Medicare Physician Fee Schedule
Medicare Physician Fee Schedule

Author: United States Government Accountability Office

Publisher: Createspace Independent Publishing Platform

Published: 2017-10-20

Total Pages: 44

ISBN-13: 9781978451933

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Medicare Physician Fee Schedule: CMS Needs a Plan for Updating Practice Expense Component

Physician Fee Schedule
Physician Fee Schedule

Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health

Publisher:

Published: 2004

Total Pages: 80

ISBN-13:

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Medicare Laboratory Payment Policy
Medicare Laboratory Payment Policy

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2000-12-04

Total Pages: 261

ISBN-13: 0309183618

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Clinical laboratory tests play an integral role in helping physicians diagnose and treat patients. New developments in laboratory technology offer the prospect of improvements in diagnosis and care, but will place an increased burden on the payment system. Medicare, the federal program providing coverage of health-care services for the elderly and disabled, is the largest payer of clinical laboratory services. Originally designed in the early 1980s, Medicare's payment policy methodology for outpatient laboratory services has not evolved to take into account technology, market, and regulatory changes, and is now outdated. This report examines the current Medicare payment methodology for outpatient clinical laboratory services in the context of environmental and technological trends, evaluates payment policy alternatives, and makes recommendations to improve the system.

Medicare Physician Payments
Medicare Physician Payments

Author: James C. Cosgrove

Publisher: DIANE Publishing

Published: 2010-02

Total Pages: 35

ISBN-13: 1437921485

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Medicare¿s physician fees may not always reflect efficiencies that occur when a physician performs multiple services for the same patient on the same day, and some resources required for these services do not need to be duplicated. This report examined: (1) the Centers for Medicare and Medicaid Services¿ (CMS) efforts to set appropriate fees for services furnished together; and (2) additional opportunities for CMS to avoid excessive payments when services are furnished together. The report examined relevant policies, laws, and regulations; interviewed CMS officials and others; and analyzed claims data to identify opportunities for further savings. Includes recommendations. Charts and tables.