CFR /  Title 42  /  Part 424: Conditions For Medicare Payment

Section No.	Description
Section 424.1	Definitions
Section 424.3	Basic conditions
Section 424.5	General limitations
Section 424.7	Purpose and scope
Section 424.10	General procedures
Section 424.11	Requirements for inpatient services of hospitals other than inpatient psychiatric facilities
Section 424.13	Requirements for inpatient services of inpatient psychiatric facilities
Section 424.14	Requirements for inpatient CAH services
Section 424.15	Timing of certification for individual admitted to a hospital before entitlement to Medicare benefits
Section 424.16	Requirements for posthospital SNF care
Section 424.20	Requirements for home health services
Section 424.22	Requirements for medical and other health services furnished by providers under Medicare Part B
Section 424.24	Requirements for comprehensive outpatient rehabilitation facility (CORF) services
Section 424.27	Scope
Section 424.30	Basic requirements for all claims
Section 424.32	Additional requirements: Claims for services of providers and claims by suppliers and nonparticipating hospitals
Section 424.33	Additional requirements: Beneficiary's claim for direct payment
Section 424.34	Signature requirements
Section 424.36	Evidence of authority to sign on behalf of the beneficiary
Section 424.37	Request for payment effective for more than one claim
Section 424.40	Time limits for filing claims
Section 424.44	Scope
Section 424.50	Payment to the provider
Section 424.51	Payment to a nonparticipating hospital
Section 424.52	Payment to the beneficiary
Section 424.53	Payment to the beneficiary's legal guardian or representative payee
Section 424.54	Payment to the supplier
Section 424.55	Payment to a beneficiary and to a supplier
Section 424.56	Special payment rules for items furnished by DMEPOS suppliers and issuance of DMEPOS supplier billing privileges
Section 424.57	Accreditation
Section 424.58	Scope
Section 424.60	Payment after beneficiary's death: Bill has been paid
Section 424.62	Payment after beneficiary's death: Bill has not been paid
Section 424.64	Payment to entities that provide coverage complementary to Medicare Part B
Section 424.66	Basis and scope
Section 424.70	Definitions
Section 424.71	Prohibition of assignment of claims by providers
Section 424.73	Termination of provider agreement
Section 424.74	Prohibition of reassignment of claims by suppliers
Section 424.80	Revocation of right to receive assigned benefits
Section 424.82	Hearings on revocation of right to receive assigned benefits
Section 424.83	Final determination on revocation of right to receive assigned benefits
Section 424.84	Prohibition of assignment of claims by beneficiaries
Section 424.86	Court ordered assignments: Conditions and limitations
Section 424.90	Scope
Section 424.100	Definitions
Section 424.101	Situations that do not constitute an emergency
Section 424.102	Conditions for payment for emergency services
Section 424.103	Election to claim payment for emergency services furnished during a calendar year
Section 424.104	Criteria for determining whether the hospital was the most accessible
Section 424.106	Payment to a hospital
Section 424.108	Payment to the beneficiary
Section 424.109	Scope
Section 424.120	Scope of payments
Section 424.121	Conditions for payment for emergency inpatient hospital services
Section 424.122	Conditions for payment for nonemergency inpatient services furnished by a hospital closer to the individual's residence
Section 424.123	Conditions for payment for physician services and ambulance services
Section 424.124	Payment to the hospital
Section 424.126	Payment to the beneficiary
Section 424.127	Replacement of checks that are lost, stolen, defaced, mutilated, destroyed, or paid on forged endorsements
Section 424.350	Intermediary and carrier checks that are lost, stolen, defaced, mutilated, destroyed or paid on forged endorsements
Section 424.352	Scope
Section 424.500	Definitions
Section 424.502	Basic enrollment requirement
Section 424.505	National Provider Identifier (NPI) on all enrollment applications and claims
Section 424.506	Ordering covered items and services for Medicare beneficiaries
Section 424.507	Requirements for enrolling in the Medicare program
Section 424.510	Application fee
Section 424.514	Requirements for reporting changes and updates to, and the periodic revalidation of Medicare enrollment information
Section 424.515	Additional provider and supplier requirements for enrolling and maintaining active enrollment status in the Medicare
Section 424.516	Onsite review
Section 424.517	Screening levels for Medicare providers and suppliers
Section 424.518	Effective date of Medicare billing privileges
Section 424.520	Request for payment by physicians, non-physician practitioners, physician and non-physician organizations, and
Section 424.521	Rejection of a provider or supplier's enrollment application for Medicare enrollment
Section 424.525	Denial of enrollment in the Medicare program
Section 424.530	Revocation of enrollment in the Medicare program
Section 424.535	Deactivation of Medicare billing privileges
Section 424.540	Provider and supplier appeal rights
Section 424.545	Prohibitions on the sale or transfer of billing privileges
Section 424.550	Payment liability
Section 424.555	Overpayment
Section 424.565	Moratoria on newly enrolling Medicare providers and suppliers
Section 424.570	Basis and scope