Federal
Payment to the provider.
42 CFR § 424.51
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3 segments
42 CFR § 424.51
42 CFR § 424.51
Payment to the provider.
(a)
Basic rule. Except as specified in paragraph (b) of this section, Medicare pays the provider for services furnished by a provider.
(b)
Exception. Medicare pays the beneficiary for outpatient hospital services if the hospital has collected an amount in excess of the unmet deductible and coinsurance, as specified in § 489.30(b)(4) of this chapter.
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