Page:United States Statutes at Large Volume 86.djvu/1496

 1454

PUBLIC LAW 92-603-OCT. 30, 1972

[86 STAT.

. (7) section 1903(i)(4) of such Act as added by section 237(a) of this Act; (8) section 1877(c) of such Act as added by section 242(b) of this Act; (9) section 1909(c) of such Act as added by section 242(c) of this Act; (10) section 1861(i) of such Act as amended by section 248 of this Act: (11) section 1861(v)(1)(E) of such Act as added by section 249(b) of this Act; (12) section 1910 of such Act as added by section 249A of this Act; (13) section 1861(j) of such Act as amended by section 267 of this Act; (14) section 1902(a) of such Act as amended by section 268 of this Act; (15) section 1864(a) of such Act as amended by section 277 of this Act; (16) section 1903(j) of such Act as added by section 225 of this Act; (17) section 1814(h) of such Act as added by section 228(a) of this Act; and (18) section 1866(a)(1) of such Act as amended by section 249A of this Act. DIRECT LABORATORY BILLING OF PATIENTS

SEC. 279. (a) Section 1833(a)(1) of the Social Security Act (as Ante, p. 1384. amended by section 211(c)(4) of this Act) is further amended by— (1) striking out "and" before " (C) "; (2) inserting before the semicolon at the end thereof the following: ", and (D) with respect.to diagnostic tests performed in a laboratory for which payment is made under this part to the laboratory, the amounts paid shall be equal to 100 percent of the negotiated rate for such tests (as determined pursuant to subsection (g) of this section)". Ante, p. 1445. (b) Section 1833 of such Act is amended by adding at the end thereof the following subsection: " (g) With respect to diagnostic tests performed in a laboratory for which payment is made under this part to the laboratory, the Secretary is authorized to establish a payment rate which is acceptable to the laboratory and which would be considered the full charge for such tests. Such negotiated rate shall be limited to an amount not in excess of the total payment that would have been made for the services in the absence of such a rate." CLARIFICATION OF M E A N I N G OF " p H Y S I C I A N S ' SERVICES" UNDER TITLE XIX

42 USC i396d.

S E C 280. Section 1905(a)(5) of the Social Security Act is amended by inserting "furnished by a physician (as defined in section 1861(r) (1)) " after "physicians' services". L13IITATION ON ADJUSTMENT OR RECOVERY OF INCORRECT P A Y M E N T S UNDER THE MEDICARE PROGRAM

42 USC i395gg.

S E C 281. (a)(1) Section 1870(b)(1) of.the Social Security Act is amended by— (A) inserting " (A) " after "the Secretary determines"; and (B) inserting at the end of paragraph (1) the following:

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