Medicare program; limitations on the reimbursement of nonphysician medical services--HCFA. Proposed rule.
We are proposing to amend the regulations that govern determining reasonable charges for certain nonphysician medical services under the Medicare Supplementary Medical Insurance Program (Part B). An additional charge factor would be added to those currently taken into consideration by carriers in determining reasonable charges for nonphysician services, supplies and equipment that are reimbursed on a reasonable charge basis. This new factor, the "inflation-indexed charge," would represent the reasonable charge from the preceding fee screen year plus an inflation adjustment factor. For fee screen years beginning on or after October 1, 1986, the inflation adjustment factor to be used in determining the inflation-indexed charge would be the annual change in the level of the consumer price index for urban consumers for the 12-month period ending on March 31. For the fee screen year beginning on October 1, 1985, the inflation adjustment factor would be zero.
D014487:Centers for Medicare and Medicaid Services, U.S.; D004864:Equipment and Supplies / Q000191:economics; D006278:Medicare / Q000331:legislation & jurisprudence*; D011907:Rate Setting and Review / Q000331:legislation & jurisprudence; D014481:United States