Physician and Other Part B Supplier Services Not Furnished

150 - Physician and Other Part B Supplier Services Not Furnished Under Arrangements (Rev. 4, 10-01-01) Section 1876(j) of the Act places a limit on the charges of noncontracted physicians and suppliers of End Stage Renal Disease (ESRD) services for enrollees of HMO/CMPs with §1876 of the Act contracts. The HMO/CMP is allowed to use the Medicare FFS payment limits for these services rendered on or after April 1, 1990. This provision does not preclude the HMO/CMP from negotiating charges less than the Medicare limits.