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医疗保险计划；地理调整因子值的细化、支付政策的修订、1995 年日历年医师费率表下相对价值单位（RVUs）的调整以及 RVUs 的五年细化——医疗保健财务管理局。有意见征求期的最终规则。

Medicare program; refinements to geographic adjustment factor values, revisions to payment policies, adjustments to the relative value units (RVUs) under the physician fee schedule for calendar year 1995, and the 5-year refinement of RVUs--HCFA. Final rule with comment period.

出版信息

Fed Regist. 1994 Dec 8;59(235):63410-635.

PMID:10139124
Abstract

This final rule revises the geographic adjustment factor values and fee schedule payment areas, various payment policies for specific physician services, the relative value units (RVUs) for certain existing procedure codes, and establishes interim RVUs for new and revised procedure codes. It implements section 13518 of the Omnibus Budget Reconciliation Act of 1993 that requires payment for antigens under the physician fee schedule. This final rule also discusses the process for periodic review and adjustment of RVUs not less frequently than every 5 years as required by section 1848(c)(2)(B)(i) of the Social Security Act.

摘要

本最终规则修订了地理调整因子值和收费表支付区域、特定医师服务的各种支付政策、某些现有程序代码的相对价值单位（RVUs），并为新的和修订的程序代码确定了临时RVUs。它实施了1993年《综合预算协调法》第13518条，该条要求根据医师收费表对抗原进行支付。本最终规则还讨论了按照《社会保障法》第1848(c)(2)(B)(i)条要求至少每5年对RVUs进行定期审查和调整的程序。

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