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Current as of October 02, 2022 | Updated by FindLaw Staff
(a) Conditions for payment. Medicare pays the hospital if it—
(1) Has in effect an election that—
(i) Meets the requirements set forth in § 424.104; and
(ii) Reflects the hospital's intent to claim for all covered services furnished during a calendar year.
(3) Submits evidence requested by CMS to establish that the services meet the requirements of this subpart.
(b) Amount of payment. Payment is made (in accordance with § 413.74 of this chapter) on the basis of 100 percent of the hospital's customary charges, subject to the applicable deductible and coinsurance provisions set forth elsewhere in this chapter.
Cite this article: FindLaw.com - Code of Federal Regulations Title 42. Public Health § 42.424.126 Payment to the hospital - last updated October 02, 2022 | https://codes.findlaw.com/cfr/title-42-public-health/cfr-sect-42-424-126/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature or via Westlaw before relying on it for your legal needs.
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