| 413.233 Rural facility adjustment. | |
42:2.0.1.2.13.8.61.27 | SECTION 413.234.
| 413.234. Drug designation process. | |
42:2.0.1.2.13.8.61.28 | SECTION 413.235
| 413.235 Patient-level adjustments. | |
42:2.0.1.2.13.8.61.29 | SECTION 413.236
| 413.236 Transitional add-on payment adjustment for new and innovative equipment and supplies. | |
42:2.0.1.2.13.8.61.30 | SECTION 413.237
| 413.237 Outliers. | |
42:2.0.1.2.13.8.61.31 | SECTION 413.239
| 413.239 Transition period. | |
42:2.0.1.2.13.8.61.32 | SECTION 413.241
| 413.241 Pharmacy arrangements. | |
42:2.0.1.2.13.9 | SUBPART I
| Subpart I - Prospectively Determined Payment Rates for Low-Volume Skilled Nursing Facilities, for Cost Reporting Periods Beginning Prior to July 1, 1998 | |
42:2.0.1.2.13.9.59.1 | SECTION 413.300
| 413.300 Basis and scope. | |
42:2.0.1.2.13.9.59.2 | SECTION 413.302
| 413.302 Definitions. | |
42:2.0.1.2.13.9.59.3 | SECTION 413.304
| 413.304 Eligibility for prospectively determined payment rates. | |
42:2.0.1.2.13.9.59.4 | SECTION 413.308
| 413.308 Rules governing election of prospectively determined payment rates. | |
42:2.0.1.2.13.9.59.5 | SECTION 413.310
| 413.310 Basis of payment. | |
42:2.0.1.2.13.9.59.6 | SECTION 413.312
| 413.312 Methodology for calculating rates. | |
42:2.0.1.2.13.9.59.7 | SECTION 413.314
| 413.314 Determining payment amounts: Routine per diem rate. | |
42:2.0.1.2.13.9.59.8 | SECTION 413.316
| 413.316 Determining payment amounts: Ancillary services. | |
42:2.0.1.2.13.9.59.9 | SECTION 413.320
| 413.320 Publication of prospectively determined payment rates or amounts. | |
42:2.0.1.2.13.9.59.10 | SECTION 413.321
| 413.321 Simplified cost report for SNFs. | |
42:2.0.1.2.13.9.61.1 | SECTION 413.300
| 413.300 Basis and scope. | |
42:2.0.1.2.13.9.61.2 | SECTION 413.302
| 413.302 Definitions. | |
42:2.0.1.2.13.9.61.3 | SECTION 413.304
| 413.304 Eligibility for prospectively determined payment rates. | |
42:2.0.1.2.13.9.61.4 | SECTION 413.308
| 413.308 Rules governing election of prospectively determined payment rates. | |
42:2.0.1.2.13.9.61.5 | SECTION 413.310
| 413.310 Basis of payment. | |
42:2.0.1.2.13.9.61.6 | SECTION 413.312
| 413.312 Methodology for calculating rates. | |
42:2.0.1.2.13.9.61.7 | SECTION 413.314
| 413.314 Determining payment amounts: Routine per diem rate. | |
42:2.0.1.2.13.9.61.8 | SECTION 413.316
| 413.316 Determining payment amounts: Ancillary services. | |
42:2.0.1.2.13.9.61.9 | SECTION 413.320
| 413.320 Publication of prospectively determined payment rates or amounts. | |
42:2.0.1.2.13.9.61.10 | SECTION 413.321
| 413.321 Simplified cost report for SNFs. | |
42:2.0.1.2.13.10 | SUBPART J
| Subpart J - Prospective Payment for Skilled Nursing Facilities | |
42:2.0.1.2.13.10.59.1 | SECTION 413.330
| 413.330 Basis and scope. | |
42:2.0.1.2.13.10.59.2 | SECTION 413.333
| 413.333 Definitions. | |
42:2.0.1.2.13.10.59.3 | SECTION 413.335
| 413.335 Basis of payment. | |
42:2.0.1.2.13.10.59.4 | SECTION 413.337
| 413.337 Methodology for calculating the prospective payment rates. | |
42:2.0.1.2.13.10.59.5 | SECTION 413.338
| 413.338 Skilled nursing facility value-based purchasing program. | |
42:2.0.1.2.13.10.59.6 | SECTION 413.340
| 413.340 Transition period. | |
42:2.0.1.2.13.10.59.7 | SECTION 413.343
| 413.343 Resident assessment data. | |
42:2.0.1.2.13.10.59.8 | SECTION 413.345
| 413.345 Publication of Federal prospective payment rates. | |
42:2.0.1.2.13.10.59.9 | SECTION 413.348
| 413.348 Limitation on review. | |
42:2.0.1.2.13.10.59.10 | SECTION 413.350
| 413.350 Periodic interim payments for skilled nursing facilities receiving payment under the skilled nursing facility prospective payment system for Part A services. | |
42:2.0.1.2.13.10.59.11 | SECTION 413.355
| 413.355 Additional payment: QIO photocopy and mailing costs. | |
42:2.0.1.2.13.10.59.12 | SECTION 413.360
| 413.360 Requirements under the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP). | |
42:2.0.1.2.13.10.61.1 | SECTION 413.330
| 413.330 Basis and scope. | |
42:2.0.1.2.13.10.61.2 | SECTION 413.333
| 413.333 Definitions. | |
42:2.0.1.2.13.10.61.3 | SECTION 413.335
| 413.335 Basis of payment. | |
42:2.0.1.2.13.10.61.4 | SECTION 413.337
| 413.337 Methodology for calculating the prospective payment rates. | |
42:2.0.1.2.13.10.61.5 | SECTION 413.338
| 413.338 Skilled nursing facility value-based purchasing program. | |
42:2.0.1.2.13.10.61.6 | SECTION 413.340
| 413.340 Transition period. | |
42:2.0.1.2.13.10.61.7 | SECTION 413.343
| 413.343 Resident assessment data. | |
42:2.0.1.2.13.10.61.8 | SECTION 413.345
| 413.345 Publication of Federal prospective payment rates. | |
42:2.0.1.2.13.10.61.9 | SECTION 413.348
| 413.348 Limitation on review. | |
42:2.0.1.2.13.10.61.10 | SECTION 413.350
| 413.350 Periodic interim payments for skilled nursing facilities receiving payment under the skilled nursing facility prospective payment system for Part A services. | |
42:2.0.1.2.13.10.61.11 | SECTION 413.355
| 413.355 Additional payment: QIO reimbursement for cost of sending records electronically or by photocopy and mailing. | |
42:2.0.1.2.13.10.61.12 | SECTION 413.360
| 413.360 Requirements under the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP). | |
42:2.0.1.2.13.11 | SUBPART K
| Subpart K - Payment for Acute Kidney Injury (AKI) Dialysis | |
42:2.0.1.2.13.11.59.1 | SECTION 413.370
| 413.370 Scope. | |
42:2.0.1.2.13.11.59.2 | SECTION 413.371
| 413.371 Definition. | |
42:2.0.1.2.13.11.59.3 | SECTION 413.372
| 413.372 AKI dialysis payment rate. | |
42:2.0.1.2.13.11.59.4 | SECTION 413.373
| 413.373 Other adjustments to the AKI dialysis payment rate | |
42:2.0.1.2.13.11.59.5 | SECTION 413.374
| 413.374 Renal dialysis services included in the AKI dialysis payment rate | |
42:2.0.1.2.13.11.59.6 | SECTION 413.375
| 413.375 Notification of changes in rate-setting methodologies and payment rates. | |
42:2.0.1.2.13.11.61.1 | SECTION 413.370
| 413.370 Scope. | |
42:2.0.1.2.13.11.61.2 | SECTION 413.371
| 413.371 Definition. | |
42:2.0.1.2.13.11.61.3 | SECTION 413.372
| 413.372 AKI dialysis payment rate. | |
42:2.0.1.2.13.11.61.4 | SECTION 413.373
| 413.373 Other adjustments to the AKI dialysis payment rate | |
42:2.0.1.2.13.11.61.5 | SECTION 413.374
| 413.374 Renal dialysis services included in the AKI dialysis payment rate | |
42:2.0.1.2.13.11.61.6 | SECTION 413.375
| 413.375 Notification of changes in rate-setting methodologies and payment rates. | |