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Electronic Code of Federal Regulations

e-CFR data is current as of December 4, 2019

Title 42Chapter IVSubchapter BPart 416


TITLE 42—Public Health

CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED)

SUBCHAPTER B—MEDICARE PROGRAM (CONTINUED)

PART 416—AMBULATORY SURGICAL SERVICES

rule

Subpart A—GENERAL PROVISIONS AND DEFINITIONS

§416.1
Basis and scope.
§416.2
Definitions.
rule

Subpart B—GENERAL CONDITIONS AND REQUIREMENTS

§416.25
Basic requirements.
§416.26
Qualifying for an agreement.
§416.30
Terms of agreement with CMS.
§416.35
Termination of agreement.
rule

Subpart C—SPECIFIC CONDITIONS FOR COVERAGE

§416.40
Condition for coverage—Compliance with State licensure law.
§416.41
Condition for coverage—Governing body and management.
§416.42
Condition for coverage—Surgical services.
§416.43
Conditions for coverage—Quality assessment and performance improvement.
§416.44
Condition for coverage—Environment.
§416.45
Condition for coverage—Medical staff.
§416.46
Condition for coverage—Nursing services.
§416.47
Condition for coverage—Medical records.
§416.48
Condition for coverage—Pharmaceutical services.
§416.49
Condition for coverage—Laboratory and radiologic services.
§416.50
Condition for coverage—Patient rights.
§416.51
Conditions for coverage—Infection control.
§416.52
Conditions for coverage—Patient admission, assessment and discharge.
§416.54
Condition for coverage—Emergency preparedness.
rule

Subpart D—SCOPE OF BENEFITS FOR SERVICES FURNISHED BEFORE JANUARY 1, 2008

§416.60
General rules.
§416.61
Scope of facility services.
§416.65
Covered surgical procedures.
§416.75
Performance of listed surgical procedures on an inpatient hospital basis.
§416.76
Applicability.
rule

Subpart E—PROSPECTIVE PAYMENT SYSTEM FOR FACILITY SERVICES FURNISHED BEFORE JANUARY 1, 2008

§416.120
Basis for payment.
§416.121
Applicability.
§416.125
ASC facility services payment rate.
§416.130
Publication of revised payment methodologies.
§416.140
Surveys.
rule

Subpart F—COVERAGE, SCOPE OF ASC SERVICES, AND PROSPECTIVE PAYMENT SYSTEM FOR ASC SERVICES FURNISHED ON OR AFTER JANUARY 1, 2008

§416.160
Basis and scope.
§416.161
Applicability of this subpart.
§416.163
General rules.
§416.164
Scope of ASC services.
§416.166
Covered surgical procedures.
§416.167
Basis of payment.
§416.171
Determination of payment rates for ASC services.
§416.172
Adjustments to national payment rates.
§416.173
Publication of revised payment methodologies and payment rates.
§416.178
Limitations on administrative and judicial review.
§416.179
Payment and coinsurance reduction for devices replaced without cost or when full or partial credit is received.
rule

Subpart G—ADJUSTMENT IN PAYMENT AMOUNTS FOR NEW TECHNOLOGY INTRAOCULAR LENSES FURNISHED BY AMBULATORY SERVICE CENTERS

§416.180
Basis and scope.
§416.185
Process for establishing a new class of new technology IOLs.
§416.190
Request for review of payment amount.
§416.195
Determination of membership in new classes of new technology IOLs.
§416.200
Payment adjustment.
rule

Subpart H—REQUIREMENTS UNDER THE AMBULATORY SURGICAL CENTER QUALITY REPORTING (ASCQR) PROGRAM

§416.300
Basis and scope of subpart.
§416.305
Participation and withdrawal requirements under the ASCQR Program.
§416.310
Data collection and submission requirements under the ASCQR Program.
§416.315
Public reporting of data under the ASCQR Program.
§416.320
Retention and removal of quality measures under the ASCQR Program.
§416.325
Measure maintenance under the ASCQR Program.
§416.330
Reconsiderations under the ASCQR Program.

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