Medicare program; indirect Part B payment procedure--HCFA. Final rule.

Abstract

Section 1842(b)(6) of the Social Security Act, as amended by section 2339 of the Deficit Reduction Act of 1984, authorizes a Medicare carrier to pay Medicare Part B benefits under certain circumstances directly to an entity that provides a health benefits plan complementary to Medicare and that pays the physician or supplier in full for the service. This rule sets forth the requirements these entities must meet to receive payment directly from Medicare.