94 STAT. 2610
PUBLIC LAW 96-499—DEC. 5, 1980 PART A—PROVISIONS RELATING TO MEDICARE AND MEDICAID
Subpart I—Provider Reimbursement Changes Sec. Sec. Sec. Sec. Sec.
901. 902. 903. 904. 905.
Nonprofit hospital philanthropy. Reimbursement for inappropriate inpatient hospital services. Continued use of demonstration project reimbursement systems. Hospital providers of long-term care services ("swing-beds"). Withholding of Federal share of payments to medicaid providers to recover medicare overpayments. Subpart II—Other Administrative Provisions
Sec. 911. Quality assurance programs for clinical laboratories. Sec. 912. Requirements concerning reporting of financial interest. Sec. 913. Exclusion of health care professionals convicted of medicare- or medicaidrelated crimes. Sec. 914. Coordinated audits under the Social Security Act. Sec. 915. Life safety code requirements. Sec. 916. Alternative to decertification of long-term care facilities out of compliance with conditions of participation; look behind authority. Sec. 917. Criminal standards for certain medicare- and medicaid-related crimes. Sec. 918. Reimbursement of clinical laboratories. Sec. 919. Study of need for dual participation of skilled nursing facilities. Subpart III—Provisions Relating to Professional Standards Review Organizations (PSRO's) Sec. 921. Expanded membership of professional standards review organizations. Sec. 922. Registered nurse and dentist membership on statewide council advisory group. Sec. 923. Nonphysician membership on national professional standards review council. Sec. 924. Required activities of professional standards review organizations. Sec. 925. Efficiency in delegated review. Sec. 926. Review of routine hospital admission services and propertye hospital stays by professional standards review organizations. Sec. 927. Consultation by professional standards review organizations with health care practitioners. Sec. 928. Response of professional standards review organizations to freedom of information act requests. Sec. 929. Study of professional standards review organizations norms, standards, and criteria. PART B—PROVISIONS RELATING TO MEDICARE
Subpart I—Changes in Services or Benefits Sec. Sec. Sec. Sec. Sec. Sec. Sec. Sec. Sec. Sec.
930. 931. 932. 933. 934. 935. 936. 937. 938. 939.
Home health services. Alcohol detoxification facility services. Preadmission diagnostic testing. Comprehensive outpatient rehabilitation facility services. Outpatient surgery. Outpatient physical therapy services. Dentists' services. Optometrists' services. Antigens. Treatment of plantar warts.
Subpart II—Administrative Changes and Miscellaneous Provisions Sec. Sec. Sec. Sec. Sec. Sec. Sec.
941. 942. 943. 944. 945. 946. 947.
Presumed coverage provisions. Payment to providers of services. Limitation on payments to radiologists and pathologists. Physician treatment plan for speech pathology. Reenrollment and open enrollment in part B. Determination of reasonable charge. Shortened part B termination period for certain individuals whose premiums medicaid has ceased to pay. Sec. 948. Reimbursement of physicians' services in teaching hospitals.
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