42 C.F.R. § 424.51 – Payment to the provider. | Midpage
§ 424.51
42 C.F.R. § 424.51
Payment to the provider.
Effective Jan 1, 2017
(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.