Federal (United States) · Regulations
Subpart B — Radiation Oncology Model
22 sections
22 sections
- 42 C.F.R. § 512.200Basis and scope of subpart.
- 42 C.F.R. § 512.205Definitions.
- 42 C.F.R. § 512.210RO participants and geographic areas.
- 42 C.F.R. § 512.215Beneficiary population.
- 42 C.F.R. § 512.217Identification of individual practitioners.
- 42 C.F.R. § 512.220RO participant compliance with RO Model requirements.
- 42 C.F.R. § 512.225Beneficiary notification.
- 42 C.F.R. § 512.230Criteria for determining cancer types.
- 42 C.F.R. § 512.235Included RT services.
- 42 C.F.R. § 512.240Included modalities.
- 42 C.F.R. § 512.245Included RO episodes.
- 42 C.F.R. § 512.250Determination of national base rates.
- 42 C.F.R. § 512.255Determination of participant-specific professional episode payment and participant-specific technical episode payment amounts.
- 42 C.F.R. § 512.260Billing.
- 42 C.F.R. § 512.265Payment.
- 42 C.F.R. § 512.270Treatment of add-on payments under existing Medicare payment systems.
- 42 C.F.R. § 512.275Quality measures, clinical data, and reporting.
- 42 C.F.R. § 512.280RO Model Medicare program waivers.
- 42 C.F.R. § 512.285Reconciliation process.
- 42 C.F.R. § 512.290Timely error notice and reconsideration review process.
- 42 C.F.R. § 512.292Overlap with other models tested under Section 1115A and CMS programs.
- 42 C.F.R. § 512.294Extreme and uncontrollable circumstances.