Consultative examination--annual onsite review of medical providers. Final rules.
We are revising the threshold billing amount that triggers annual on-site reviews of medical providers who conduct consultative examinations (CEs) for our disability programs under titles II and XVI of the Social Security Act (Act). The revision will raise the threshold amount to reflect the increase in billing amounts since we first established the threshold amount in 1991. We expect the revised threshold amount will reestablish the level of oversight activity we required under our original rules.
D004185:Disability Evaluation; D033161:Government Regulation; D006801:Humans; D012017:Referral and Consultation / Q000331:legislation & jurisprudence*; D013219:State Government; D014481:United States; D019131:United States Social Security Administration / Q000331:legislation & jurisprudence*