2005 CFR Title 42, Volume 2

Title 42--Public Health CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES PART 424--CONDITIONS FOR MEDICARE PAYMENT
	424.1	Basis and scope.
	424.3	Definitions.
	424.5	Basic conditions.
	424.7	General limitations.
	424.10	Purpose and scope.
	424.11	General procedures.
	424.13	Requirements for inpatient services of hospitals other than psychiatric hospitals.
	424.14	Requirements for inpatient services of psychiatric hospitals.
	424.15	Requirements for inpatient CAH services.
	424.16	Timing of certification for individual admitted to a hospital before entitlement to Medicare benefits.
	424.20	Requirements for posthospital SNF care.
	424.22	Requirements for home health services.
	424.24	Requirements for medical and other health services furnished by providers under Medicare Part B.
	424.27	Requirements for comprehensive outpatient rehabilitation facility (CORF) services.
	424.30	Scope.
	424.32	Basic requirements for all claims.
	424.33	Additional requirements: Claims for services of providers and claims by suppliers and nonparticipating hospitals.
	424.34	Additional requirements: Beneficiary's claim for direct payment.
	424.36	Signature requirements.
	424.37	Evidence of authority to sign on behalf of the beneficiary.
	424.40	Request for payment effective for more than one claim.
	424.44	Time limits for filing claims.
	424.50	Scope.
	424.51	Payment to the provider.
	424.52	Payment to a nonparticipating hospital.
	424.53	Payment to the beneficiary.
	424.54	Payment to the beneficiary's legal guardian or representative payee.
	424.55	Payment to the supplier.
	424.56	Payment to a beneficiary and to a supplier.
	424.57	Special payment rules for items furnished by DMEPOS suppliers and issuance of DMEPOS supplier billing privileges.
	424.60	Scope.
	424.62	Payment after beneficiary's death: Bill has been paid.
	424.64	Payment after beneficiary's death: Bill has not been paid.
	424.66	Payment to entities that provide coverage complementary to Medicare Part B.
	424.70	Basis and scope.
	424.71	Definitions.
	424.73	Prohibition of assignment of claims by providers.
	424.74	Termination of provider agreement.
	424.80	Prohibition of reassignment of claims by suppliers.
	424.82	Revocation of right to receive assigned benefits.
	424.83	Hearings on revocation of right to receive assigned benefits.
	424.84	Final determination on revocation of right to receive assigned benefits.
	424.86	Prohibition of assignment of claims by beneficiaries.
	424.90	Court ordered assignments: Conditions and limitations.
	424.100	Scope.
	424.101	Definitions.
	424.102	Situations that do not constitute an emergency.
	424.103	Conditions for payment for emergency services.
	424.104	Election to claim payment for emergency services furnished during a calendar year.
	424.106	Criteria for determining whether the hospital was the most accessible.
	424.108	Payment to a hospital.
	424.109	Payment to the beneficiary.
	424.120	Scope.
	424.121	Scope of payments.
	424.122	Conditions for payment for emergency inpatient hospital services.
	424.123	Conditions for payment for nonemergency inpatient services furnished by a hospital closer to the individual's residence.
	424.124	Conditions for payment for physician services and ambulance services.
	424.126	Payment to the hospital.
	424.127	Payment to the beneficiary.
	424.350	Replacement of checks that are lost, stolen, defaced, mutilated, destroyed, or paid on forged endorsements.
	424.352	Intermediary and carrier checks that are lost, stolen, defaced, mutilated, destroyed or paid on forged endorsements.