Soroka M, Barresi B J
Center for Vision Care Policy, SUNY College of Optometry, State University of New York 10010.
J Am Optom Assoc. 1992 Oct;63(10):693-7.
The use of specialty differentials in the newly adopted Medicare fee schedule has been debated over the past 2 years. Arguments supporting the elimination of specialty differentials for optometrists and ophthalmologists are presented. The first recommendations by the Physician Payment Review Commission eliminating specialty differentials represent a victory for optometry in its efforts to achieve parity in the reimbursement of Medicare-covered services. Relative value units and practice costs to be used by the new Medicare fee schedule must be determined for optometry. Estimates of the model fee schedules for eye care procedures have been released by the Department of Health and Human Services.
在过去两年里，新采用的医疗保险费用表中专业差异的使用一直存在争议。文中提出了支持取消验光师和眼科医生专业差异的论据。医生支付审查委员会取消专业差异的首批建议代表了验光行业在争取医疗保险覆盖服务报销平等方面所取得的胜利。必须为验光行业确定新医疗保险费用表所使用的相对价值单位和执业成本。美国卫生与公众服务部已公布了眼部护理程序的示范费用表估算。
