[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: 42CFR415.200]



[Page 808]

 

                         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 E_Services of Residents

 

Sec. 415.200  Services of residents in approved GME programs.





    (a) General rules. Services furnished in hospitals by residents in 

approved GME programs are specifically excluded from being paid as 

``physician services'' defined in Sec. 414.2 of this chapter and are 

payable as hospital services. This exclusion applies whether or not the 

resident is licensed to practice under the laws of the State in which he 

or she performs the service. The payment methodology for services of 

residents in hospitals and hospital-based providers is set forth in 

Sec. Sec. 413.75 through 413.83 of this chapter.

    (b) Exception. For low and mid-level evaluation and management 

services furnished under certain conditions in centers located in 

hospital outpatient departments and other ambulatory settings, see Sec. 

415.174.

    (c) Definitions. See Sec. 415.152 for definitions of terms used in 

this subpart E.



[60 FR 63178, Dec. 8, 1995, as amended at 70 FR 47490, Aug. 12, 2005]