Physician and Other Part B Supplier Services Not Furnished Under

40 - Physician and Other Part B Supplier Services Not Furnished Under Arrangements (Rev. 30, 09-05-03) 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 HCPPs with §1833 agreement. The HCPP 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 HCPP from negotiating charges less than the Medicare limits. 6