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CMSRulemakingCMS-2010-0205

Medicare Program; Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2011

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American Medical Association filings
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American Medical Association filed 1 comment on this docket between Sep 24, 2010 and Sep 24, 2010. 189 other organizations filed here. The comment window closed 5678d ago.

What American Medical Association filed (1)

Sep 24, 2010· Levy Barbara, American Medical Association (AMA)/Specialty Society RVS Update Committee, IL· CMS-2010-0205-1453

Dear Administrator Berwick: The AMA/Specialty Society RVS Update Committee (RUC) appreciates the opportunity to comment on the CMS NPRM published in the July 13, 2010 Federal Register. The RUC, in the attached letter, is providing public comments on the following issues: Practice Expense Relative Value Units •Newly "Bundled" Services – Not New Services •AMA RUC Recommendations for Changes to Direct PE Inputs •Referral of Existing CPT Codes for AMA RUC Review •Updating Equipment and Supply Inputs for Existing Codes •High Cost Supplies Professional Liability Insurance Relative Values •PLI Relative Values for New and Revised Services Effective Before Next Five-Year Review •Accurate PLI Premium Data for All Medicare Specialties •Surgical Premium Methodology Potentially Misvalued Services Under the Physician Payment Schedule •Progress in Identifying and Reviewing Potentially Misvalued Codes •Validating RVUs of Potentially Misvalued Services •Codes on the Multispecialty Points of Comparison List •CPT Codes with Low Work RVUs that are Commonly Billed in Multiple Units •CPT Codes with Low Work Values and High Volume •Codes with Site of Service Anomalies •Codes with "23-Hour+" Stays Expanding the Multiple Procedure Payment Reduction (MPPR) Policy to Additional Nonsurgical Services •Proposed CY 2011 Expansion of the Imaging Technical Component of MPPR Policy to Additional combinations of Imaging Services •Proposed CY 2011 Expansion of MPPR Policy to Therapy Services Code-Specific Issues for the Medicare Physician Payment Schedule •Application of Tissue-Cultured Skin Substitutes to Lower Extremities •Canalith Repositioning •Intranasal/Oral Immunization Codes •Refinement Panel Process Thank you for your careful consideration of the RUC's comments on the proposals for the 2011 MPFS. We look forward to continued opportunities to offer recommendations to improve the RBRVS. Sincerely, Barbara Levy, MD Chair, RUC

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Abstract

This proposed rule addresses proposed 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 provisions of both the Affordable Care Act and the Medicare Improvements for Patients and Providers Act of 2008. In addition, this proposed rule discusses payments under the Ambulance Fee Schedule, Clinical Laboratory Fee Schedule, payments to ESRD facilities, and payments for Part B drugs. Finally, the proposed rule includes a discussion regarding the Chiropractic Services Demonstration program, the Competitive Bidding Program for Durable Medical Equipment and Provider and Supplier Enrollment Issues associated with Air Ambulances. (See the Table of Contents for a listing of the specific issues addressed in this proposed rule.)

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Medicare Program; Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2011 (CMS) — American Medical Association | OpenPolis