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Code of Federal Regulations (Last Updated: May 6, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter B - Medicare Program |
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Part 424 - Conditions for Medicare Payment |
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Subpart D - To Whom Payment Is Ordinarily Made |
§ 424.52 - Payment to a nonparticipating hospital.
Latest version.
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§ 424.52 Payment to a nonparticipating hospital.
Medicare pays a nonparticipating hospital for the following services, if covered, in the specified circumstances:
(a) Emergency inpatient and outpatient services furnished by a U.S. hospital, if the hospital has in effect an election to claim payment in accordance with subpart G of this part.
(b) Certain medical and other health services covered under Medicare Part B and furnished by a U.S. hospital, if the hospital meets the requirements of § 424.55 for payment as a supplier.
(c) Emergency or nonemergency inpatient services furnished by a foreign hospital if the hospital has in effect an election to claim payment in accordance with subpart G of this part.