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 2006_register executive 2010-09-22 article Part II Rules and Regulations D09002ee1c80e491b D09002ee1c80e4b32 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 with comment period addresses certain provisions of the Deficit Reduction Act of 2005, as well as making other changes to Medicare Part B payment policy. These changes are intended to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. This final rule with comment period also discusses geographic practice cost indices (GPCI) changes; requests for additions to the list of telehealth services; payment for covered outpatient drugs and biologicals; payment for renal dialysis services; policies related to private contracts and opt-out; policies related to bone mass measurement (BMM) services, independent diagnostic testing facilities (IDTFs), the physician self-referral prohibition; laboratory billing for the technical component (TC) of physician pathology services; the clinical laboratory fee schedule; certification of advanced practice nurses; health information technology, the health care information transparency initiative; updates the list of certain services subject to the physician self-referral prohibitions, finalizes ASP reporting requirements, and codifies Medicare's longstanding policy that payment of bad debts associated with services paid under a fee schedule/charge- based system are not allowable. We are also finalizing the calendar year (CY) 2006 interim RVUs and are issuing interim RVUs for new and revised procedure codes for CY 2007. In addition, this rule includes revisions to payment policies under the fee schedule for ambulance services and the ambulance inflation factor update for CY 2007. As required by the statute, we are announcing that the physician fee schedule update for CY 2007 is -5.0 percent, the initial estimate for the sustainable growth rate for CY 2007 is 2.0 percent and the CF for CY 2007 is $35.9848. 71 FR 69624 https://www.govinfo.gov/app/details/FR-2006-12-01/06-9086 06-9086 fr01de06-20 4120-01-P CMS-1321-FC and CMS-1317-F https://www.govinfo.gov/app/details/FR-2006-12-01/06-9086 https://www.govinfo.gov/content/pkg/FR-2006-12-01/html/06-9086.htm https://www.govinfo.gov/content/pkg/FR-2006-12-01/pdf/06-9086.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 Recordkeeping Emergency Medical Services 628 p. 69624 70251 71 FR 69624 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 414 42 CFR Part 414 Title 42 Part 415 42 CFR Part 415 Title 42 Part 424 42 CFR Part 424 Medicare Program; Revisions to Payment Policies, Five-Year Review of Work Relative Value Units, Changes to the Practice Expense Methodology Under the Physician Fee Schedule, and Other Changes to Payment Under Part B; Revisions to the Payment Policies of Ambulance Services Under the Fee Schedule for Ambulance Services; and Ambulance Inflation Factor Update for CY 2007; Federal Register Vol. 71, Issue RULE 06-9086 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2007-01-01 CMS-1321-FC and CMS-1317-F 4120-01-P 06-9086 Final rule with comment period.

This final rule with comment period addresses certain provisions of the Deficit Reduction Act of 2005, as well as making other changes to Medicare Part B payment policy. These changes are intended to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. This final rule with comment period also discusses geographic practice cost indices (GPCI) changes; requests for additions to the list of telehealth services; payment for covered outpatient drugs and biologicals; payment for renal dialysis services; policies related to private contracts and opt-out; policies related to bone mass measurement (BMM) services, independent diagnostic testing facilities (IDTFs), the physician self-referral prohibition; laboratory billing for the technical component (TC) of physician pathology services; the clinical laboratory fee schedule; certification of advanced practice nurses; health information technology, the health care information transparency initiative; updates the list of certain services subject to the physician self-referral prohibitions, finalizes ASP reporting requirements, and codifies Medicare's longstanding policy that payment of bad debts associated with services paid under a fee schedule/charge- based system are not allowable. We are also finalizing the calendar year (CY) 2006 interim RVUs and are issuing interim RVUs for new and revised procedure codes for CY 2007. In addition, this rule includes revisions to payment policies under the fee schedule for ambulance services and the ambulance inflation factor update for CY 2007. As required by the statute, we are announcing that the physician fee schedule update for CY 2007 is -5.0 percent, the initial estimate for the sustainable growth rate for CY 2007 is 2.0 percent and the CF for CY 2007 is $35.9848.

Effective Date: These regulations are effective on January 1, 2007. 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 Recordkeeping Emergency Medical Services Medicare: Physician fee schedule (CY 2007); payment policies and relative value units, sec303aspdata@cms.hhs.gov http://cms.hhs.gov/medlearn/refphys.asp http://questions.cms.hhs.gov/cgi-bin/cmshhs.cfg http://rand.org/news/press.05/09.14.html http://stats.bls.gov http://www.access.gpo.gov/nara/index.html http://www.cms.gov/transmittals/downloads/ab00108.pdf http://www.cms.hhs.gov/AcuteInpatientPPS/WIFN/list.asp http://www.cms.hhs.gov/center/coverage.asp http://www.cms.hhs.gov/DiabetesSelfManagement/ http://www.cms.hhs.gov/DialysisFacilityCompare/ http://www.cms.hhs.gov/eRulemaking http://www.cms.hhs.gov/HealthCareConInit/ http://www.cms.hhs.gov/IdentifiableDataFiles/05.asp#TopOfPage http://www.cms.hhs.gov/manuals/downloads/clm104c07.pdf http://www.cms.hhs.gov/McrPartBDrugAvgSalesPrice/ http://www.cms.hhs.gov/McrPartBDrugAvgSalesPrice/02_aspfiles.asp#TopOfPage http://www.cms.hhs.gov/MedHCPCSGenInfo/ http://www.cms.hhs.gov/MedicaidDrugRebateProgram/downloads/rebateagreement.pdf http://www.cms.hhs.gov/medicare/hcpcs/codpayproc.asp http://www.cms.hhs.gov/PhysicianFeeSched/ http://www.cms.hhs.gov/PhysicianSelfReferral http://www.cms.hhs.gov/SustainableGRatesConFact/ http://www.cms.hhs.gov/telehealth http://www.cms.hhs.gov/Transmittals/ http://www.hhs.gov/healthit/ahic.html http://www.loinc.org http://www.nbchpn.com http://www.whhitehouse.gov/infocus/technology/economic_policy200404/chap3.html http://www.whitehouse.gov/omb/circulars/a004/a-4.pdf www.medicare.gov Vol. 71, no. 231 Office of the Federal Register, National Archives and Records Administration 2006-12-01 continuing daily deposited born digital 855 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2006-12-01 P0b002ee180969517 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr01de06 https://www.govinfo.gov/app/details/FR-2006-12-01 https://www.govinfo.gov/content/pkg/FR-2006-12-01/pdf/FR-2006-12-01.pdf https://www.govinfo.gov/content/pkg/FR-2006-12-01/xml/FR-2006-12-01.xml fdlp 69429 70273 DGPO 2010-09-22 2024-06-05 FR-2006-12-01 machine generated eng FR FR-2006-12-01 71 231