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Section 413.1
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Cost reimbursement: General |
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Section 413.5
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Cost related to patient care |
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Section 413.9
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Amount of payment if customary charges for services furnished are less than reasonable costs |
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Section 413.13
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Cost to related organizations |
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Section 413.17
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Financial data and reports |
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Section 413.20
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Adequate cost data and cost finding |
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Section 413.24
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Limitations on payable costs |
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Section 413.30
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Limitations on coverage of costs: Charges to beneficiaries if cost limits are applied to services |
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Section 413.35
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Ceiling on the rate of increase in hospital inpatient costs |
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Section 413.40
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Apportionment of allowable costs |
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Section 413.50
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Determination of cost of services to beneficiaries |
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Section 413.53
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Payments to providers: General |
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Section 413.60
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Payments to providers: Specific rules |
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Section 413.64
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Requirements for a determination that a facility or an organization has provider-based status |
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Section 413.65
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Payment for services of a CAH |
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Section 413.70
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Payment to a foreign hospital |
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Section 413.74
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Direct GME payments: General requirements |
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Section 413.75
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Direct GME payments: Calculation of payments for GME costs |
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Section 413.76
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Direct GME payments: Determination of per resident amounts |
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Section 413.77
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Direct GME payments: Determination of the total number of FTE residents |
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Section 413.78
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Direct GME payments: Determination of the weighted number of FTE residents |
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Section 413.79
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Direct GME payments: Determination of weighting factors for foreign medical graduates |
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Section 413.80
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Direct GME payments: Application of community support and redistribution of costs in determining FTE resident counts |
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Section 413.81
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Direct GME payments: Special rules for States that formerly had a waiver from Medicare reimbursement principles |
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Section 413.82
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Direct GME payments: Adjustment of a hospital's target amount or prospective payment hospital-specific rate |
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Section 413.83
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Cost of approved nursing and allied health education activities |
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Section 413.85
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Payments for Medicare + Choice nursing and allied health education programs |
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Section 413.87
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Incentive payments under plans for voluntary reduction in number of medical residents |
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Section 413.88
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Bad debts, charity, and courtesy allowances |
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Section 413.89
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Research costs |
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Section 413.90
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Costs of surety bonds |
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Section 413.92
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Value of services of nonpaid workers |
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Section 413.94
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Purchase discounts and allowances, and refunds of expenses |
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Section 413.98
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Special treatment of certain accrued costs |
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Section 413.100
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Compensation of owners |
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Section 413.102
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Reasonable cost of physical and other therapy services furnished under arrangements |
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Section 413.106
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Payment for posthospital SNF care furnished by a swing-bed hospital |
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Section 413.114
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Payment for facility services related to covered ASC surgical procedures performed in hospitals on an outpatient basis |
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Section 413.118
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Payment for hospital outpatient radiology services and other diagnostic procedures |
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Section 413.122
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Payment for screening mammography performed by hospitals on an outpatient basis |
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Section 413.123
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Reduction to hospital outpatient operating costs |
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Section 413.124
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Payment for home health agency services |
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Section 413.125
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Introduction to capital-related costs |
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Section 413.130
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Depreciation: Allowance for depreciation based on asset costs |
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Section 413.134
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Depreciation: Optional allowance for depreciation based on a percentage of operating costs |
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Section 413.139
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Depreciation: Allowance for depreciation on fully depreciated or partially depreciated assets |
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Section 413.144
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Depreciation: Allowance for depreciation on assets financed with Federal or public funds |
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Section 413.149
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Interest expense |
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Section 413.153
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Return on equity capital of proprietary providers |
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Section 413.157
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Scope |
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Section 413.170
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Definitions |
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Section 413.171
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Principles of prospective payment |
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Section 413.172
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Prospective rates for hospital-based and independent ESRD facilities |
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Section 413.174
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Amount of payments |
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Section 413.176
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Quality incentive program payment |
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Section 413.177
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Procedures for requesting exceptions to payment rates |
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Section 413.180
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Criteria for approval of exception requests |
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Section 413.182
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Payment exception: Pediatric patient mix |
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Section 413.184
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Payment exception: Self-dialysis training costs in pediatric facilities |
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Section 413.186
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Appeals |
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Section 413.194
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Limitation on Review |
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Section 413.195
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Notification of changes in rate-setting methodologies and payment rates |
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Section 413.196
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Recordkeeping and cost reporting requirements for outpatient maintenance dialysis |
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Section 413.198
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Payment of independent organ procurement organizations and histocompatibility laboratories |
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Section 413.200
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Organ procurement organization (OPO) cost for kidneys sent to foreign countries or transplanted in patients other than |
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Section 413.202
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Transplant center costs for organs sent to foreign countries or transplanted in patients other than Medicare beneficiaries |
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Section 413.203
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Conditions for payment under the end-stage renal disease (ESRD) prospective payment system |
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Section 413.210
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Basis of payment |
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Section 413.215
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Items and services included in the ESRD prospective payment system |
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Section 413.217
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Methodology for calculating the per-treatment base rate |
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Section 413.220
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Determining the per treatment payment amount |
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Section 413.230
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Adjustment for wages |
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Section 413.231
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Low-volume adjustment |
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Section 413.232
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Patient-level adjustments |
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Section 413.235
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Outliers |
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Section 413.237
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Transition period |
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Section 413.239
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Pharmacy arrangements |
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Section 413.241
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Basis and scope |
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Section 413.300
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Definitions |
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Section 413.302
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Eligibility for prospectively determined payment rates |
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Section 413.304
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Rules governing election of prospectively determined payment rates |
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Section 413.308
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Basis of payment |
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Section 413.310
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Methodology for calculating rates |
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Section 413.312
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Determining payment amounts: Routine per diem rate |
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Section 413.314
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Determining payment amounts: Ancillary services |
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Section 413.316
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Publication of prospectively determined payment rates or amounts |
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Section 413.320
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Simplified cost report for SNFs |
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Section 413.321
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Basis and scope |
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Section 413.330
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Definitions |
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Section 413.333
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Basis of payment |
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Section 413.335
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Methodology for calculating the prospective payment rates |
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Section 413.337
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Transition period |
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Section 413.340
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Resident assessment data |
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Section 413.343
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Publication of Federal prospective payment rates |
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Section 413.345
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Limitation on review |
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Section 413.348
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Periodic interim payments for skilled nursing facilities receiving payment under the skilled nursing facility |
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Section 413.350
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Additional payment: QIO photocopy and mailing costs |
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Section 413.355
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Basis and scope |