42 CFR Part 416
PART 416—AMBULATORY SURGICAL SERVICES
- PART 416—AMBULATORY SURGICAL SERVICES
- Chapter IV—Centers for Medicare & Medicaid Services, Department of Health and Human Services › Subchapter B—Medicare Program
- Subpart A—General Provisions and Definitions
- § 416.1 Basis and scope.
- § 416.2 Definitions.
- Subpart B—General Conditions and Requirements
- § 416.25 Basic requirements.
- § 416.26 Qualifying for an agreement.
- § 416.30 Terms of agreement with CMS.
- § 416.35 Termination of agreement.
- Subpart C—Specific Conditions for Coverage
- § 416.40 Condition for coverage—Compliance with State licensure law.
- § 416.41 Condition for coverage—Governing body and management.
- § 416.42 Condition for coverage—Surgical services.
- § 416.43 Conditions for coverage—Quality assessment and performance improvement.
- § 416.44 Condition for coverage—Environment.
- § 416.45 Condition for coverage—Medical staff.
- § 416.46 Condition for coverage—Nursing services.
- § 416.47 Condition for coverage—Medical records.
- § 416.48 Condition for coverage—Pharmaceutical services.
- § 416.49 Condition for coverage—Laboratory and radiologic services.
- § 416.50 Condition for coverage—Patient rights.
- § 416.51 Conditions for coverage—Infection control.
- § 416.52 Conditions for coverage—Patient admission, assessment and discharge.
- § 416.54 Condition for coverage—Emergency preparedness.
- Subpart D—Scope of Benefits for Services Furnished Before January 1, 2008
- § 416.60 General rules.
- § 416.61 Scope of facility services.
- § 416.65 Covered surgical procedures.
- § 416.75 Performance of listed surgical procedures on an inpatient hospital basis.
- § 416.76 Applicability.
- Subpart E—Prospective Payment System for Facility Services Furnished Before January 1, 2008
- § 416.120 Basis for payment.
- § 416.121 Applicability.
- § 416.125 ASC facility services payment rate.
- § 416.130 Publication of revised payment methodologies.
- § 416.140 Surveys.
- Subpart F—Coverage, Scope of ASC Services, and Prospective Payment System for ASC Services Furnished on or After January 1, 2008
- § 416.160 Basis and scope.
- § 416.161 Applicability of this subpart.
- § 416.163 General rules.
- § 416.164 Scope of ASC services.
- § 416.166 Covered surgical procedures.
- § 416.167 Basis of payment.
- § 416.171 Determination of payment rates for ASC services.
- § 416.172 Adjustments to national payment rates.
- § 416.173 Publication of revised payment methodologies and payment rates.
- § 416.174 Payment for non-opioid pain management drugs, biologicals, and medical devices.
- § 416.178 Limitations on administrative and judicial review.
- § 416.179 Payment and coinsurance reduction for devices replaced without cost or when full or partial credit is received.
- Subpart G—Adjustment in Payment Amounts for New Technology Intraocular Lenses Furnished by Ambulatory Service Centers
- § 416.180 Basis and scope.
- § 416.185 Process for establishing a new class of new technology IOLs.
- § 416.190 Request for review of payment amount.
- § 416.195 Determination of membership in new classes of new technology IOLs.
- § 416.200 Payment adjustment.
- Subpart H—Requirements Under the Ambulatory Surgical Center Quality Reporting (ASCQR) Program
- § 416.300 Basis and scope of subpart.
- § 416.305 Participation and withdrawal requirements under the ASCQR Program.
- § 416.310 Data collection and submission requirements under the ASCQR Program.
- § 416.315 Public reporting of data under the ASCQR Program.
- § 416.320 Retention and removal of quality measures under the ASCQR Program.
- § 416.325 Measure maintenance under the ASCQR Program.
- § 416.330 Reconsiderations under the ASCQR Program.
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