Code of Federal Regulations (alpha)

CFR /  Title 42  /  Part 419: Prospective Payment System For Hospital Outpatient Department Services

Section No. Description
Section 419.1 Basis of payment
Section 419.2 Hospitals subject to the hospital outpatient prospective payment system
Section 419.20 Hospital services subject to the outpatient prospective payment system
Section 419.21 Hospital services excluded from payment under the hospital outpatient prospective payment system
Section 419.22 Base expenditure target for calendar year 1999
Section 419.30 Ambulatory payment classification (APC) system and payment weights
Section 419.31 Calculation of prospective payment rates for hospital outpatient services
Section 419.32 Payment concepts
Section 419.40 Calculation of national beneficiary copayment amounts and national Medicare program payment amounts
Section 419.41 Hospital election to reduce coinsurance
Section 419.42 Adjustments to national program payment and beneficiary copayment amounts
Section 419.43 Payment reductions for procedures
Section 419.44 Payment and copayment reduction for devices replaced without cost or when full or partial credit is received
Section 419.45 Participation, data submission, and validation requirements under the Hospital Outpatient Quality Reporting (OQR) Program
Section 419.46 Annual review
Section 419.50 Limitations on administrative and judicial review
Section 419.60 Transitional pass-through payments: General rules
Section 419.62 Transitional pass-through payments: Drugs and biologicals
Section 419.64 Transitional pass-through payments: Medical devices
Section 419.66 Transitional adjustments to limit decline in payments
Section 419.70 Scope and purpose