42 C.F.R. PART 414--PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
TITLE 42--Public Health
CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
SUBCHAPTER B--MEDICARE PROGRAM
PART 414--PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
Subpart A--GENERAL PROVISIONS
Subpart B--PHYSICIANS AND OTHER PRACTITIONERS
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| Formula for computing fee schedule amounts.
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| Relative value units (RVUs).
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| Review, revision, and addition of RVUs for physician services.
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| Conversion factor update.
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| Determining payments for certain physicians' services furnished in facility settings.
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| Payment for services and supplies incident to a physician's service.
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| Payment for drugs incident to a physician's service.
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| Special rules for payment of care plan oversight.
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| Coding and ancillary policies.
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| Adjustment for first 4 years of practice.
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| Additional rules for payment of anesthesia services.
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| Limits on actual charges of nonparticipating suppliers.
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| Physician billing for purchased diagnostic tests.
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| Payment for physician assistants' services.
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| Payment for certified nurse-midwives' services.
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| Payment for nurse practitioners' and clinical nurse specialists' services.
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| Payment of charges for physician services to patients in providers.
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| Payment for the services of CRNAs.
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| Fee schedule for clinical psychologist services.
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| Payment for outpatient diabetes self-management training.
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| Payment for medical nutrition therapy.
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| Payment for telehealth services.
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| Incentive payments for physician scarcity areas.
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| Incentive payments for Health Professional Shortage Areas.
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Subpart C--FEE SCHEDULES FOR PARENTERAL AND ENTERAL NUTRITION (PEN) NUTRIENTS, EQUIPMENT AND SUPPLIES
Subpart D--PAYMENT FOR DURABLE MEDICAL EQUIPMENT AND PROSTHETIC AND ORTHOTIC DEVICES
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| Inexpensive or routinely purchased items.
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| Items requiring frequent and substantial servicing.
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| Oxygen and oxygen equipment.
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| Prosthetic and orthotic devices.
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| Other durable medical equipment--capped rental items.
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| Determining a period of continuous use.
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| Special payment rules for transcutaneous electrical nerve stimulators (TENS).
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Subpart E--DETERMINATION OF REASONABLE CHARGES UNDER THE ESRD PROGRAM
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| Determination of reasonable charges for physician services furnished to renal dialysis patients.
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| Initial method of payment.
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| Monthly capitation payment method.
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| Payment for physician services to patients in training for self-dialysis and home dialysis.
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| Determination of reasonable charges for physician renal transplantation services.
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| Payment for home dialysis equipment, supplies, and support services.
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| Payment for EPO furnished to a home dialysis patient for use in the home.
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Subparts F-G--[RESERVED]
Subpart F--XXX
Subpart H--FEE SCHEDULE FOR AMBULANCE SERVICES
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| Transition to the ambulance fee schedule.
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| Transition from regional to national ambulance fee schedule.
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| Publication of the ambulance fee schedule.
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Subpart I--PAYMENT FOR DRUGS AND BIOLOGICALS
Subpart J--SUBMISSION OF MANUFACTURER'S AVERAGE SALES PRICE DATA
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| Penalties associated with the failure to submit timely and accurate ASP data.
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Subpart K--PAYMENT FOR DRUGS AND BIOLOGICALS UNDER PART B
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| Average sales price as the basis for payment.
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| Competitive acquisition program as the basis for payment.
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| Competitive acquisition program.
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| Dispute resolution for vendors and beneficiaries.
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| Dispute resolution and process for suspension or termination of approved CAP contract.
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Subpart L--SUPPLYING AND DISPENSING FEES
