Medicare program; determination of reasonable charges for physician and other medical services--HCFA. Final rule with comment period.
This rule revises the Medicare regulations to change the date for updating the reasonable charge levels applicable to physician and other medical services under the Medicare Supplementary Medical Insurance Program (Part B). we also are adding a provision to explain that the annual economic index that would have been used to determine the amount of any increase in physician prevailing charges from July 1, 1984 through September 30, 1985, and that, through the usual manner, would be used to increase the prevailing charges in subsequent years, is permanently relinquished. In addition, we are adding a provision to reflect the difference between prevailing charges for participating and nonparticipating physicians. These changes implement certain provisions of section 2306(a) of the Deficit Reduction Act of 1984 (DRA) (Pub. L. 98-369) and sections 9301 (b) and (d) of the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) (Pub. L. 99-272), and make other conforming changes.
D014487:Centers for Medicare and Medicaid Services, U.S.; D005251:Fees, Medical; D007357:Insurance, Physician Services / Q000331:legislation & jurisprudence*; D006278:Medicare / Q000331:legislation & jurisprudence*; D011907:Rate Setting and Review / Q000379:methods*; D014481:United States