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 Rules and Regulations D09002ee1c809dbeb D09002ee1c809dccb 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 Tax Relief and Health Care Act of 2006, as well as making other proposed changes to Medicare Part B payment policy. We are making these changes 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 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; conforming and clarifying changes for comprehensive outpatient rehabilitation facilities (CORFs); a process for updating the drug compendia; 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; standards and requirements related to therapy services under Medicare Parts A and B; revisions to the ambulance fee schedule; the ambulance inflation factor for CY 2008; and amending the e-prescribing exemption for computer-generated facsimile transmissions. We are also finalizing the calendar year (CY) 2007 interim RVUs and are issuing interim RVUs for new and revised procedure codes for CY 2008. As required by the statute, we are announcing that the physician fee schedule update for CY 2008 is -10.1 percent, the initial estimate for the sustainable growth rate for CY 2008 is -0.1 percent, and the conversion factor (CF) for CY 2008 is $34.0682. 72 FR 66222 https://www.govinfo.gov/app/details/FR-2007-11-27/07-5506 07-5506 fr27no07-15 RIN 0938-AO65 4120-01-P CMS-1385-FC https://www.govinfo.gov/app/details/FR-2007-11-27/07-5506 https://www.govinfo.gov/content/pkg/FR-2007-11-27/html/07-5506.htm https://www.govinfo.gov/content/pkg/FR-2007-11-27/pdf/07-5506.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 357 p. 66222 66578 72 FR 66222 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 RIN 0938-AO65 Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, and Other Part B Payment Policies for CY 2008; Revisions to the Payment Policies of Ambulance Services Under the Ambulance Fee Schedule for CY 2008; and the Amendment of the E-Prescribing Exemption for Computer Generated Facsimile Transmissions; Federal Register Vol. 72, Issue RULE 07-5506 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services CMS-1385-FC 4120-01-P 07-5506 Final rule with comment period.

This final rule with comment period addresses certain provisions of the Tax Relief and Health Care Act of 2006, as well as making other proposed changes to Medicare Part B payment policy. We are making these changes 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 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; conforming and clarifying changes for comprehensive outpatient rehabilitation facilities (CORFs); a process for updating the drug compendia; 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; standards and requirements related to therapy services under Medicare Parts A and B; revisions to the ambulance fee schedule; the ambulance inflation factor for CY 2008; and amending the e-prescribing exemption for computer-generated facsimile transmissions. We are also finalizing the calendar year (CY) 2007 interim RVUs and are issuing interim RVUs for new and revised procedure codes for CY 2008. As required by the statute, we are announcing that the physician fee schedule update for CY 2008 is -10.1 percent, the initial estimate for the sustainable growth rate for CY 2008 is -0.1 percent, and the conversion factor (CF) for CY 2008 is $34.0682.

Effective Date: The provisions of this final rule with comment period are effective January 1, 2008, except for the amendments to Sec. 409.17 and Sec. 409.23 which are effective July 1, 2008, and the amendments to Sec. 423.160 which is effective January 1, 2009. Pam West, (410) 786-2302 for issues related to practice expense and comprehensive outpatient rehabilitation facilities. 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: Physician fee schedule and other Part B payment policies for CY 2008; payment policy revisions, carolyn_lovett@omb.eop.gov http://qualitynet.org http://stats.bls.gov http://www.access.gpo.gov/nara/index.html http://www.cms.hhs.gov/ http://www.cms.hhs.gov/AcuteInpatientPPS/WIFN/list.asp http://www.cms.hhs.gov/ClinicalLabFeeSched/02_clinlab.asp http://www.cms.hhs.gov/ClinicalTrialPolicies/ http://www.cms.hhs.gov/CompetitiveAcquisforBios/15_Approved_Vendor.asp#TopOfPage http://www.cms.hhs.gov/DialysisFacilityCompare/ http://www.cms.hhs.gov/EPrescribing/ http://www.cms.hhs.gov/eRulemaking http://www.cms.hhs.gov/hpsapsaphysicianbonuses/01_overview.asp http://www.cms.hhs.gov/LimitedDataSets/06.asp#TopOfPage http://www.cms.hhs.gov/Manuals http://www.cms.hhs.gov/manuals/downloads/pim83co2pdf http://www.cms.hhs.gov/mcd/viewmcac.asp?where=index&mid=33 http://www.cms.hhs.gov/McrPartBDrugAvgSalesPrice/ http://www.cms.hhs.gov/MLNMattersArticles/ http://www.cms.hhs.gov/PhysicianFeeSched/ http://www.cms.hhs.gov/PhysicianFeeSched/PFSFRN/list.asp#TopOfPage http://www.cms.hhs.gov/PhysicianSelfReferral/ http://www.cms.hhs.gov/PhysicianSelfReferral/11_List_of_Codes.asp#TopOfPage http://www.cms.hhs.gov/PQRI http://www.cms.hhs.gov/SustainableGRatesConFact/ http://www.cms.hhs.gov/telehealth http://www.cms.hhs.gov/Transmittals/ http://www.cmsm.hhs.gov/CompetitiveAcquisforBios/15_Approved_Vendor.asp#TopOfPage http://www.grants.nih.gov/grants/guide/rfa-files/FRA-HS-06-001.htm http://www.hhs.gov/healthit/chiinitiative.html http://www.whitehouse.gov/omb/budget/fy2008/hhs.html http://www.whitehouse.gov/omb/bulletins/index.html http://www.whitehouse.gov/omb/circulars/a004/a-4.pdf https://www.cms.hhs.gov/mcd www.cms.hhs.gov/PhysicianFeeSchedule/PFSFRN www.cms.hhs.gov/telehealth/ Vol. 72, no. 227 Office of the Federal Register, National Archives and Records Administration 2007-11-27 continuing daily deposited born digital 1196 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2007-11-27 P0b002ee180962d63 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr27no07 https://www.govinfo.gov/app/details/FR-2007-11-27 https://www.govinfo.gov/content/pkg/FR-2007-11-27/pdf/FR-2007-11-27.pdf https://www.govinfo.gov/content/pkg/FR-2007-11-27/xml/FR-2007-11-27.xml fdlp 66041 67225 DGPO 2010-09-22 2024-06-05 FR-2007-11-27 machine generated eng FR FR-2007-11-27 72 227