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 2011_register executive 2011-11-26 article Part II Rules and Regulations D09002ee1c7fec070 D09002ee1c7fec1a2 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 changes to the physician fee schedule and other Medicare Part B payment policies to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. It also addresses, implements or discusses certain statutory provisions including provisions of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 (collectively known as the Affordable Care Act) and the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008. In addition, this final rule with comment period discusses payments for Part B drugs; Clinical Laboratory Fee Schedule: Signature on Requisition; Physician Quality Reporting System; the Electronic Prescribing (eRx) Incentive Program; the Physician Resource-Use Feedback Program and the value modifier; productivity adjustment for ambulatory surgical center payment system and the ambulance, clinical laboratory, and durable medical equipment prosthetics orthotics and supplies (DMEPOS) fee schedules; and other Part B related issues. 76 FR 73026 https://www.govinfo.gov/app/details/FR-2011-11-28/2011-28597 2011-28597 fr28no11-11 4120-01-P CMS-1524-FC and CMS-1436-F https://www.govinfo.gov/app/details/FR-2011-11-28/2011-28597 https://www.govinfo.gov/content/pkg/FR-2011-11-28/html/2011-28597.htm https://www.govinfo.gov/content/pkg/FR-2011-11-28/pdf/2011-28597.pdf Health Facilities Health Professions Kidney Diseases Laboratories Medicare Reporting and Recordkeeping Requirements Rural Areas X-Rays Administrative Practice and Procedure Reporting and Recordkeeping Electronic Health Records Health Maintenance Organizations (Hmo) Medicaid Penalties Privacy 449 p. 73026 73474 76 FR 73026 Title 42 Part 410 42 CFR Part 410 Title 42 Part 414 42 CFR Part 414 Title 42 Part 415 42 CFR Part 415 Title 42 Part 495 42 CFR Part 495 Medicare Program; Payment Policies Under the Physician Fee Schedule, Five-Year Review of Work Relative Value Units, Clinical Laboratory Fee Schedule: Signature on Requisition, and Other Revisions to Part B for CY 2012; Federal Register Vol. 76, Issue RULE 2011-28597 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2012-01-01 CMS-1524-FC and CMS-1436-F 4120-01-P 2011-28597 Final rule with comment period.

This final rule with comment period addresses changes to the physician fee schedule and other Medicare Part B payment policies to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. It also addresses, implements or discusses certain statutory provisions including provisions of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 (collectively known as the Affordable Care Act) and the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008. In addition, this final rule with comment period discusses payments for Part B drugs; Clinical Laboratory Fee Schedule: Signature on Requisition; Physician Quality Reporting System; the Electronic Prescribing (eRx) Incentive Program; the Physician Resource-Use Feedback Program and the value modifier; productivity adjustment for ambulatory surgical center payment system and the ambulance, clinical laboratory, and durable medical equipment prosthetics orthotics and supplies (DMEPOS) fee schedules; and other Part B related issues.

Effective date: These regulations are effective on January 1, 2012. Ryan Howe, (410) 786-3355 or Chava Sheffield, (410) 786-2298, for issues related to the physician fee schedule practice expense methodology and direct practice expense inputs. Health Facilities Health Professions Kidney Diseases Laboratories Medicare Reporting and Recordkeeping Requirements Rural Areas X-Rays Administrative Practice and Procedure Reporting and Recordkeeping Electronic Health Records Health Maintenance Organizations (Hmo) Medicaid Penalties Privacy Medicare Programs: Payment Policies Under the Physician Fee Schedule, Five-Year Review of Work Relative Value Units, Clinical Laboratory Fee Schedule: Signature on Requisition, and Other Revisions to Part B for CY 2012 , OIRA_submission@omb.eop.gov Paperwork@cms.hhs.gov PE_Price_Input_Update@cms.hhs.gov qnetsupport@sdps.org sec303aspdata@cms.hhs.gov http://innovations.cms.gov/areas-of-focus/seamless-and-coordinated-care-models/cpci/ http://www.bls.gov/mfp http://www.bls.gov/oes/current/naics4_621100.htm http://www.bls.gov/oes/current/oes151121.htm http://www.bls.gov/oes/current/oes433021.htm http://www.bls.gov/opub/ooq/2011/summer/art02.pdf http://www.cms.gov/coveragegeninfo/downloads/healthriskassessmentsCDCfinal.pdf http://www.cms.gov/determinationprocess/downloads/id79ta.pdf http://www.cms.gov/ehrincentiveprograms/ http://www.cms.gov/eprescribing http://www.cms.gov/ERXIncentive http://www.cms.gov/ERXincentive/ http://www.cms.gov/ERxIncentive/05_Eligible%20Professionals.asp#TopOfPage http://www.cms.gov/mcd/ncpc_view_document.asp?id=6 http://www.cms.gov/McrPartBDrugAvgSalesPrice/ http://www.cms.gov/McrPartBDrugAvgSalesPrice/01_overview.asp http://www.cms.gov/PaperworkReductionActof1995/PRAL/list.asp#TopOfPage http://www.cms.gov/PhysicianFeedbackProgram/Downloads/2010_GPRO_QRUR_Detailed_Methodology.pdf http://www.cms.gov/PhysicianFeeSched/ http://www.cms.gov/PhysicianFeeSched/downloads/Alt_GPCI_Payment_Locality_Structures_Review.pdf http://www.cms.gov/PhysicianFeeSched/downloads/GPCI_Report.pdf http://www.cms.gov/PhysicianFeeSched/PFSFRN/ http://www.cms.gov/PhysicianFeeSched/PFSFRN/list.asp http://www.cms.gov/PhysicianFeeSched/PFSFRN/list.asp#TopOfPage http://www.cms.gov/PhysicianSelfReferral/40_List_of_Codes.asp#TopOfPage http://www.cms.gov/PQRS http://www.cms.gov/PQRS/ http://www.cms.gov/PQRS// http://www.cms.gov/PQRS/03_How_To_Get_Started.asp#TopOfPage http://www.cms.gov/PQRS/15_MeasuresCodes.asp#TopOfPage http://www.cms.gov/PQRS/20_AlternativeReportingMechanisms.asp#TopOfPage http://www.cms.gov/PQRS/25_AnalysisAndPayment.asp#TopOfPage http://www.cms.gov/reports/downloads/Stason_ChiroDemoEvalFinalRpt_2010.pdf http://www.cms.gov/telehealth/ http://www.cms.hhs.gov/McrPartBDrugAvgSalesPrice/01_overview.asp http://www.cms.hhs.gov/PhysicianFeeSched/10_Interim_Study.asp#TopOfPage http://www.cms.hhs.gov/PQRS http://www.gao.gov/new.items/d11720.pdf http://www.healthcare.gov/compare/partnership-for-patients/index.html http://www.iom.edu/Reports/2011/Geographic-Adjustment-in-Medicare-Payment-Phase-I-Improving-Accuracy.aspx http://www.medicare.gov http://www.ofr.gov/OFRUpload/OFRData/2011-27461_PI.pdf http://www.regulations.gov http://www.regulations.gov/ http://www.sba.gov/content/table-small-business-size-standards http://www.uspreventiveservicestaskforce.org/3rduspstf/dementia/dementrr.pdf http://www.whitehouse.gov/omb/circulars/a004/a-4.pdf https://www.cms.gov/center/anesth.asp https://www.cms.gov/EHRIncentivePrograms/32_Attestation.asp#TopOfPage https://www.cms.gov/McrPartBDrugAvgSalesPrice/ https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=251&ver=6&NcaName=Screening+for+Depression+in+Adults&bc=AiAAAAAAIAAA& https://www.cms.gov/MedicareAdvtgSpecRateStats/downloads/Evaluation_Risk_Adj_Model_2011.pdf https://www.cms.gov/PhysicianFeeSched/ https://www.cms.gov/PQRS/ https://www.qualitynet.org/portal/server.pt/community/communications_support_system/234 regulations.gov www.cms.gov/eRxincentive/ Vol. 76, no. 228 Office of the Federal Register, National Archives and Records Administration 2011-11-28 continuing daily deposited born digital 665 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2011-11-28 P0b002ee181221b7d 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr28no11 https://www.govinfo.gov/app/details/FR-2011-11-28 https://www.govinfo.gov/content/pkg/FR-2011-11-28/pdf/FR-2011-11-28.pdf https://www.govinfo.gov/content/pkg/FR-2011-11-28/xml/FR-2011-11-28.xml fdlp 72821 73474 DGPO 2011-11-26 2024-06-03 FR-2011-11-28 machine generated eng FR FR-2011-11-28 76 228