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 2005_register executive 2010-09-23 article Part II Rules and Regulations D09002ee1c8105b99 D09002ee1c8105c47 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 rule addresses Medicare Part B payment policy, including the physician fee schedule that are applicable for calendar year (CY) 2006; and finalizes certain provisions of the interim final rule to implement the Competitive Acquisition Program (CAP) for Part B Drugs. It also revises Medicare Part B payment and related policies regarding: Physician work; practice expense (PE) and malpractice relative value units (RVUs); Medicare telehealth services; multiple diagnostic imaging procedures; covered outpatient drugs and biologicals; supplemental payments to Federally Qualified Health Centers (FQHCs); renal dialysis services; coverage for glaucoma screening services; National Coverage Decision (NCD) timeframes; and physician referrals for nuclear medicine services and supplies to health care entities with which they have financial relationships. In addition, the rule finalizes the interim RVUs for CY 2005 and issues interim RVUs for new and revised procedure codes for CY 2006. This rule also updates the codes subject to the physician self-referral prohibition and discusses payment policies relating to teaching anesthesia services, therapy caps, private contracts and opt-out, and chiropractic and oncology demonstrations. As required by the statute, it also announces that the physician fee schedule update for CY 2006 is -4.4 percent, the initial estimate for the sustainable growth rate for CY 2006 is 1.7 percent and the conversion factor for CY 2006 is $36.1770. 70 FR 70116 https://www.govinfo.gov/app/details/FR-2005-11-21/05-22160 05-22160 fr21no05-10 4121-01-U CMS-1502-FC and CMS-1325-F https://www.govinfo.gov/app/details/FR-2005-11-21/05-22160 https://www.govinfo.gov/content/pkg/FR-2005-11-21/html/05-22160.htm https://www.govinfo.gov/content/pkg/FR-2005-11-21/pdf/05-22160.pdf Administrative Practice and Procedure Health Facilities Health Professions Kidney Diseases Medical Devices Medicare Reporting and Recordkeeping Requirements Rural Areas X-Rays Laboratories Physician Referral Reporting and Record Keeping Requirements Emergency Medical Services 361 p. 70116 70476 70 FR 70116 Title 42 Part 405 42 CFR Part 405 Title 42 Part 410 42 CFR Part 410 Title 42 Part 411 42 CFR Part 411 Title 42 Part 413 42 CFR Part 413 Title 42 Part 414 42 CFR Part 414 Title 42 Part 424 42 CFR Part 424 Title 42 Part 426 42 CFR Part 426 Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2006 and Certain Provisions Related to the Competitive Acquisition Program of Outpatient Drugs and Biologicals Under Part B; Federal Register Vol. 70, Issue RULE 05-22160 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2006-01-01 CMS-1502-FC and CMS-1325-F 4121-01-U 05-22160 Final rule with comment.

This rule addresses Medicare Part B payment policy, including the physician fee schedule that are applicable for calendar year (CY) 2006; and finalizes certain provisions of the interim final rule to implement the Competitive Acquisition Program (CAP) for Part B Drugs. It also revises Medicare Part B payment and related policies regarding: Physician work; practice expense (PE) and malpractice relative value units (RVUs); Medicare telehealth services; multiple diagnostic imaging procedures; covered outpatient drugs and biologicals; supplemental payments to Federally Qualified Health Centers (FQHCs); renal dialysis services; coverage for glaucoma screening services; National Coverage Decision (NCD) timeframes; and physician referrals for nuclear medicine services and supplies to health care entities with which they have financial relationships. In addition, the rule finalizes the interim RVUs for CY 2005 and issues interim RVUs for new and revised procedure codes for CY 2006. This rule also updates the codes subject to the physician self-referral prohibition and discusses payment policies relating to teaching anesthesia services, therapy caps, private contracts and opt-out, and chiropractic and oncology demonstrations. As required by the statute, it also announces that the physician fee schedule update for CY 2006 is -4.4 percent, the initial estimate for the sustainable growth rate for CY 2006 is 1.7 percent and the conversion factor for CY 2006 is $36.1770.

Effective Date: These regulations are effective on January 1, 2006. Pam West (410) 786-2302 (for issues related to practice expense). Administrative Practice and Procedure Health Facilities Health Professions Kidney Diseases Medical Devices Medicare Reporting and Recordkeeping Requirements Rural Areas X-Rays Laboratories Physician Referral Reporting and Record Keeping Requirements Emergency Medical Services Medicare: Physician fee schedule (CY 2006); payment policies and realtive value units, Brenda.Aguilar@omb.eop.gov http://cms.hhs.gov/manuals/104_claims/clm104c30.pdf http://cms.hhs.gov/medlearn/refphys.asp http://www.access.gpo.gov/nara/index.html http://www.cms.hhs.gov http://www.cms.hhs.gov/manuals/pm_trans/R643CP.pdf http://www.cms.hhs.gov/physicians/pfs/ http://www.cms.hhs.gov/physicians/prit/ http://www.cms.hhs.gov/providers/drugs/asp http://www.cms.hhs.gov/providers/drugs/asp.asp http://www.cms.hhs.gov/providers/drugs/compbid/ http://www.cms.hhs.gov/providers/drugs/compbid/bid_form_announ.asp http://www.cms.hhs.gov/providers/esrd/090105_ESRD_Correction.pdf http://www.cms.hhs.gov/providers/hipps/ippswage.asp http://www.cms.hhs.gov/regulations/ecomments http://www.medicare/Download/DOWNLOADDB.asp http://www.questions.cms.hhs.gov http://www.whitehouse.gov/omb/circulars/a004/a-4.pdf www.cms.hhs.gov/ www.cms.hhs.gov/medlearn/therapy www.cms.hhs.gov/physicians/telehealth www.cms.hhs.gov/researchers/demos www.sph.umich.edu/kecc Vol. 70, no. 223 Office of the Federal Register, National Archives and Records Administration 2005-11-21 continuing daily deposited born digital 465 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2005-11-21 P0b002ee180995320 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr21no05 https://www.govinfo.gov/app/details/FR-2005-11-21 https://www.govinfo.gov/content/pkg/FR-2005-11-21/pdf/FR-2005-11-21.pdf https://www.govinfo.gov/content/pkg/FR-2005-11-21/xml/FR-2005-11-21.xml fdlp 70031 70481 DGPO 2010-09-23 2024-06-06 FR-2005-11-21 machine generated eng FR FR-2005-11-21 70 223