[Code of Federal Regulations]

[Title 42, Volume 2]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR412.40]



[Page 477]

 

                         TITLE 42--PUBLIC HEALTH

 

                    CHAPTER IV--CENTERS FOR MEDICARE

                          & MEDICAID SERVICES,

                        DEPARTMENT OF HEALTH AND

                             HUMAN SERVICES

 

PART 412_PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES

--Table of Contents

 

 Subpart C_Conditions for Payment Under the Prospective Payment Systems 

    for Inpatient Operating Costs and Inpatient Capital-Related Costs

 

Sec. 412.40  General requirements.





    (a) A hospital must meet the conditions of this subpart to receive 

payment under the prospective payment systems for inpatient hospital 

services furnished to Medicare beneficiaries.

    (b) If a hospital fails to comply fully with these conditions with 

respect to inpatient hospital services furnished to one or more Medicare 

beneficiaries, CMS may, as appropriate--

    (1) Withhold Medicare payment (in full or in part) to the hospital 

until the hospital provides adequate assurances of compliance; or

    (2) Terminate the hospital's provider agreement.



[50 FR 12741, Mar. 29, 1985, as amended at 57 FR 39821, Sept. 1, 1992]