Medicare program; reasonable charge limitations--HCFA. Final rule.

Abstract

This final rule sets forth the circumstances under which HCFA will consider establishing special reasonable charge payment limits for physicians' services reimbursed under Part B of the Medicare program. The rule describes the factors that HCFA will consider and establishing the limits. The purpose of this rule is to bring the regulations into conformance with the provisions of section 9333 of the Omnibus Budget Reconciliation Act of 1986. As amended, the law stipulates the specific circumstances under which the Secretary may establish special reasonable charge limits for physicians' services. The rule also responds to the public comments received on the final rule with comment period that set forth the general principles for establishing special reasonable charge limits.