Federal
Effect of coinsurance liability on Medicare payment.
42 CFR § 418.405
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42 CFR § 418.405
42 CFR § 418.405
Effect of coinsurance liability on Medicare payment. The Medicare payment rates established by CMS in accordance with § 418.306 are not reduced when the individual is liable for coinsurance payments. Instead, when establishing the payment rates, CMS offsets the estimated cost of services by an estimate of average coinsurance amounts hospices collect.