Fed Regist. 2001 Nov 1;66(212):55245-503.
This final rule with comment period makes several changes affecting Medicare Part B payment. The changes affect: refinement of resource-based practice expense relative value units (RVUs); services and supplies incident to a physician's professional service;anesthesia base unit variations;recognition of CPT tracking codes; and nurse practitioners, physician assistants, and clinical nurse specialists performing screening sigmoidoscopies. It also addresses comments received on the June 8, 2001 proposed notice for the 5-year review of work RVUs and finalizes these work RVUs. In addition,we acknowledge comments received on our request for information on our policy for CPT modifier 62 that is used to report the work of co-surgeons. The rule also updates the list of certain services subject to the physician self-referral prohibitions to reflect changes to CPT codes and Healthcare Common Procedure Coding System codes effective January 1, 2002. These refinements and changes will ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. The Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 modernizes the mammography screening benefit and authorizes payment under the physician fee schedule effective January 1, 2002; provides for biennial screening pelvic examinations for certain beneficiaries effective July 1, 2001; provides for annual glaucoma screenings for high-risk beneficiaries effective January 1,2002; expands coverage for screening colonoscopies to all beneficiaries effective July 1, 2001; establishes coverage for medical nutrition therapy services for certain beneficiaries effective January 1, 2002; expands payment for telehealth services effective October 1, 2001; requires certain Indian Health Service providers to be paid for some services under the physician fee schedule effective July 1, 2001; and revises the payment for certain physician pathology services effective January 1, 2001. This final rule will conform our regulations to reflect these statutory provisions. In addition, we are finalizing the calendar year (CY) 2001 interim RVUs and are issuing interim RVUs for new and revised procedure codes for calendar year (CY) 2002. As required by the statute, we are announcing that the physician fee schedule update for CY2002 is -4.8 percent, the initial estimate of the Sustainable Growth Rate (SGR) for CY 2002 is 5.6 percent, and the conversion factor for CY 2002 is $36.1992.
本带有意见征求期的最终规则做出了多项影响医疗保险B部分支付的变更。这些变更包括:完善基于资源的执业费用相对价值单位(RVUs);医生专业服务附带的服务和用品;麻醉基础单位的变化;认可CPT追踪代码;以及执业护士、医师助理和临床护理专家进行乙状结肠镜筛查。它还回应了在2001年6月8日关于工作RVUs五年审查的拟议通知中收到的意见,并确定了这些工作RVUs。此外,我们确认收到了关于我们对用于报告共同外科医生工作的CPT修饰符62政策的信息请求的意见。该规则还更新了某些受医生自我转诊禁令限制的服务清单,以反映自2002年1月1日起CPT代码和医疗保健通用程序编码系统代码的变化。这些完善和变更将确保我们的支付系统得到更新,以反映医疗实践的变化和服务的相对价值。2000年的《医疗保险、医疗补助和儿童健康保险计划福利改进与保护法案》使乳房X光检查福利现代化,并授权自2002年1月1日起根据医生收费表进行支付;自2001年7月1日起为某些受益人提供每两年一次的盆腔筛查;自2002年1月1日起为高风险受益人提供每年一次的青光眼筛查;自2001年7月1日起将结肠镜筛查的覆盖范围扩大到所有受益人;自2002年1月1日起为某些受益人建立医学营养治疗服务的覆盖范围;自2001年10月1日起扩大远程医疗服务的支付范围;自2001年7月1日起要求某些印第安卫生服务提供者根据医生收费表获得某些服务的支付;并自2001年1月1日起修订某些医生病理服务的支付。本最终规则将使我们的法规符合这些法定条款。此外,我们正在确定2001年日历年(CY)的临时RVUs,并发布2002年日历年(CY)新的和修订的程序代码的临时RVUs。根据法规要求,我们宣布2002年CY的医生收费表更新率为-4.8%,2002年CY的可持续增长率(SGR)初步估计为5.6%,2002年CY的转换因子为36.1992美元。