Code of Federal Regulations (alpha)

CFR /  Title 42  /  Part 412  /  Sec. 412.40 General requirements.

(a) A hospital must meet the conditions of this subpart to receive payment under the prospective payment systems for inpatient hospital services furnished to Medicare beneficiaries.

(b) If a hospital fails to comply fully with these conditions with respect to inpatient hospital services furnished to one or more Medicare beneficiaries, CMS may, as appropriate--

(1) Withhold Medicare payment (in full or in part) to the hospital until the hospital provides adequate assurances of compliance; or

(2) Terminate the hospital's provider agreement. [50 FR 12741, Mar. 29, 1985, as amended at 57 FR 39821, Sept. 1, 1992]