[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: 42CFR416.125]



[Page 817]

 

                         TITLE 42--PUBLIC HEALTH

 

                    CHAPTER IV--CENTERS FOR MEDICARE

                          & MEDICAID SERVICES,

                        DEPARTMENT OF HEALTH AND

                             HUMAN SERVICES

 

PART 416_AMBULATORY SURGICAL SERVICES--Table of Contents

 

                 Subpart E_Payment for Facility Services

 

Sec. 416.125  ASC facility services payment rate.



    (a) The payment rate is based on a prospectively determined standard 

overhead amount per procedure derived from an estimate of the costs 

incurred by ambulatory surgical centers generally in providing services 

furnished in connection with the performance of that procedure.

    (b) The payment must be substantially less than would have been paid 

under the program if the procedure had been performed on an inpatient 

basis in a hospital.



[56 FR 8844, Mar. 1, 1991]