42 C.F.R. § 424.109

Current through September 30, 2024
Section 424.109 - Payment to the beneficiary

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

(a) The hospital does not have in effect an election to claim payment.
(b) The beneficiary, or someone on his or her behalf, submits-
(1) A claim that meets the requirements of § 424.32 ;
(2) An itemized hospital bill; and
(3) Evidence requested by CMS to establish that the services meet the requirements of this subpart.

42 C.F.R. §424.109