[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: 42CFR415.105]



[Page 796]

 

                         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 C_Part B Carrier Payments for Physician Services to 

                       Beneficiaries in Providers

 

Sec. 415.105  Amounts of payment for physician services to beneficiaries 

in providers.



    (a) General rule. The carrier determines amounts of payment for 

physician services to beneficiaries in providers in accordance with the 

general rules governing the physician fee schedule payment in part 414 

of this chapter, except as provided in paragraph (b) of this section.

    (b) Application in certain settings--(1) Teaching hospitals. The 

carrier applies the rules in subpart D of this part (concerning 

physician services in teaching settings), in addition to those in this 

section, in determining whether fee schedule payment should be made for 

physician services to individual beneficiaries in a teaching hospital.

    (2) Hospital-based ESRD facilities. The carrier applies Sec. Sec. 

414.310 through 414.314 of this chapter, which set forth determination 

of reasonable charges under the ESRD program, to determine the amount of 

payment for physician services furnished to individual beneficiaries in 

a hospital-based ESRD facility approved under part 405 subpart U.