Fed Regist. 1980 Apr 21;45(78):26699-705.
These regulations prohibit a provider or a physician or other supplier of services from reassigning claims for Medicare reimbursement, except in certain specified situations. They also impose administrative sanctions on providers or physicians or other suppliers who violate the prohibition. A provider who violates this prohibition is subject to termination of its provider agreement; a physician or other supplier is subject to revocation of the right to receive assignment from Medicare beneficiaries. The regulations also impose the same administrative sanction on physicians and other suppliers who violate their assignment agreements, chiefly their agreement to accept the reasonable charge as the full charge for the service. The regulations implement certain provisions of the Medicare-Medicaid Anti-Fraud and Abuse Amendments of 1977 (Pub. L. 95-142). They are designed to prevent the sale of Medicare claims at a discount from face value and to protect beneficiaries from becoming liable for excessive charges by physicians and other suppliers.
这些规定禁止服务提供者、医生或其他服务供应商转让医疗保险报销申请，但某些特定情况除外。它们还对违反该禁令的提供者、医生或其他供应商实施行政制裁。违反此禁令的提供者可能会被终止其提供者协议；医生或其他供应商可能会被撤销从医疗保险受益人处接受委托的权利。这些规定还对违反其委托协议的医生和其他供应商实施同样的行政制裁，主要是他们同意接受合理收费作为服务全额收费的协议。这些规定实施了1977年《医疗保险-医疗补助反欺诈和滥用修正案》（公法95-142）的某些条款。其目的是防止按票面价值打折出售医疗保险申请，并保护受益人不承担医生和其他供应商过高收费的责任。
