[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: 42CFR416.140]



[Page 818]

 

                         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. 416.140  Surveys.



    (a) Timing, purpose, and procedures. (1) No more often than once a 

year, CMS conducts a survey of a randomly selected sample of 

participating ASCs to collect data for analysis or reevaluation of 

payment rates.

    (2) CMS notifies the selected ASCs by mail of their selection and of 

the form and content of the report the ASCs are required to submit 

within 60 days of the notice.

    (3) If the facility does not submit an adequate report in response 

to CMS's survey request, CMS may terminate the agreement to participate 

in the Medicare program as an ASC.

    (4) CMS may grant a 30-day postponement of the due date for the 

survey report if it determines that the facility has demonstrated good 

cause for the delay.

    (b) Requirements for ASCs. ASCs must--

    (1) Maintain adequate financial records, in the form and containing 

the data required by CMS, to allow determination of the payment rates 

for covered surgical procedures furnished to Medicare beneficiaries 

under this subpart.

    (2) Within 60 days of a request from CMS submit, in the form and 

detail as may be required by CMS, a report of--

    (i) Their operations, including the allowable costs actually 

incurred for the period and the actual number and kinds of surgical 

procedures furnished during the period; and

    (ii) Their customary charges for each surgical procedure furnished 

for the period.



[47 FR 34094, Aug. 5, 1982, as amended at 56 FR 8845, Mar. 1, 1991]