{"abstract":"This proposed rule would refine the resource-based practice expense relative value units (RVUs) and make other changes to Medicare Part B payment policy. The policy changes concern: Medicare Economic Index, practice expense for professional component services, definition of diabetes for diabetes self-management training, supplemental survey data for practice expense, geographic practice cost indices, and several coding issues. We are proposing these changes to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. We solicit comments on these proposed policy changes. We also discuss the non-physician work-pool, the 5-year review of anesthesia services, and outpatient therapy services performed \"incident to\" physician services.","action":"Proposed rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2003/08/15/03-20662.html","cfr_references":[{"chapter":null,"citation_url":null,"part":410,"title":42},{"chapter":null,"citation_url":null,"part":414,"title":42}],"citation":"68 FR 49030","comment_url":null,"comments_close_on":"2003-10-07","correction_of":null,"corrections":[],"dates":"We will consider comments if we receive them at the address, provided below, no later than 5 p.m. on October 7, 2003.","disposition_notes":null,"docket_ids":["CMS-1476-P"],"dockets":[],"document_number":"03-20662","effective_on":null,"end_page":49300,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2003/08/15/03-20662.xml","html_url":"https://www.federalregister.gov/documents/2003/08/15/03-20662/medicare-program-revisions-to-payment-policies-under-the-physician-fee-schedule-for-calendar-year","images":{"EP15AU03.039":{"large":"https://img.federalregister.gov/EP15AU03.039/EP15AU03.039_large.png","medium":"https://img.federalregister.gov/EP15AU03.039/EP15AU03.039_medium.png","original_size":"https://img.federalregister.gov/EP15AU03.039/EP15AU03.039_original_size.png"},"EP15AU03.037":{"large":"https://img.federalregister.gov/EP15AU03.037/EP15AU03.037_large.png","medium":"https://img.federalregister.gov/EP15AU03.037/EP15AU03.037_medium.png","original_size":"https://img.federalregister.gov/EP15AU03.037/EP15AU03.037_original_size.png"},"EP15AU03.038":{"large":"https://img.federalregister.gov/EP15AU03.038/EP15AU03.038_large.png","medium":"https://img.federalregister.gov/EP15AU03.038/EP15AU03.038_medium.png","original_size":"https://img.federalregister.gov/EP15AU03.038/EP15AU03.038_original_size.png"},"EP15AU03.035":{"large":"https://img.federalregister.gov/EP15AU03.035/EP15AU03.035_large.png","medium":"https://img.federalregister.gov/EP15AU03.035/EP15AU03.035_medium.png","original_size":"https://img.federalregister.gov/EP15AU03.035/EP15AU03.035_original_size.png"},"EP15AU03.036":{"large":"https://img.federalregister.gov/EP15AU03.036/EP15AU03.036_large.png","medium":"https://img.federalregister.gov/EP15AU03.036/EP15AU03.036_medium.png","original_size":"https://img.federalregister.gov/EP15AU03.036/EP15AU03.036_original_size.png"},"EP15AU03.033":{"large":"https://img.federalregister.gov/EP15AU03.033/EP15AU03.033_large.png","medium":"https://img.federalregister.gov/EP15AU03.033/EP15AU03.033_medium.png","original_size":"https://img.federalregister.gov/EP15AU03.033/EP15AU03.033_original_size.png"},"EP15AU03.034":{"large":"https://img.federalregister.gov/EP15AU03.034/EP15AU03.034_large.png","medium":"https://img.federalregister.gov/EP15AU03.034/EP15AU03.034_medium.png","original_size":"https://img.federalregister.gov/EP15AU03.034/EP15AU03.034_original_size.png"},"EP15AU03.031":{"large":"https://img.federalregister.gov/EP15AU03.031/EP15AU03.031_large.png","medium":"https://img.federalregister.gov/EP15AU03.031/EP15AU03.031_medium.png","original_size":"https://img.federalregister.gov/EP15AU03.031/EP15AU03.031_original_size.png"},"EP15AU03.032":{"large":"https://img.federalregister.gov/EP15AU03.032/EP15AU03.032_large.png","medium":"https://img.federalregister.gov/EP15AU03.032/EP15AU03.032_medium.png","original_size":"https://img.federalregister.gov/EP15AU03.032/EP15AU03.032_original_size.png"},"EP15AU03.030":{"large":"https://img.federalregister.gov/EP15AU03.030/EP15AU03.030_large.png","medium":"https://img.federalregister.gov/EP15AU03.030/EP15AU03.030_medium.png","original_size":"https://img.federalregister.gov/EP15AU03.030/EP15AU03.030_original_size.png"},"EP15AU03.028":{"large":"https://img.federalregister.gov/EP15AU03.028/EP15AU03.028_large.png","medium":"https://img.federalregister.gov/EP15AU03.028/EP15AU03.028_medium.png","original_size":"https://img.federalregister.gov/EP15AU03.028/EP15AU03.028_original_size.png"},"EP15AU03.029":{"large":"https://img.federalregister.gov/EP15AU03.029/EP15AU03.029_large.png","medium":"https://img.federalregister.gov/EP15AU03.029/EP15AU03.029_medium.png","original_size":"https://img.federalregister.gov/EP15AU03.029/EP15AU03.029_original_size.png"},"EP15AU03.026":{"large":"https://img.federalregister.gov/EP15AU03.026/EP15AU03.026_large.png","medium":"https://img.federalregister.gov/EP15AU03.026/EP15AU03.026_medium.png","original_size":"https://img.federalregister.gov/EP15AU03.026/EP15AU03.026_original_size.png"},"EP15AU03.027":{"large":"https://img.federalregister.gov/EP15AU03.027/EP15AU03.027_large.png","medium":"https://img.federalregister.gov/EP15AU03.027/EP15AU03.027_medium.png","original_size":"https://img.federalregister.gov/EP15AU03.027/EP15AU03.027_original_size.png"},"EP15AU03.024":{"large":"https://img.federalregister.gov/EP15AU03.024/EP15AU03.024_large.png","medium":"https://img.federalregister.gov/EP15AU03.024/EP15AU03.024_medium.png","original_size":"https://img.federalregister.gov/EP15AU03.024/EP15AU03.024_original_size.png"},"EP15AU03.025":{"large":"https://img.federalregister.gov/EP15AU03.025/EP15AU03.025_large.png","medium":"https://img.federalregister.gov/EP15AU03.025/EP15AU03.025_medium.png","original_size":"https://img.federalregister.gov/EP15AU03.025/EP15AU03.025_original_size.png"},"EP15AU03.022":{"large":"https://img.federalregister.gov/EP15AU03.022/EP15AU03.022_large.png","medium":"https://img.federalregister.gov/EP15AU03.022/EP15AU03.022_medium.png","original_size":"https://img.federalreg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