[Code of Federal Regulations]
[Title 42, Volume 2]
[Revised as of October 1, 2003]
From the U.S. Government Printing Office via GPO Access
[CITE: 42CFR415.1]

[Page 661-662]
 
                         TITLE 42--PUBLIC HEALTH
 
                    CHAPTER IV--CENTERS FOR MEDICARE
                          & MEDICAID SERVICES,
                        DEPARTMENT OF HEALTH AND
                             HUMAN SERVICES
 
PART 415--SERVICES FURNISHED BY PHYSICIANS IN PROVIDERS, SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN CERTAIN 
SETTINGS--Table of Contents
 
                      Subpart A--General Provisions
 
Sec. 415.1  Basis and scope.


    (a) Basis. This part is based on the provisions of the following 
sections of the Act: Section 1848 establishes a fee schedule for payment 
for physician

[[Page 662]]

services. Section 1861(q) specifies what is included in the term 
``physician services'' covered under Medicare. Section 1862(a)(14) sets 
forth the exclusion of nonphysician services furnished to hospital 
patients under Part B of Medicare. Section 1886(d)(5)(B) provides for a 
payment adjustment under the prospective payment system for the 
operating costs of inpatient hospital services furnished to Medicare 
beneficiaries in cost reporting periods beginning on or after October 1, 
1983, to account for the indirect costs of medical education. Section 
1886(h) establishes the methodology for Medicare payment of the cost of 
direct GME activities.
    (b) Scope. This part sets forth rules for fiscal intermediary 
payments to providers for physician services, Part B carrier payments 
for physician services to beneficiaries in providers, physician services 
in teaching settings, and services of residents.