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 2007-06-29 monographic deposited born digital 84 p. GA 1.13:GAO-07-466 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-07-466 P0b002ee18037847c f:d07466 DGPO 2010-08-12 2011-03-23 GAOREPORTS-GAO-07-466 machine generated eng fdlp REPORT GAOREPORTS-GAO-07-466 GAO-07-466 Administrative costs Cost analysis Local governments Medical fees Medicare Overpayments Payments Physicians Other Written Product A71711 The Centers for Medicare & Medicaid Services (CMS) adjusts Medicare physician fees for geographic differences in the costs of operating a medical practice. CMS uses 89 physician payment localities among which fees are adjusted. Concerns have been raised that the boundaries of some payment localities do not accurately address variations in physicians' costs. GAO was asked to examine how CMS has revised the localities; the extent to which they accurately reflect variations in physicians' costs; and alternative approaches to constructing the localities. To do so, GAO reviewed selected Federal Register documents; compared data on the costs physicians incur in different areas with the Medicare geographic adjustment; and used the physician cost data to construct and evaluate alternative approaches. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-07-466/html/GAOREPORTS-GAO-07-466.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-07-466/pdf/GAOREPORTS-GAO-07-466.pdf GAO-07-466 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-07-466 Other Written Product GAO-07-466; Medicare: Geographic Areas Used to Adjust Physician Payments for Variation in Practice Costs Should Be Revised; Administrative costs Cost analysis Local governments Medical fees Medicare Overpayments Payments Physicians Volume 103 Page 2106 103 Stat. 2106 Volume 117 Page 2066 117 Stat. 2066 Volume 120 Page 4 Volume 120 Page 2922 120 Stat. 4 120 Stat. 2922 Public Law 101-239 Public Law 108-173 Public Law 109-171 Public Law 109-432