Payment for Certain Excluded Services

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medicare Program
  6. Exclusions from Medicare and Limitations on Medicare Payment
  7. Payment for Certain Excluded Services

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Section
411.400

Payment for custodial care and services not reasonable and necessary.

Section
411.402

Indemnification of beneficiary.

Section
411.404

Criteria for determining that a beneficiary knew that services were excluded from coverage as custodial care or as not reasonable and necessary.

Section
411.406

Criteria for determining that a provider, practitioner, or supplier knew that services were excluded from coverage as custodial care or as not reasonable and necessary.

Section
411.408

Refunds of amounts collected for physician services not reasonable and necessary, payment not accepted on an assignment-related basis.