[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: 42CFR415.1] [Page 792] 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. Subpart A_General Provisions Sec. 415.1 Basis and scope. Subpart B_Fiscal Intermediary Payments to Providers for Physician Services 415.50 Scope. 415.55 General payment rules. 415.60 Allocation of physician compensation costs. 415.70 Limits on compensation for physician services in providers. Subpart C_Part B Carrier Payments for Physician Services to Beneficiaries in Providers 415.100 Scope. 415.102 Conditions for fee schedule payment for physician services to beneficiaries in providers. 415.105 Amounts of payment for physician services to beneficiaries in providers. 415.110 Conditions for payment: Medically directed anesthesia services. 415.120 Conditions for payment: Radiology services. 415.130 Conditions for payment: Physician pathology services. Subpart D_Physician Services in Teaching Settings 415.150 Scope. 415.152 Definitions. 415.160 Election of reasonable cost payment for direct medical and surgical services of physicians in teaching hospitals: General provisions. 415.162 Determining payment for physician services furnished to beneficiaries in teaching hospitals. 415.164 Payment to a fund. 415.170 Conditions for payment on a fee schedule basis for physician services in a teaching setting. 415.172 Physician fee schedule payment for services of teaching physicians. 415.174 Exception: Evaluation and management services furnished in certain centers. 415.176 Renal dialysis services. 415.178 Anesthesia services. 415.180 Teaching setting requirements for the interpretation of diagnostic radiology and other diagnostic tests. 415.184 Psychiatric services. 415.190 Conditions of payment: Assistants at surgery in teaching hospitals. Subpart E_Services of Residents 415.200 Services of residents in approved GME programs. 415.202 Services of residents not in approved GME programs. 415.204 Services of residents in skilled nursing facilities and home health agencies. 415.206 Services of residents in nonprovider settings. 415.208 Services of moonlighting residents. Authority: Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh). Source: 60 FR 63178, Dec. 8, 1995, unless otherwise noted. (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 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. [[Page 793]]