United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2008_register executive 2010-09-22 article Rules and Regulations D09002ee1c809554f D09002ee1c80955db United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This final rule establishes a process for Medicare contractors to provide eligible participating physicians and beneficiaries with a determination of coverage relating to medical necessity for certain physicians' services before the services are furnished. This rule is intended to afford the physician and beneficiary the opportunity to know the financial liability for a service before expenses are incurred. This final rule establishes reasonable limits on physicians' services for which a prior determination of coverage may be requested and discusses generally our plans for establishing the procedures by which those determinations may be obtained. This rule also responds to public comments on the August 30, 2005 proposed rule. 73 FR 9672 https://www.govinfo.gov/app/details/FR-2008-02-22/E8-2811 E8-2811 fr22fe08-9 RIN 0938-AN10 4120-01-P CMS-6024-F https://www.govinfo.gov/app/details/FR-2008-02-22/E8-2811 https://www.govinfo.gov/content/pkg/FR-2008-02-22/html/E8-2811.htm https://www.govinfo.gov/content/pkg/FR-2008-02-22/pdf/E8-2811.pdf Health Facilities Health Professions Kidney Diseases Laboratories Medicare Reporting and Recordkeeping Requirements Rural Areas X-Rays 8 p. 9672 9679 73 FR 9672 Title 42 Part 410 42 CFR Part 410 RIN 0938-AN10 Medicare Program; Prior Determination for Certain Items and Services; Federal Register Vol. 73, Issue RULE E8-2811 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2008-03-24 CMS-6024-F 4120-01-P E8-2811 Final rule.

This final rule establishes a process for Medicare contractors to provide eligible participating physicians and beneficiaries with a determination of coverage relating to medical necessity for certain physicians' services before the services are furnished. This rule is intended to afford the physician and beneficiary the opportunity to know the financial liability for a service before expenses are incurred. This final rule establishes reasonable limits on physicians' services for which a prior determination of coverage may be requested and discusses generally our plans for establishing the procedures by which those determinations may be obtained. This rule also responds to public comments on the August 30, 2005 proposed rule.

Effective Date: March 24, 2008. Debbie Skinner, (410) 786-7480. Health Facilities Health Professions Kidney Diseases Laboratories Medicare Reporting and Recordkeeping Requirements Rural Areas X-Rays Medicare Program: Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates, et al. Prior Determination for Certain Items and Services, carolyn_lovett@omb.eop.gov www.Medicare.gov Vol. 73, no. 36 Office of the Federal Register, National Archives and Records Administration 2008-02-22 continuing daily deposited born digital 290 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2008-02-22 P0b002ee18093877d 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr22fe08 https://www.govinfo.gov/app/details/FR-2008-02-22 https://www.govinfo.gov/content/pkg/FR-2008-02-22/pdf/FR-2008-02-22.pdf https://www.govinfo.gov/content/pkg/FR-2008-02-22/xml/FR-2008-02-22.xml fdlp 9655 9933 DGPO 2010-09-22 2024-06-05 FR-2008-02-22 machine generated eng FR FR-2008-02-22 73 36