United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2003_register executive 2010-09-23 article Part II Rules and Regulations D09002ee1c816fa9f D09002ee1c816fc19 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This final rule will 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. In addition, this rule updates the codes subject to the physician self-referral prohibition. We also make revisions to the sustainable growth rate and the anesthesia conversion factor. These changes will ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. We are also finalizing the calendar year (CY) 2003 interim RVUs and are issuing interim RVUs for new and revised procedure codes for CY 2004. As required by the statute, we are announcing that the physician fee schedule update for CY 2004 is -4.5 percent, the initial estimate of the sustainable growth rate for CY 2004 is 7.4 percent, and the conversion factor for CY 2004 is $35.1339. We published a proposed rule (68 FR 50428) in the Federal Register on Part B drug payment reform on August 20, 2003. This proposed rule would also make changes to Medicare payment for furnishing or administering certain drugs and biologicals. We have not finalized these proposals to take into account that the Congress is considering legislation that would address these issues. We will continue to monitor legislative activity that would reform the Medicare Part B drug payment system. If legislation is not enacted soon on this issue, we remain committed to completing the regulatory process. 68 FR 63196 https://www.govinfo.gov/app/details/FR-2003-11-07/03-27639 03-27639 fr07no03-11 RIN 0938-AL96 4120-01-P CMS-1476-FC https://www.govinfo.gov/app/details/FR-2003-11-07/03-27639 https://www.govinfo.gov/content/pkg/FR-2003-11-07/html/03-27639.htm https://www.govinfo.gov/content/pkg/FR-2003-11-07/pdf/03-27639.pdf Health Facilities Health Professions Kidney Diseases Administrative Practice and Procedure Medicare Reporting and Recordkeeping Requirements Rural Areas X-Rays 200 p. 63196 63395 68 FR 63196 Title 42 Part 410 42 CFR Part 410 Title 42 Part 414 42 CFR Part 414 RIN 0938-AL96 Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004; Federal Register Vol. 68, Issue RULE 03-27639 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2004-01-01 CMS-1476-FC 4120-01-P 03-27639 Final rule with comment period.

This final rule will 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. In addition, this rule updates the codes subject to the physician self-referral prohibition. We also make revisions to the sustainable growth rate and the anesthesia conversion factor. These changes will ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. We are also finalizing the calendar year (CY) 2003 interim RVUs and are issuing interim RVUs for new and revised procedure codes for CY 2004. As required by the statute, we are announcing that the physician fee schedule update for CY 2004 is -4.5 percent, the initial estimate of the sustainable growth rate for CY 2004 is 7.4 percent, and the conversion factor for CY 2004 is $35.1339. We published a proposed rule (68 FR 50428) in the Federal Register on Part B drug payment reform on August 20, 2003. This proposed rule would also make changes to Medicare payment for furnishing or administering certain drugs and biologicals. We have not finalized these proposals to take into account that the Congress is considering legislation that would address these issues. We will continue to monitor legislative activity that would reform the Medicare Part B drug payment system. If legislation is not enacted soon on this issue, we remain committed to completing the regulatory process.

Effective date: These regulations are effective on January 1, 2004. Pam West (410) 786-2302 (for issues related to practice expense.) Health Facilities Health Professions Kidney Diseases Administrative Practice and Procedure Medicare Reporting and Recordkeeping Requirements Rural Areas X-Rays Medicare: Physician fee schedule (2004 CY); payment policies and relative value units, http://cms.hhs.gov/physicians/pfs http://cms.hhs.gov/providers/pufdownload/default.asp#alphanu http://stats.bls.gov http://www.access.gpo.gov/nara/index.html http://www.cms.hhs.gov http://www.cms.hhs.gov/medlearn/refphys.asp http://www.cms.hhs.gov/statistics/actuary/ Vol. 68, no. 216 Office of the Federal Register, National Archives and Records Administration 2003-11-07 continuing daily deposited born digital 732 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2003-11-07 P0b002ee1809b0399 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr07no03 https://www.govinfo.gov/app/details/FR-2003-11-07 https://www.govinfo.gov/content/pkg/FR-2003-11-07/pdf/FR-2003-11-07.pdf https://www.govinfo.gov/content/pkg/FR-2003-11-07/xml/FR-2003-11-07.xml fdlp 63011 63731 DGPO 2010-09-23 2024-06-07 FR-2003-11-07 machine generated eng FR FR-2003-11-07 68 216