<?xml version="1.0" encoding="UTF-8"?><mods xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://www.loc.gov/mods/v3" version="3.3" xsi:schemaLocation="http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-3.xsd" ID="id-03-20662">
    <name type="corporate">
        <namePart>United States Government Publishing Office</namePart>
        <role>
            <roleTerm authority="marcrelator" type="text">publisher</roleTerm>
            <roleTerm authority="marcrelator" type="code">pbl</roleTerm>
        </role>
        <role>
            <roleTerm authority="marcrelator" type="text">distributor</roleTerm>
            <roleTerm authority="marcrelator" type="code">dst</roleTerm>
        </role>
    </name>
    <name type="corporate">
        <namePart>United States</namePart>
        <namePart>National Archives and Records Administration</namePart>
        <namePart>Office of the Federal Register</namePart>
        <role>
            <roleTerm authority="marcrelator" type="text">author</roleTerm>
            <roleTerm authority="marcrelator" type="code">aut</roleTerm>
        </role>
        <description>Government Organization</description>
    </name>
    <typeOfResource>text</typeOfResource>
    <genre authority="marcgt">government publication</genre>
    <language>
        <languageTerm type="code" authority="iso639-2b">eng</languageTerm>
    </language>
    <extension>
        <collectionCode>FR</collectionCode>
        <category>Regulatory Information</category>
        <waisDatabaseName>2003_register</waisDatabaseName>
        <branch>executive</branch>
        <dateIngested>2010-09-23</dateIngested>
    </extension>
    <genre authority="marcgt">article</genre>
    <titleInfo>
        <title>Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004</title>
        <partNumber>Part III</partNumber>
        <partName>Proposed Rules</partName>
    </titleInfo>
    <relatedItem type="otherFormat" xlink:href="https://www.govinfo.gov/content/pkg/FR-2003-08-15/html/03-20662.htm">
        <identifier type="FDsys Unique ID">D09002ee1c81762bb</identifier>
    </relatedItem>
    <relatedItem type="otherFormat" xlink:href="https://www.govinfo.gov/content/pkg/FR-2003-08-15/pdf/03-20662.pdf">
        <identifier type="FDsys Unique ID">D09002ee1c81763c4</identifier>
    </relatedItem>
    <name type="corporate">
        <namePart>United States</namePart>
        <namePart>Department of Health and Human Services</namePart>
        <role>
            <roleTerm authority="marcrelator" type="text">originator</roleTerm>
            <roleTerm authority="marcrelator" type="code">org</roleTerm>
        </role>
        <description>United States Government Agency or Subagency</description>
    </name>
    <name type="corporate">
        <namePart>United States</namePart>
        <namePart>Centers for Medicare &amp; Medicaid Services</namePart>
        <role>
            <roleTerm authority="marcrelator" type="text">originator</roleTerm>
            <roleTerm authority="marcrelator" type="code">org</roleTerm>
        </role>
        <description>United States Government Agency or Subagency</description>
    </name>
    <abstract>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 policy changes concern: Medicare Economic Index, practice expense for professional component services, definition of diabetes for diabetes self-management training, supplemental survey data for practice expense, geographic practice cost indices, 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. We also discuss the non-physician work-pool, the 5-year review of anesthesia services, and outpatient therapy services performed "incident to" physician services.</abstract>
    <identifier type="FR citation">68 FR 49030</identifier>
    <identifier type="uri">https://www.govinfo.gov/app/details/FR-2003-08-15/03-20662</identifier>
    <identifier type="FR Doc No.">03-20662</identifier>
    <identifier type="former granule identifier">fr15au03-25</identifier>
    <identifier type="Regulation ID Number">RIN 0938-AL96</identifier>
    <identifier type="billing code">4120-01-P</identifier>
    <identifier type="department code">CMS-1476-P</identifier>
    <location>
        <url displayLabel="Content Detail" access="object in context">https://www.govinfo.gov/app/details/FR-2003-08-15/03-20662</url>
        <url access="raw object" displayLabel="HTML rendition">https://www.govinfo.gov/content/pkg/FR-2003-08-15/html/03-20662.htm</url>
        <url access="raw object" displayLabel="PDF rendition">https://www.govinfo.gov/content/pkg/FR-2003-08-15/pdf/03-20662.pdf</url>
    </location>
    <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>
    </subject>
    <physicalDescription>
        <extent>271 p.</extent>
    </physicalDescription>
    <part type="Part III">
        <extent unit="pages">
            <start>49030</start>
            <end>49300</end>
        </extent>
    </part>
    <identifier type="preferred citation">68 FR 49030</identifier>
    <relatedItem type="isReferencedBy">
        <titleInfo>
            <title>Code of Federal Regulations</title>
            <partNumber>Title 42 Part 410</partNumber>
        </titleInfo>
        <identifier type="CFR citation">42 CFR Part  410</identifier>
    </relatedItem>
    <relatedItem type="isReferencedBy">
        <titleInfo>
            <title>Code of Federal Regulations</title>
            <partNumber>Title 42 Part 414</partNumber>
        </titleInfo>
        <identifier type="CFR citation">42 CFR Part  414</identifier>
    </relatedItem>
    <relatedItem type="isReferencedBy">
        <titleInfo>
            <title>Regulation Identification Number 0938-AL96</title>
        </titleInfo>
        <identifier type="regulation ID number">RIN 0938-AL96</identifier>
    </relatedItem>
    <extension>
        <searchTitle>Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004; Federal Register Vol. 68, Issue </searchTitle>
        <granuleClass>PRORULE</granuleClass>
        <accessId>03-20662</accessId>
        <partNumber>III</partNumber>
        <agency order="1">DEPARTMENT OF HEALTH AND HUMAN SERVICES</agency>
        <agency order="2">Centers for Medicare &amp; Medicaid Services</agency>
        <commentDate>2003-10-07</commentDate>
        <departmentDoc>CMS-1476-P</departmentDoc>
        <rin number="0938-AL96"/>
        <billingCode>4120-01-P</billingCode>
        <frDocNumber>03-20662</frDocNumber>
        <action>Proposed rule.</action>
        <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 policy changes concern: Medicare Economic Index, practice expense for professional component services, definition of diabetes for diabetes self-management training, supplemental survey data for practice expense, geographic practice cost indices, 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. We also discuss the non-physician work-pool, the 5-year review of anesthesia services, and outpatient therapy services performed "incident to" physician services.</summary>
        <dates>We will consider comments if we receive them at the address, provided below, no later than 5 p.m. on October 7, 2003.</dates>
        <contact>Gail Addis (410) 786-4522 (for issues related to repricing of supplies for practice expense inputs.)</contact>
        <cfr title="42">
                                    
            <part number="410"/>
                                    
            <subject>Health Facilities</subject>
                                    
            <subject>Health Professions</subject>
                                    
            <subject>Kidney Diseases</subject>
                                    
            <subject>Laboratories</subject>
                                    
            <subject>Medicare</subject>
                                    
            <subject>Rural Areas</subject>
                                    
            <subject>X-Rays</subject>
                                
        </cfr>
        <cfr title="42">
                                    
            <part number="414"/>
                                
        </cfr>
        <tocSubject1>Medicare:</tocSubject1>
        <tocDoc>Physician fee schedule (2004 CY); payment policies and relative value unit adjustments, </tocDoc>
        <urlRef>http://cms.hhs.gov</urlRef>
        <urlRef>http://cms.hhs.gov/quality/</urlRef>
        <urlRef>http://www.access.gpo.gov/nara/index.html</urlRef>
        <urlRef>http://www.cms.hhs.gov</urlRef>
        <urlRef>http://www.cms.hhs.gov/physicians/pfs</urlRef>
        <urlRef>www.cms.hhs.gov/medlearn/therapy</urlRef>
    </extension>
    <relatedItem type="host" ID="P0b002ee1809c59de" xlink:href="https://www.govinfo.gov/metadata/pkg/FR-2003-08-15/mods.xml">
        <titleInfo>
            <title>Federal Register</title>
            <partNumber>Vol. 68, no. 158</partNumber>
        </titleInfo>
        <originInfo>
            <publisher>Office of the Federal Register, National Archives and Records Administration</publisher>
            <dateIssued encoding="w3cdtf">2003-08-15</dateIssued>
            <issuance>continuing</issuance>
            <frequency>daily</frequency>
        </originInfo>
        <physicalDescription>
            <note type="source content type">deposited</note>
            <digitalOrigin>born digital</digitalOrigin>
            <extent>567 p.</extent>
        </physicalDescription>
        <tableOfContents xlink:href="https://www.govinfo.gov/app/frtoc/2003-08-15">    
		  Table of Contents: 
		</tableOfContents>
        <classification authority="sudocs">AE 2.7:</classification>
        <classification authority="sudocs">GS 4.107:</classification>
        <classification authority="sudocs">AE 2.106:</classification>
        <classification authority="lcc">KF70.A2</classification>
        <identifier type="uri">https://www.govinfo.gov/app/details/FR-2003-08-15</identifier>
        <identifier type="local">P0b002ee1809c59de</identifier>
        <identifier type="issn">0097-6326</identifier>
        <identifier type="issn">0042-1219</identifier>
        <identifier type="issn">0364-1406</identifier>
        <identifier type="stock number">769-004-00000-9</identifier>
        <identifier type="ILS system id">000582072</identifier>
        <identifier type="former identifier">f:fr15au03</identifier>
        <location>
            <url displayLabel="Content Detail" access="object in context">https://www.govinfo.gov/app/details/FR-2003-08-15</url>
            <url displayLabel="PDF rendition" access="raw object">https://www.govinfo.gov/content/pkg/FR-2003-08-15/pdf/FR-2003-08-15.pdf</url>
            <url displayLabel="XML rendition" access="raw object">https://www.govinfo.gov/content/pkg/FR-2003-08-15/xml/FR-2003-08-15.xml</url>
        </location>
        <accessCondition type="GPO scope determination">fdlp</accessCondition>
        <part type="issue">
            <extent unit="pages">
                <start>48767</start>
                <end>49321</end>
            </extent>
        </part>
        <recordInfo>
            <recordContentSource authority="marcorg">DGPO</recordContentSource>
            <recordCreationDate encoding="w3cdtf">2010-09-23</recordCreationDate>
            <recordChangeDate encoding="w3cdtf">2024-06-07</recordChangeDate>
            <recordIdentifier source="DGPO">FR-2003-08-15</recordIdentifier>
            <recordOrigin>machine generated</recordOrigin>
            <languageOfCataloging>
                <languageTerm type="code" authority="iso639-2b">eng</languageTerm>
            </languageOfCataloging>
        </recordInfo>
        <extension>
            <docClass>FR</docClass>
            <accessId>FR-2003-08-15</accessId>
            <volume>68</volume>
            <issue>158</issue>
        </extension>
    </relatedItem>
</mods>
