Physician Reimbursement Under Medicare

Physician Reimbursement Under Medicare

Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on Health

Publisher:

Published: 1981

Total Pages: 68

ISBN-13:

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Subcom on Health report, prepared with assistance of Jennifer O'Sullivan (CRS), examining physician reimbursement policies and patterns under medicare. Describes methodology used by health insurance carriers to determine reasonable charges for physician services, examines impact of such determinations on physicians and patients, and reviews possible reimbursement modifications.


Medicare Reimbursement Differentials by Physician Experience

Medicare Reimbursement Differentials by Physician Experience

Author: Richard J. Buddin

Publisher:

Published: 1992-01-01

Total Pages: 38

ISBN-13: 9780833013309

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Under current policy, Medicare reimburses for physician services according to a fee schedule that differentiates payment levels for physicians according to their experience. However, experience salaried physicians who have not previously billed for Medicare services are reimbursed as "new" physicians when they first begin treating those covered by Medicare. By examining experience differentials in physician fees and wages in other settings and the reimbursement practices of private insurers, this report provides evidence suggesting that the present Medicare fee schedule is likely to discourage new physicians from treating Medicare patients.