D.6 42 CFR 415.170.pdf
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- Q515--Pathology Physician & Lab Testing Federal contract opportunity
- Solicitation number
- 36C26324Q0292
About this file
This is a Code of Federal Regulations (CFR) document establishing payment conditions for physician services in Medicare teaching settings under 42 CFR 415.170. The regulation falls under Title 42 Public Health, specifically within the Centers for Medicare & Medicaid Services Medicare Program requirements for services furnished by physicians in providers and teaching settings.
The regulation establishes two primary conditions under which physician services in teaching settings are payable under the Medicare physician fee schedule. Services are eligible for payment when they are either personally furnished by a physician who is not a resident, or when services are furnished by a resident in the presence of a teaching physician. The regulation references several exceptions to the general supervision requirement, including specific provisions for physician fee schedule payments for teaching physicians (§415.172), hospital outpatient and ambulatory settings (§415.174), renal dialysis services (§415.176), and psychiatric services (§415.184). The document is current as of September 13, 2024, with original authority derived from 42 U.S.C. 1302 and 1395hh, and was initially published in the Federal Register on December 8, 1995.
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|---|---|---|
| D.3 RULES OF BEHAVIOR.pdf | ||
| 36C26324Q0292 Pathology Physician Labs.pdf | ||
| D.2 ORGANIZATIONAL CONFLICT OF INTEREST.pdf | ||
| D.1 IMMIGRATION CERTIFICATION.pdf | ||
| 36C26324Q0292_1.docx | DOCX document | |
| D.5 WAGE DETERMINATION 2015-4999 Rev 26 12-23-2024.pdf | ||
| D.4 QUALITY ASSURANCE SURVEILLANCE PLAN - QASP.pdf |
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Text version
Title 42 —Public Health Chapter IV —Centers for Medicare & Medicaid Services, Department of Health and Human
Services Subchapter B —Medicare Program Part 415 —Services Furnished by Physicians in Providers, Supervising Physicians in Teaching
Settings, and Residents in Certain Settings Subpart D —Physician Services in Teaching Settings
Authority: 42 U.S.C. 1302 and 1395hh.
Source: 60 FR 63178, Dec. 8, 1995, unless otherwise noted.
§ 415.170 Conditions for payment on a fee schedule basis for physician services in a teaching setting.
Services meeting the conditions for payment in § 415.102(a) furnished in teaching settings are payable under the physician fee schedule if—
This content is from the eCFR and is authoritative but unofficial.
(a) The services are personally furnished by a physician who is not a resident; or
(b) The services are furnished by a resident in the presence of a teaching physician except as provided in §
415.172 (concerning physician fee schedule payment for services of teaching physicians), § 415.174 (concerning an exception for services furnished in hospital outpatient and certain other ambulatory settings), § 415.176 (concerning renal dialysis services), and § 415.184 (concerning psychiatric services), as applicable.
42 CFR 415.170 (up to date as of 9/13/2024) Conditions for payment on a fee schedule basis for physician services in... 42 CFR 415.170 (Sept. 13, 2024)
42 CFR 415.170(b) (enhanced display) page 1 of 1 https://www.govinfo.gov/link/uscode/42/1302 https://www.govinfo.gov/link/uscode/42/1395hh https://www.federalregister.gov/citation/60-FR-63178 https://www.ecfr.gov/on/2024-09-13/title-42/section-415.102/?#p-415.102(a) https://www.ecfr.gov/on/2024-09-13/title-42/section-415.172/ https://www.ecfr.gov/on/2024-09-13/title-42/section-415.172/ https://www.ecfr.gov/on/2024-09-13/title-42/section-415.174/ https://www.ecfr.gov/on/2024-09-13/title-42/section-415.176/ https://www.ecfr.gov/on/2024-09-13/title-42/section-415.184/
| Authority: |
| Source: |
| § 415.170 Conditions for payment on a fee schedule basis for physician services in a teaching setting. |
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