Medical and Other Health Services Furnished to Inpatients of

10 - Medical and Other Health Services Furnished to Inpatients of Participating Hospitals (Rev. 182, Issued: 03-21-14, Effective: 10-01-13, Implementation: 04-21-14) Payment may be made under Part B for physician services and for the nonphysician medical and other health services as provided in this section when furnished by a participating hospital (either directly or under arrangements) to an inpatient of the hospital, but only if payment for these services cannot be made under Part A. This policy applies to all hospitals and critical access hospitals (CAHs) participating in Medicare, including those paid under a prospective payment system or alternative payment methodology such as State cost control systems, and to emergency hospital services furnished by nonparticipating hospitals. In this section, the term “hospital” includes all hospitals and CAHs, regardless of payment methodology, unless otherwise specified. For services to be covered under Part A or Part B, a hospital must furnish nonphysician services to its inpatients directly or under arrangements (see chapter 16, §170 of this manual, “Inpatient Hospital or SNF Services Not Delivered Directly or Under Arrangement by the Provider”). A nonphysician service is one which does not meet the criteria defining physicians’ services specifically provided for in regulation at 42 CFR 415.102. Services "incident to" physicians’ services (except for the services of nurse anesthetists employed by anesthesiologists) are nonphysician services for purposes of this provision.