Quarterly Provider Updates
Quarterly Provider Updates
|
Content Section
Shown below are the details for the item you selected from the list.
| File Name |
CMS-1429-P |
| Subject |
Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 |
| Publication/Implementation Date |
08/05/2004 |
| Quarterly Release Date |
07/01/2004 |
| Provider Type |
Physicians |
| Type of Regulation |
Regulations Published This Quarter |
| Regulation Summary |
This proposed rule would refine the resource-based practice expense relative value units (RVUs) and make other changes to Medicare Part B payment policy. The proposed policy changes concern: supplemental survey data for practice expense, updated geographic practice cost indices for physician work and practice expense, updated malpractice RVUs, revised requirements for supervision of therapy assistants, revised payment rules for low osmolar contrast media, changes to payment policies for physicians and practitioners managing dialysis patients, clarification of care plan oversight requirements, revised requirements for supervision of diagnostic psychological testing services, clarifications to the policies affecting therapy services, revised requirements for assignment of Medicare claims, addition to the list of telehealth services, and several coding issues. We are proposing these changes to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. We solicit comments on these proposed policy changes. This proposed rule also addresses the following provisions of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA): coverage of an initial preventive physical examination; coverage of cardiovascular screening blood tests; coverage of diabetes screening tests; incentive payment improvements for physicians in shortage areas; payment for covered outpatient drugs and biologicals; payment for renal dialysis services; coverage of routine costs associated with certain clinical trials of category A devices as defined by the Food and Drug Administration; hospice consultation service; indexing the Part B deductible to inflation; extension of coverage of intravenous immune globulin (IVIG) for the treatment in the home of primary immune deficiency diseases; revisions to reassignment provisions; clinical conditions for payment of covered items of durable medical equipment; and payment for diagnostic mammograms. In addition, we discuss physicians' services associated with drug administration services and payment for set-up of portable x-ray equipment. |
| Additional Information |
N/A |
| | Downloads |
CMS-1429-P [PDF, 1,750 KB]
| | Related Links Inside CMS |
There are no Related Links Inside CMS
| | Related Links Outside CMS |  |
There are no Related Links Outside CMS
|
|
Last Modified Date : 04/28/2006
Help with File Formats and Plug-Ins
|
Email
Print