Title 42

PART 510 SUBPART D

Subpart D - Pricing and Payment

• 42 U.S.C. 1302, 1315(a), and 1395hh.
• 80 FR 73540, Nov. 24, 2015, unless otherwise noted.

42:5.0.1.2.14.4.41.1	SECTION 510.300	510.300 Determination of episode quality-adjusted target prices.
42:5.0.1.2.14.4.41.2	SECTION 510.305	510.305 Determination of the NPRA and reconciliation process.
42:5.0.1.2.14.4.41.3	SECTION 510.310	510.310 Appeals process.
42:5.0.1.2.14.4.41.4	SECTION 510.315	510.315 Composite quality scores for determining reconciliation payment eligibility and quality incentive payments.
42:5.0.1.2.14.4.41.5	SECTION 510.320	510.320 Treatment of incentive programs or add-on payments under existing Medicare payment systems.
42:5.0.1.2.14.4.41.6	SECTION 510.325	510.325 Allocation of payments for services that straddle the episode.

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