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 2007_register executive 2010-09-22 article Part II Proposed Rules D09002ee1c80a88c1 D09002ee1c80a8965 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 proposed rule would address certain provisions of the Tax Relief and Health Care Act of 2006, as well as make other proposed changes to Medicare Part B payment policy. 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. This proposed rule also discusses refinements to resource-based practice expense (PE) relative value units (RVUs); geographic practice cost indices (GPCI) changes; malpractice RVUs; requests for additions to the list of telehealth services; several coding issues including additional codes from the 5-Year Review; payment for covered outpatient drugs and biologicals; the competitive acquisition program (CAP); clinical lab fee schedule issues; payment for renal dialysis services; performance standards for independent diagnostic testing facilities; expiration of the physician scarcity area (PSA) bonus payment authorized by section 413 of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA); conforming and clarifying changes for comprehensive outpatient rehabilitation facilities (CORFs); a process for updating the drug compendia at section 1861(t)(2)(B) of the Social Security Act (the Act); physician self-referral issues; beneficiary signature for ambulance transport services; durable medical equipment (DME) update; the chiropractic services demonstration; a Medicare economic index (MEI) data change; technical corrections; issues related to therapy services; revisions to the ambulance fee schedule; the ambulance inflation factor for CY 2008; and the proposal to eliminate the exemption for computer-generated facsimile transmissions from the National Council for Prescription Drug Programs (NCPDP) SCRIPT standard for transmitting prescription and certain prescription-related information for Part D eligible individuals. 72 FR 38122 https://www.govinfo.gov/app/details/FR-2007-07-12/07-3274 07-3274 fr12jy07-25 RIN 0938-AO65 4120-01-P CMS-1385-P https://www.govinfo.gov/app/details/FR-2007-07-12/07-3274 https://www.govinfo.gov/content/pkg/FR-2007-07-12/html/07-3274.htm https://www.govinfo.gov/content/pkg/FR-2007-07-12/pdf/07-3274.pdf Health Facilities Medicare Health Professions Kidney Diseases Laboratories Reporting and Recordkeeping Requirements Rural Areas X-Rays Physician Referral Administrative Practice and Procedure Reporting and Recordkeeping Hospice Care Emergency Medical Services Health Maintenance Organizations (Hmo) Health Professionals Penalties Privacy Grant Programs-Health Hospitals Medicaid Health Records Nursing Homes Nutrition Safety 274 p. 38122 38395 72 FR 38122 Title 42 Part 409 42 CFR Part 409 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 415 42 CFR Part 415 Title 42 Part 418 42 CFR Part 418 Title 42 Part 423 42 CFR Part 423 Title 42 Part 424 42 CFR Part 424 Title 42 Part 482 42 CFR Part 482 Title 42 Part 484 42 CFR Part 484 Title 42 Part 485 42 CFR Part 485 Title 42 Part 491 42 CFR Part 491 RIN 0938-AO65 Medicare Program; Proposed Revisions to Payment Policies Under the Physician Fee Schedule, and Other Part B Payment Policies for CY 2008; Proposed Revisions to the Payment Policies of Ambulance Services Under the Ambulance Fee Schedule for CY 2008; and the Proposed Elimination of the E-Prescribing Exemption for Computer-Generated Facsimile Transmissions; Federal Register Vol. 72, Issue PRORULE 07-3274 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2007-08-31 CMS-1385-P 4120-01-P 07-3274 Proposed rule.

This proposed rule would address certain provisions of the Tax Relief and Health Care Act of 2006, as well as make other proposed changes to Medicare Part B payment policy. 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. This proposed rule also discusses refinements to resource-based practice expense (PE) relative value units (RVUs); geographic practice cost indices (GPCI) changes; malpractice RVUs; requests for additions to the list of telehealth services; several coding issues including additional codes from the 5-Year Review; payment for covered outpatient drugs and biologicals; the competitive acquisition program (CAP); clinical lab fee schedule issues; payment for renal dialysis services; performance standards for independent diagnostic testing facilities; expiration of the physician scarcity area (PSA) bonus payment authorized by section 413 of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA); conforming and clarifying changes for comprehensive outpatient rehabilitation facilities (CORFs); a process for updating the drug compendia at section 1861(t)(2)(B) of the Social Security Act (the Act); physician self-referral issues; beneficiary signature for ambulance transport services; durable medical equipment (DME) update; the chiropractic services demonstration; a Medicare economic index (MEI) data change; technical corrections; issues related to therapy services; revisions to the ambulance fee schedule; the ambulance inflation factor for CY 2008; and the proposal to eliminate the exemption for computer-generated facsimile transmissions from the National Council for Prescription Drug Programs (NCPDP) SCRIPT standard for transmitting prescription and certain prescription-related information for Part D eligible individuals.

To be assured consideration, except for comments on section II.M.10 of the preamble, comments must be received at one of the adresses provided below, no later than 5 p.m. on Friday, August 31, 2007. Pam West (410) 786-2302 for issues related to practice expense and changes to the comprehensive outpatient rehabilitation facility. Health Facilities Medicare Health Professions Kidney Diseases Laboratories Reporting and Recordkeeping Requirements Rural Areas X-Rays Physician Referral Administrative Practice and Procedure Reporting and Recordkeeping Hospice Care Emergency Medical Services Health Maintenance Organizations (Hmo) Health Professionals Penalties Privacy Grant Programs-Health Hospitals Medicaid Health Records Nursing Homes Nutrition Safety Medicare: Physicians fee schedule (2008 CY); proposed revisions to payment policies of ambulance services, etc., carolyn_lovett@omb.eop.gov http://cms.hhs.gov/PhysicianFeeSched/PFSFRN/ http://www.cms.hhs.gov/AcuteInpatientPPS/WIFN/list.asp http://www.cms.hhs.gov/CompetitiveAcquisforBios/15_Approved_Vendor.asp#TopOfPage http://www.cms.hhs.gov/DialysisFacilityCompare http://www.cms.hhs.gov/eRulemaking http://www.cms.hhs.gov/Manuals http://www.cms.hhs.gov/mcd/viewmcac.asp?where=index&mid=33 http://www.cms.hhs.gov/mcd/viewtechassess.asp?where=index&tid=46 http://www.cms.hhs.gov/McrPartBDrugAvgSalesPrice/ http://www.cms.hhs.gov/pqri http://www.cms.hhs.gov/PQRI/01_Overview.asp#TopOfPage http://www.cms.hhs.gov/Transmittals/ http://www.hhs.gov/healthit/chiinitiative.html http://www.medpac.gov/publications/congressional_reports/Jan07_PartB_mandated_report.pdf http://www.medpac.gov/publications/congressional_reports/Mar05_EntireReport.pdf http://www.qualitynet.org http://www.whitehouse.gov/omb/bulletins/index.html http://www.whitehouse.gov/omb/circulars/a004/a-4.pdf www.cms.hhs.gov/PQRI www.cms.hhs.gov/telehealth/ www.fda.gov/cdrh/news www.whitehouse.gov/omb/bulletins/b03-04.html Vol. 72, no. 133 Office of the Federal Register, National Archives and Records Administration 2007-07-12 continuing daily deposited born digital 480 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2007-07-12 P0b002ee18094c435 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr12jy07 https://www.govinfo.gov/app/details/FR-2007-07-12 https://www.govinfo.gov/content/pkg/FR-2007-07-12/pdf/FR-2007-07-12.pdf https://www.govinfo.gov/content/pkg/FR-2007-07-12/xml/FR-2007-07-12.xml fdlp 37991 38462 DGPO 2010-09-22 2024-06-05 FR-2007-07-12 machine generated eng FR FR-2007-07-12 72 133