United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 2004-12-13 monographic deposited born digital 43 p. GA 1.13:GAO-05-60 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-05-60 P0b002ee18038b456 f:d0560 DGPO 2010-08-12 2011-03-28 GAOREPORTS-GAO-05-60 machine generated eng fdlp REPORT GAOREPORTS-GAO-05-60 GAO-05-60 Data collection Evaluation criteria Evaluation methods Health care programs Health care services Medical fees Medical services rates Physicians Health care costs Health insurance Medicare Program AMA Socioeconomic Monitoring System Survey Other Written Product A14337

Medicare's payments for the costs physicians incur in operating their practices are based on two sets of estimates: total practice expenses and resource estimates for individual services. Total practice expense estimates were derived from American Medical Association (AMA) physician surveys, which the Centers for Medicare & Medicaid Services (CMS) refines with supplemental data submitted by medical specialty societies. Resource estimates for individual services were developed by expert panels and refined by CMS with recommendations from another expert panel. In response to a mandate in the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000, GAO evaluated CMS's processes for updating total practice expense and resource estimates and whether CMS will have the data necessary to update the fee schedule at least every 5 years as mandated by law. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-05-60/html/GAOREPORTS-GAO-05-60.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-05-60/pdf/GAOREPORTS-GAO-05-60.pdf GAO-05-60 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-05-60 Other Written Product GAO-05-60; Medicare Physician Fee Schedule: CMS Needs a Plan for Updating Practice Expense Component; Data collection Evaluation criteria Evaluation methods Health care programs Health care services Medical fees Medical services rates Physicians Health care costs Health insurance Medicare Program AMA Socioeconomic Monitoring System Survey Title 42 Section 1395w-4(c)(2)(B)(i) 42 U.S.C. 1395w-4(c)(2)(B)(i) Volume 113 Page 1501A-321 113 Stat. 1501A-321 Public Law 106-113 Public Law 106-554