Federal (United States) · Regulations
Subpart K — Payment for Certain Excluded Services
5 sections
5 sections
- 42 C.F.R. § 411.400Payment for custodial care and services not reasonable and necessary.
- 42 C.F.R. § 411.402Indemnification of beneficiary.
- 42 C.F.R. § 411.404Criteria for determining that a beneficiary knew that services were excluded from coverage as custodial care or as not reasonable and necessary.
- 42 C.F.R. § 411.406Criteria for determining that a provider, practitioner, or supplier knew that services were excluded from coverage as custodial care or as not reasonable and necessary.
- 42 C.F.R. § 411.408Refunds of amounts collected for physician services not reasonable and necessary, payment not accepted on an assignment-related basis.