Medicare program; payment for physician services furnished in hospitals, skilled nursing facilities, and comprehensive outpatient rehabilitation facilities--Health Care Financing Administration. Final rule with comment period
Federal Register 48(42): 8902-8951
These rules revise the regulations that govern Medicare coverage and reimbursement for services of physicians who practice in providers such as hospitals, skilled nursing facilities (SNFs), and comprehensive outpatient rehabilitation facilities (CORFs). The regulations incorporate our decisions on the proposed rules published October 1, 1982 (47 FR 43578), based on public comments and our analysis of those comments and the issues they raised. The regulations set forth basic criteria for distinguishing physician services reimbursable on a reasonable charge basis from physician services reimbursable only on a reasonable cost basis, establish how the amounts reimbursed will be determined on both charge and cost bases, set limits on the amounts reimbursable on a reasonable cost basis to providers for physician services, and establish more specific criteria for determining the basis and amount of payment for the services of anesthesiologists, radiologists, and pathologists.