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<classification authority="sudocs">GA 1.13:GAO-04-97</classification>
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 <reportNumber>GAO-04-97</reportNumber>
 <subject>Health care services</subject>
 <subject>Health insurance</subject>
 <subject>Hospitals</subject>
 <subject>Payments</subject>
 <subject>Surgery</subject>
 <subject>Managed health care</subject>
 <subject>Policy evaluation</subject>
 <subject>Health care personnel</subject>
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<titleInfo>
 <title>Medicare: Payment Changes Are Needed for Assistants-at-Surgery</title>
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<abstract>Medicare pays for assistant-atsurgery services under both the
hospital inpatient prospective payment system and the physician  
fee schedule. Payments under the physician fee schedule are	 
limited to a few health professions. In 2001, Congress directed  
GAO to report on the potential impact on the Medicare program of 
allowing physician fee schedule payments to Certified Registered 
Nurse First Assistants for assistant-at-surgery services. This	 
report examines: (1) who serves as an assistant-atsurgery, (2)	 
whether health professionals who perform the role must meet a	 
uniform set of professional requirements, and (3) whether	 
Medicare&apos;s payment policies for assistants-at-surgery are	 
consistent with the goals of the program and, if not, whether	 
there are alternatives that would help attain those goals. GAO	 
analyzed information provided by physician and other health	 
professional associations and Medicare payment data.</abstract>
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<identifier type="preferred citation">GAO-04-97</identifier>
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 <searchTitle>GAO-04-97; Medicare: Payment Changes Are Needed for Assistants-at-Surgery;
            </searchTitle>
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<subject>
 <topic>Health care services</topic>
 <topic>Health insurance</topic>
 <topic>Hospitals</topic>
 <topic>Payments</topic>
 <topic>Surgery</topic>
 <topic>Managed health care</topic>
 <topic>Policy evaluation</topic>
 <topic>Health care personnel</topic>
 <topic>Standards (health care)</topic>
 <topic>Medicare Program</topic>
</subject>
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  <title>United States Statutes at Large</title>
  <partNumber>Volume 111 Page 251</partNumber>
  <partNumber>Volume 111 Page 414</partNumber>
</titleInfo>
 <identifier type="Statute citation">111 Stat. 251</identifier>
 <identifier type="Statute citation">111 Stat. 414</identifier>
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<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Statutes at Large</title>
  <partNumber>Volume 114 Page 2763</partNumber>
</titleInfo>
 <identifier type="Statute citation">114 Stat. 2763</identifier>
</relatedItem>
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 <titleInfo>
  <title>United States Public Law 554 (106th Congress)</title>
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 <identifier type="public law citation">Public Law 106-554</identifier>
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