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        <title>Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2001</title>
        <partNumber>Part III</partNumber>
        <partName>Proposed Rules</partName>
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    <abstract>This proposed rule would make several changes affecting Medicare Part B payment. The changes include: Refinement of resource- based practice expense relative value units (RVUs); changes to the geographic practice cost indices; resource-based malpractice RVUs; critical care RVUs; care plan oversight and physician certification/ recertification; observation care codes; ocular photodynamic therapy and other ophthalmological treatments; electrical bioimpedance; the global period for insertion, removal, and replacement of pacemakers and cardioverter defibrillators; antigen supply; low intensity ultrasound; and the implantation of ventricular assist devices. This proposed rule also discusses or clarifies the payment policy for incomplete medical direction, pulse oximetry services, outpatient therapy supervision, outpatient therapy caps, and the second 5-year refinement of work RVUs for services furnished beginning January 1, 2002. 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 the proposed policy changes.</abstract>
    <identifier type="FR citation">65 FR 44176</identifier>
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    <subject>
        <topic>Health Facilities</topic>
        <topic>Health Professions</topic>
        <topic>Kidney Diseases</topic>
        <topic>Laboratories</topic>
        <topic>Medicare</topic>
        <topic>Rural Areas</topic>
        <topic>X-Rays</topic>
        <topic>Administrative Practice and Procedure</topic>
        <topic>Reporting and Recordkeeping Requirements</topic>
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        <summary>This proposed rule would make several changes affecting Medicare Part B payment. The changes include: Refinement of resource- based practice expense relative value units (RVUs); changes to the geographic practice cost indices; resource-based malpractice RVUs; critical care RVUs; care plan oversight and physician certification/ recertification; observation care codes; ocular photodynamic therapy and other ophthalmological treatments; electrical bioimpedance; the global period for insertion, removal, and replacement of pacemakers and cardioverter defibrillators; antigen supply; low intensity ultrasound; and the implantation of ventricular assist devices. This proposed rule also discusses or clarifies the payment policy for incomplete medical direction, pulse oximetry services, outpatient therapy supervision, outpatient therapy caps, and the second 5-year refinement of work RVUs for services furnished beginning January 1, 2002. 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 the proposed policy changes.</summary>
        <dates>To be assured of consideration, we must receive comments at the appropriate address, as provided below, no later than 5 p.m. on September 15, 2000.</dates>
        <contact>Bob Ulikowski, (410) 786-5721 (for issues related to resource-based malpractice relative value units and geographic practice cost index changes).</contact>
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            <subject>Health Facilities</subject>
                                    
            <subject>Health Professions</subject>
                                    
            <subject>Kidney Diseases</subject>
                                    
            <subject>Laboratories</subject>
                                    
            <subject>Medicare</subject>
                                    
            <subject>Rural Areas</subject>
                                    
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            <subject>Administrative Practice and Procedure</subject>
                                    
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