e-CFR data is current as of April 24, 2020
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
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| Qualifying for an agreement. |
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| Terms of agreement with CMS. |
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| Termination of agreement. |
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Subpart C—SPECIFIC CONDITIONS FOR COVERAGE
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| Condition for coverage—Compliance with State licensure law. |
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| Condition for coverage—Governing body and management. |
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| Condition for coverage—Surgical services. |
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| Conditions for coverage—Quality assessment and performance improvement. |
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| Condition for coverage—Environment. |
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| Condition for coverage—Medical staff. |
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| Condition for coverage—Nursing services. |
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| Condition for coverage—Medical records. |
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| Condition for coverage—Pharmaceutical services. |
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| Condition for coverage—Laboratory and radiologic services. |
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| Condition for coverage—Patient rights. |
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| Conditions for coverage—Infection control. |
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| Conditions for coverage—Patient admission, assessment and discharge. |
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| Condition for coverage—Emergency preparedness. |
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Subpart D—SCOPE OF BENEFITS FOR SERVICES FURNISHED BEFORE JANUARY 1, 2008
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| Scope of facility services. |
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| Covered surgical procedures. |
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| Performance of listed surgical procedures on an inpatient hospital basis. |
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Subpart E—PROSPECTIVE PAYMENT SYSTEM FOR FACILITY SERVICES FURNISHED BEFORE JANUARY 1, 2008
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| ASC facility services payment rate. |
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| Publication of revised payment methodologies. |
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Subpart F—COVERAGE, SCOPE OF ASC SERVICES, AND PROSPECTIVE PAYMENT SYSTEM FOR ASC SERVICES FURNISHED ON OR AFTER JANUARY 1, 2008
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| Applicability of this subpart. |
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| Covered surgical procedures. |
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| Determination of payment rates for ASC services. |
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| Adjustments to national payment rates. |
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| Publication of revised payment methodologies and payment rates. |
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| Limitations on administrative and judicial review. |
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| Payment and coinsurance reduction for devices replaced without cost or when full or partial credit is received. |
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Subpart G—ADJUSTMENT IN PAYMENT AMOUNTS FOR NEW TECHNOLOGY INTRAOCULAR LENSES FURNISHED BY AMBULATORY SERVICE CENTERS
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| Process for establishing a new class of new technology IOLs. |
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| Request for review of payment amount. |
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| Determination of membership in new classes of new technology IOLs. |
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Subpart H—REQUIREMENTS UNDER THE AMBULATORY SURGICAL CENTER QUALITY REPORTING (ASCQR) PROGRAM
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| Basis and scope of subpart. |
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| Participation and withdrawal requirements under the ASCQR Program. |
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| Data collection and submission requirements under the ASCQR Program. |
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| Public reporting of data under the ASCQR Program. |
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| Retention and removal of quality measures under the ASCQR Program. |
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| Measure maintenance under the ASCQR Program. |
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| Reconsiderations under the ASCQR Program. |
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