C.F.R. » Title 42 » CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES › SUBCHAPTER B—MEDICARE PROGRAM › PART 414—PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES › Subpart A—General Provisions

42 C.F.R. § 414.4

Fee schedule areas

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(a) General. CMS establishes physician fee schedule areas that generally conform to the geographic localities in existence before January 1, 1992.

(b) Changes. CMS announces proposed changes to fee schedule areas in the Federal Register and provides an opportunity for public comment. After considering public comments, CMS publishes the final changes in the Federal Register.

[59 FR 63463, Dec. 8, 1994]
Notes of Decisions
Cited in 5 cases, 1998–2014 · leading case: Texas Med. Ass'n v. Texas Workers Comp. Comm'n, 137 S.W.3d 342 (Tex. App. 2004).
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Texas Med. Ass'n v. Texas Workers Comp. Comm'n, 137 S.W.3d 342 (Tex. App. 2004). “, 42 C.F.R. § 414.4 (2003) (CMS announces proposed changes in Federal Register and provides opportunity for public comments prior to publication of final changes); 67 Fed.”
Cnty. of Santa Cruz v. Kathleen Sebelius, 399 F. App'x 174 (9th Cir. 2010). · cites it 2× “§ 1395 w-4(1)(2) (the “Fee Schedule” statute) and the regulation implementing this statute, 42 C.F.R. § 414.4 , are unconstitutional as applied to the Counties because they deprived them of property and equal protection.”
Headache & Pain Ctr. v. Sec'y OF HEALTH, 24 F. Supp. 2d 1200 (D. Kan. 1998). “See 42 C.F.R. § 414.4 . This evidence does not help plaintiffs position.”
Cnty. of Santa Cruz v. Kathleen Sebelius, 584 F. App'x 425 (9th Cir. 2014). “§ 1395w-4(j)(2) (the “Fee Schedule” statute) and the regulation implementing this statute, 42 C.F.R. § 414.4 , are unconstitutional as applied to Plaintiffs because the Fee Schedule statute and the related regulation deprived Plaintiffs of equal protection.”
Texas Med. Ass'n Texas AFL-CLO Patient Advocates of Texas Allen J. Meril, M.D. & L. E. Richey v. Texas Workers Comp. Comm'n Richard F. Reynolds, Exec. Dir. & Texas Ass'n of Bus. (Tex. App. 2004). “, 42 C.F.R. § 414.4 (2003) (CMS announces proposed changes in Federal Register and provides opportunity for public comments prior to publication of final changes); 67 Fed.”
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