Medicare program; determination of payment amount for services furnished by independent rural health clinics: Health Care Financing Administration. Final rule with a request for additional comments.
This final rule amends the regulations concerning payment for services furnished by independent rural health clinics under the Medicare program. Specifically, we are amending the regulations at 42 CFR 405,2425(b) to clarify how interim Medicare reimbursement to the clinic is calculated when services are furnished to a beneficiary who has not met the Medicare Part B deductible requirements. The amendment is needed to correct an inaccurate statement in the current regulations of the rules governing payment in these situations. We are also amending the regulations at 42 CFR 405,2427(b) to clarify our procedures to be used by the Medicare carriers in calculating the total reimbursement amount due the clinic at the time of final cost settlement.
D000554:Ambulatory Care Facilities / Q000191:economics*; D007348:Insurance, Health / Q000331:legislation & jurisprudence*; D007349:Insurance, Health, Reimbursement / Q000331:legislation & jurisprudence*; D006278:Medicare / Q000331:legislation & jurisprudence*; D012423:Rural Health; D014481:United States