[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: 42CFR415.202]



[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. 415.202  Services of residents not in approved GME programs.



    (a) General rules. For services of a physician employed by a 

hospital who is authorized to practice only in a hospital setting and 

for the services of a resident who is not in any approved GME program, 

payment is made to the hospital on a Part B reasonable cost basis 

regardless of whether the services are furnished to hospital inpatients 

or outpatients.

    (b) Payment. For services described in paragraph (a) of this 

section, payment is made under Part B by reducing the reasonable costs 

of furnishing the services by the beneficiary deductible and paying 80 

percent of the remaining amount. No payment is made for other costs of 

unapproved programs, such as administrative costs related to teaching 

activities of physicians.