Medicare program; limitation on reasonable charges for physician services in outpatient settings--HCFA. Final rule.
This rule revises the Medicare regulations governing reasonable charges for certain physician services furnished in outpatient settings. We are expanding the current payment limitation on these services to apply to the services of physicians who are reimbursed on a compensation-related charge basis and to surgical services that are routinely furnished in physicians' offices and are not included on the list of covered ambulatory surgical center services. These changes are being made to eliminate inappropriate Medicare payment.
D000553:Ambulatory Care / Q000191:economics*; D014487:Centers for Medicare and Medicaid Services, U.S.; D005251:Fees, Medical / Q000331:legislation & jurisprudence*; D007357:Insurance, Physician Services / Q000331:legislation & jurisprudence*; D006278:Medicare / Q000331:legislation & jurisprudence*; D014481:United States