§ 411.350 Scope of subpart
§ 411.351 Definitions
§ 411.352 Group practice
§ 411.353 Prohibition on certain referrals by physicians and limitations on billing
§ 411.354 Financial relationship, compensation, and ownership or investment interest
§ 411.355 General exceptions to the referral prohibition related to both ownership/investment and compensation
§ 411.356 Exceptions to the referral prohibition related to ownership or investment interests
§ 411.357 Exceptions to the referral prohibition related to compensation arrangements
§ 411.361 Reporting requirements
§ 411.362 Additional requirements concerning physician ownership and investment in hospitals
§ 411.363 Process for requesting an exception from the prohibition on facility expansion
§ 411.370 Advisory opinions relating to physician referrals
§ 411.372 Procedure for submitting a request
§ 411.373 Certification
§ 411.375 Fees for the cost of advisory opinions
§ 411.377 Expert opinions from outside sources
§ 411.378 Withdrawing a request
§ 411.379 When CMS accepts a request
§ 411.380 When CMS issues a formal advisory opinion
§ 411.382 CMS’ right to rescind advisory opinions
§ 411.384 Disclosing advisory opinions and supporting information
§ 411.386 CMS’s advisory opinions as exclusive
§ 411.387 Effect of an advisory opinion
§ 411.388 When advisory opinions are not admissible evidence
§ 411.389 Range of the advisory opinion

Terms Used In CFR > Title 42 > Chapter IV > Subchapter B > Part 411 > Subpart J - Financial Relationships Between Physicians and Entities Furnishing Designated Health Services

  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Appellate: About appeals; an appellate court has the power to review the judgement of another lower court or tribunal.
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Baseline: Projection of the receipts, outlays, and other budget amounts that would ensue in the future without any change in existing policy. Baseline projections are used to gauge the extent to which proposed legislation, if enacted into law, would alter current spending and revenue levels.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Common law: The legal system that originated in England and is now in use in the United States. It is based on judicial decisions rather than legislative action.
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Donor: The person who makes a gift.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fair market value: The price at which an asset would change hands in a transaction between a willing, informed buyer and a willing, informed seller.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Inpatient hospital services: include services that are furnished either by the hospital directly or under arrangements made by the hospital with others. See 42 CFR 411.351
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Outpatient hospital services: include services that are furnished either by the hospital directly or under arrangements made by the hospital with others. See 42 CFR 411.351
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • Statute: A law passed by a legislature.