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医疗保险计划下验光师和眼科医生收费情况的比较。

A comparison of charges by optometrists and ophthalmologists under the Medicare program.

作者信息

Soroka M

机构信息

SUNY, NY 10010.

出版信息

J Am Optom Assoc. 1991 May;62(5):372-6.

PMID:1813532
Abstract

Medicare data obtained from the Health Care Financing Administration was analyzed in relation to average allowed charges by optometrists and ophthalmologists. Optometric charges are considerably lower than ophthalmological charges for all services compared. The policy of different reimbursement levels is currently a major issue being considered by the Physician Payment Review Commission. Optometry must demonstrate that the procedure codes for which they submit Medicare claims are comparable and identical in service content to those provided by ophthalmologists.

摘要

从医疗保健财务管理局获取的医疗保险数据,针对验光师和眼科医生的平均允许收费进行了分析。在所比较的所有服务中,验光师的收费显著低于眼科医生的收费。不同报销水平的政策是医师支付审查委员会目前正在考虑的一个主要问题。验光行业必须证明,他们提交医疗保险理赔申请所使用的程序编码在服务内容上与眼科医生提供的编码具有可比性且完全相同。

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