42 CFR § 418.405
Effect of coinsurance liability on Medicare payment
June 11, 2020
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.
[56 FR 26919, June 12, 1991]
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