Reasonable Charges for Medical Care or Services; 2008 Calendar Year Update

Wed, Dec 26 2007 11:00:00 GMT

Title 38 of the Code of Federal Regulations (CFR), section 17.01 sets forth the Department of Veterans Affairs (VA) medical regulations concerning ``reasonable charges'' for medical care or services provided or furnished by VA to a veteran for: (1) A non serviceconnected disability for which the veteran is entitled to care or the payment of expenses for care under a health plan contract; (2) a nonserviceconnected disability incurred incident to the veteran's employment and covered under a worker's compensation law or plan that provides reimbursement or indemnification for such care and services; or (3) a nonserviceconnected disability incurred as a result of a motor vehicle accident in a State that requires automobile accident reparations insurance.

The regulations include methodologies for establishing billed amounts for the following types of charges: Acute inpatient facility charges; skilled nursing facility and subacute inpatient facility charges; partial hospitalization facility charges

The Federal Register

Reasonable Charges for Medical Care or Services; 2008 Calendar Year Update