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Code of Federal Regulations
C.F.R. Title 42—Public Health
CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
SUBCHAPTER B—MEDICARE PROGRAM
PART 424—CONDITIONS FOR MEDICARE PAYMENT
Subpart G—Special Conditions: Emergency Services Furnished by a Nonparticipating Hospital

42 C.F.R. § 424.109

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Payment to the beneficiary.

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§ 424.109 Payment to the beneficiary.

Medicare pays the beneficiary for emergency services if the following conditions are met:

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Source: 53 FR 6634, Mar. 2, 1988, unless otherwise noted.

Table of Contents

Subpart G—Special Conditions: Emergency Services Furnished by a Nonparticipating Hospital

§424.100 Scope.
§424.101 Definitions.
§424.102 Situations that do not constitute an emergency.
§424.103 Conditions for payment for emergency services.
§424.104 Election to claim payment for emergency services furnished during a calendar year.
§424.106 Criteria for determining whether the hospital was the most accessible.
§424.108 Payment to a hospital.
§424.109 Payment to the beneficiary.

About SCCE

The Society of Corporate Compliance and Ethics (SCCE) is a non-profit, member-based professional association. SCCE supports our members' work with education, news, and discussion forums. We are a community of leaders, defining and shaping the corporate compliance environment across a wide range of industries and geographic regions. In developing and maintaining effective ethics and compliance programs, our members strengthen and protect their companies.

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About HCCA

The Health Care Compliance Association (HCCA), is a 501(c)6 non-profit, member-based professional association. HCCA was established in 1996 and is headquartered in Minneapolis, MN. We provide training, certification, and other resources to over 10,000 members. Our members include compliance officers and staff from a wide range of organizations, including hospitals, research facilities, clinics and technology service providers.

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