Part 416 — Ambulatory Surgical Services
Subpart A — General Provisions and Definitions
Subpart B — General Conditions and Requirements
Subpart C — Specific Conditions for Coverage
- § 416.40— Condition for coverage—Compliance with State licensure law.
- § 416.41— Condition for coverage—Governing body and management.
- § 416.42— Condition for coverage—Surgical services.
- § 416.43— Conditions for coverage—Quality assessment and performance improvement.
- § 416.44— Condition for coverage—Environment.
- § 416.45— Condition for coverage—Medical staff.
- § 416.46— Condition for coverage—Nursing services.
- § 416.47— Condition for coverage—Medical records.
- § 416.48— Condition for coverage—Pharmaceutical services.
- § 416.49— Condition for coverage—Laboratory and radiologic services.
- § 416.50— Condition for coverage—Patient rights.
- § 416.51— Conditions for coverage—Infection control.
- § 416.52— Conditions for coverage—Patient admission, assessment and discharge.
- § 416.54— Condition for coverage—Emergency preparedness.
Subpart D — Scope of Benefits for Services Furnished Before January 1, 2008
Subpart E — Prospective Payment System for Facility Services Furnished Before January 1, 2008
Subpart F — Coverage, Scope of ASC Services, and Prospective Payment System for ASC Services Furnished on or After January 1, 2008
- § 416.160— Basis and scope.
- § 416.161— Applicability of this subpart.
- § 416.163— General rules.
- § 416.164— Scope of ASC services.
- § 416.166— Covered surgical procedures.
- § 416.167— Basis of payment.
- § 416.171— Determination of payment rates for ASC services.
- § 416.172— Adjustments to national payment rates.
- § 416.173— Publication of revised payment methodologies and payment rates.
- § 416.174— Payment for non-opioid pain management drugs, biologicals, and medical devices.
- § 416.178— Limitations on administrative and judicial review.
- § 416.179— Payment and coinsurance reduction for devices replaced without cost or when full or partial credit is received.
Subpart G — Adjustment in Payment Amounts for New Technology Intraocular Lenses Furnished by Ambulatory Service Centers
Subpart H — Requirements Under the Ambulatory Surgical Center Quality Reporting (ASCQR) Program
- § 416.300— Basis and scope of subpart.
- § 416.305— Participation and withdrawal requirements under the ASCQR Program.
- § 416.310— Data collection and submission requirements under the ASCQR Program.
- § 416.315— Public reporting of data under the ASCQR Program.
- § 416.320— Retention and removal of quality measures under the ASCQR Program.
- § 416.325— Measure maintenance under the ASCQR Program.
- § 416.330— Reconsiderations under the ASCQR Program.