---
kind: "section"
citation: "42 C.F.R. § 412.115"
title: "42"
number: "412.115"
heading: "Additional payments."
url: "https://uscodex.org/cfr/42/412.115"
---

# §412.115. Additional payments.

- (a) **Bad debts.** An additional payment is made to each hospital in accordance with [§ 413.89](/cfr/42/413.89.md) of this chapter for bad debts attributable to deductible and coinsurance amounts related to covered services received by beneficiaries.
- (b) **Administration of blood clotting factor.** For discharges occurring on or after June 19, 1990, and before October 1, 1994, and for discharges occurring on or after October 1, 1997, an additional payment is made to a hospital for each unit of blood clotting factor furnished to a Medicare inpatient who is a hemophiliac. For discharges occurring on or after October 1, 2005, the additional payment is made based on the average sales price methodology specified in [subpart K](/cfr/42/subpartK.md), [part 414](/cfr/42/part414.md) of this chapter and the furnishing fee specified in [§ 410.63](/cfr/42/410.63.md) of this subchapter.
- (c) **QIO reimbursement for cost of sending requested patient records to the QIO.** An additional payment is made to a hospital in accordance with [§ 476.78](/cfr/42/476.78.md) of this chapter for the costs of sending requested patient records to the QIO in electronic format, by facsimile, or by photocopying and mailing.

## Notes

### Amendments

[50 FR 12741, Mar. 29, 1985, as amended at 51 FR 34793, Sept. 30, 1986; 55 FR 15175, Apr. 20, 1990; 56 FR 43448, Aug. 30, 1991; 57 FR 39825, Sept. 1, 1992; 57 FR 47787, Oct. 20, 1992; 58 FR 46339, Sept. 1, 1993; 62 FR 46030, Aug. 29, 1997; 68 FR 67960, Dec. 5, 2003; 70 FR 47486, Aug. 12, 2005; 85 FR 59022, Sept. 18, 2020]

### Authority

Authority: 42 U.S.C. 1302 and 1395hh.

### Source

Source: 50 FR 12741, Mar. 29, 1985, unless otherwise noted.

### Amendments

[50 FR 12741, Mar. 29, 1985, as amended at 51 FR 34793, Sept. 30, 1986; 55 FR 15175, Apr. 20, 1990; 56 FR 43448, Aug. 30, 1991; 57 FR 39825, Sept. 1, 1992; 57 FR 47787, Oct. 20, 1992; 58 FR 46339, Sept. 1, 1993; 62 FR 46030, Aug. 29, 1997; 68 FR 67960, Dec. 5, 2003; 70 FR 47486, Aug. 12, 2005; 85 FR 59022, Sept. 18, 2020]