42 C.F.R. § 510.620

Current through November 30, 2024
Section 510.620 - Waiver of deductible and coinsurance that otherwise apply to reconciliation payments or repayments
(a)Waiver of deductible and coinsurance. CMS waives the requirements of sections 1813 and 1833(a) of the Act for Medicare Part A and Part B payment systems only to the extent necessary to make reconciliation payments or receive repayments based on the NPRA that reflect the episode payment methodology under the final payment model for CJR participant hospitals.
(b)Reconciliation payments or repayments. Reconciliation payments or repayments do not affect the beneficiary cost-sharing amounts for the Part A and Part B services provided under the CJR model.

42 C.F.R. §510.620

80 FR 73540 , Nov. 24, 2015, as amended at 82 FR 622 , Jan. 3, 2017
82 FR 622 , 2/18/2017