US Codex
C.F.R.
Browse by date

View an earlier version

Latest
Current
Browse all versions by date
Notes

42 C.F.R. §§ 414.104–414.108

4 sections in range

§414.104. PEN Items and Services.

42 C.F.R. § 414.104

(a)
Payment rules. Payment for PEN items and services is made in a lump sum for nutrients and supplies that are purchased and on a monthly basis for equipment that is rented.
(b)
Fee schedule amount. The fee schedule amount for payment for an item or service furnished in 2002 is the lesser of—
(i)
The reasonable charge from 1995; or
(ii)
The reasonable charge that would have been used in determining payment for 2002.
Notes, amendments, and revision history

Source

Source: 66 FR 45176, Aug. 28, 2001, unless otherwise noted.

Authority

Authority: 42 U.S.C. 1302, 1395hh, and 1395rr(b)(l).

Source

Source: 55 FR 23441, June 8, 1990, unless otherwise noted.

§414.105. Application of competitive bidding information.

42 C.F.R. § 414.105

For enteral nutrients, equipment and supplies furnished on or after January 1, 2011, the fee schedule amounts may be adjusted based on information on the payment determined as part of implementation of the programs under subpart F using the methodologies set forth at § 414.210(g).
Notes, amendments, and revision history

Amendments

[79 FR 66262, Nov. 6, 2014]

Source

Source: 66 FR 45176, Aug. 28, 2001, unless otherwise noted.

Authority

Authority: 42 U.S.C. 1302, 1395hh, and 1395rr(b)(l).

Source

Source: 55 FR 23441, June 8, 1990, unless otherwise noted.

Amendments

[79 FR 66262, Nov. 6, 2014]

§414.106. Splints and casts.

42 C.F.R. § 414.106

(a)
Payment rules. Payment is made in a lump sum for splints and casts.
(b)
Fee schedule amount. The fee schedule amount for payment for an item or service furnished in 2014 is the reasonable charge amount for 2013, updated by the percentage increase in the CPI-U for the 12-month period ending with June of 2013.
Notes, amendments, and revision history

Amendments

[78 FR 72253, Dec. 2, 2013]

Source

Source: 66 FR 45176, Aug. 28, 2001, unless otherwise noted.

Authority

Authority: 42 U.S.C. 1302, 1395hh, and 1395rr(b)(l).

Source

Source: 55 FR 23441, June 8, 1990, unless otherwise noted.

Amendments

[78 FR 72253, Dec. 2, 2013]

§414.108. IOLs inserted in a physician's office.

42 C.F.R. § 414.108

(a)
Payment rules. Payment is made in a lump sum for IOLs inserted in a physician's office.
(b)
Fee schedule amount. The fee schedule amount for payment for an IOL furnished in 2014 is the national average allowed charge for the IOL furnished from in calendar year 2012, updated by the percentage increase in the CPI-U for the 24-month period ending with June of 2013.
Notes, amendments, and revision history

Amendments

[78 FR 72253, Dec. 2, 2013]

Source

Source: 66 FR 45176, Aug. 28, 2001, unless otherwise noted.

Authority

Authority: 42 U.S.C. 1302, 1395hh, and 1395rr(b)(l).

Source

Source: 55 FR 23441, June 8, 1990, unless otherwise noted.

Amendments

[78 FR 72253, Dec. 2, 2013]