42 C.F.R. § 424.109

Current through October 31, 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