e-CFR data is current as of December 4, 2019
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
Subpart A—GENERAL PROVISIONS AND DEFINITIONS
Subpart B—GENERAL CONDITIONS AND REQUIREMENTS
|
| Qualifying for an agreement. |
|
|
| Terms of agreement with CMS. |
|
|
| Termination of agreement. |
|
Subpart C—SPECIFIC CONDITIONS FOR COVERAGE
|
| Condition for coverage—Compliance with State licensure law. |
|
|
| Condition for coverage—Governing body and management. |
|
|
| Condition for coverage—Surgical services. |
|
|
| Conditions for coverage—Quality assessment and performance improvement. |
|
|
| Condition for coverage—Environment. |
|
|
| Condition for coverage—Medical staff. |
|
|
| Condition for coverage—Nursing services. |
|
|
| Condition for coverage—Medical records. |
|
|
| Condition for coverage—Pharmaceutical services. |
|
|
| Condition for coverage—Laboratory and radiologic services. |
|
|
| Condition for coverage—Patient rights. |
|
|
| Conditions for coverage—Infection control. |
|
|
| Conditions for coverage—Patient admission, assessment and discharge. |
|
|
| Condition for coverage—Emergency preparedness. |
|
Subpart D—SCOPE OF BENEFITS FOR SERVICES FURNISHED BEFORE JANUARY 1, 2008
|
| Scope of facility services. |
|
|
| Covered surgical procedures. |
|
|
| Performance of listed surgical procedures on an inpatient hospital basis. |
|
Subpart E—PROSPECTIVE PAYMENT SYSTEM FOR FACILITY SERVICES FURNISHED BEFORE JANUARY 1, 2008
|
| ASC facility services payment rate. |
|
|
| Publication of revised payment methodologies. |
|
Subpart F—COVERAGE, SCOPE OF ASC SERVICES, AND PROSPECTIVE PAYMENT SYSTEM FOR ASC SERVICES FURNISHED ON OR AFTER JANUARY 1, 2008
|
| Applicability of this subpart. |
|
|
| Covered surgical procedures. |
|
|
| Determination of payment rates for ASC services. |
|
|
| Adjustments to national payment rates. |
|
|
| Publication of revised payment methodologies and payment rates. |
|
|
| Limitations on administrative and judicial review. |
|
|
| Payment and coinsurance reduction for devices replaced without cost or when full or partial credit is received. |
|
Subpart G—ADJUSTMENT IN PAYMENT AMOUNTS FOR NEW TECHNOLOGY INTRAOCULAR LENSES FURNISHED BY AMBULATORY SERVICE CENTERS
|
| Process for establishing a new class of new technology IOLs. |
|
|
| Request for review of payment amount. |
|
|
| Determination of membership in new classes of new technology IOLs. |
|
Subpart H—REQUIREMENTS UNDER THE AMBULATORY SURGICAL CENTER QUALITY REPORTING (ASCQR) PROGRAM
|
| Basis and scope of subpart. |
|
|
| Participation and withdrawal requirements under the ASCQR Program. |
|
|
| Data collection and submission requirements under the ASCQR Program. |
|
|
| Public reporting of data under the ASCQR Program. |
|
|
| Retention and removal of quality measures under the ASCQR Program. |
|
|
| Measure maintenance under the ASCQR Program. |
|
|
| Reconsiderations under the ASCQR Program. |
|
| 
