Medicare Program; Application of Inherent Reasonableness to All Medicare Part B Services (Other than Physician Services)
medicare · Centers for Medicare and Medicaid Services · Rule · Published 1998-01-07 · Effective 1998-03-09 · 63 FR 687
Document
Document number
98-269
Federal Register citation
63 FR 687
CFR reference
42 CFR 405
Type
Rule
Action
Interim final rule with comment period.
Category
medicare
Sub-agency
Centers for Medicare and Medicaid Services
Publication date
1998-01-07
Effective date
1998-03-09
HHS docket
HCFA-1908-IFC
Abstract
This interim final rule implements section 4316 of the Balanced Budget Act of 1997. It revises the process for establishing a realistic and equitable payment amount for all Medicare Part B services (other than physician services) when the existing payment amounts are inherently unreasonable because they are either grossly excessive or deficient. This rule describes the factors HCFA (or its carrier) will consider and the procedures it will follow in establishing realistic and equitable payment amounts.