{"abstract":"This proposed rule discusses several policy changes affecting Medicare Part B payment. The changes relate to physician services, including resource-based practice expense relative value units and geographic practice cost index changes, clinical psychologist services, supervision of diagnostic tests, the methodology used to develop reasonable compensation equivalent limits, payment to participating and nonparticipating suppliers, global surgical services, caloric vestibular testing, clinical consultations, and payments based on actual charges. Under the law, we are required to develop a resource- based system for determining practice expense relative value units effective January 1, 1998. In addition, since we established the physician fee schedule on January 1, 1992, our experience indicates that some of our Part B payment policies need to be reconsidered. This proposed rule is intended to correct inequities in physician payment and solicits public comments on specific proposed policy changes.","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":"Health Care Financing Administration","name":"Health Care Finance Administration","id":559,"url":"https://www.federalregister.gov/agencies/health-care-finance-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/559","parent_id":221,"slug":"health-care-finance-administration"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/1997/06/18/97-15817.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"400","title":42},{"chapter":null,"citation_url":null,"part":"405","title":42},{"chapter":null,"citation_url":null,"part":"410","title":42},{"chapter":null,"citation_url":null,"part":"414","title":42}],"citation":"62 FR 33158","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Comments will be considered if we receive them at the","disposition_notes":null,"docket_ids":["BPD-884-P"],"dockets":[],"document_number":"97-15817","effective_on":null,"end_page":33305,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":null,"html_url":"https://www.federalregister.gov/documents/1997/06/18/97-15817/medicare-program-revisions-to-payment-policies-under-the-physician-fee-schedule-other-part-b-payment","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/97-15817?publication_date=1997-06-18","mods_url":"https://www.govinfo.gov/metadata/granule/FR-1997-06-18/97-15817/mods.xml","not_received_for_publication":null,"page_length":148,"page_views":{"count":336,"last_updated":"2026-10-25 02:15:05 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-1997-06-18/pdf/97-15817.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"1997-06-18","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/1997/06/18/97-15817.txt","regulation_id_number_info":{"0938-AH94":{"issue":"199710","html_url":"https://www.federalregister.gov/regulations/0938-AH94/medicare-program-revisions-to-payment-policies-and-adjustments-to-the-relative-value-units-under-the","title":"Medicare Program; Revisions to Payment Policies and Adjustments to the Relative Value Units Under the Physician Fee Schedule, Other Part B Payment Policies for Calendar Year 1998 (BPD-884-FC)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=199710&RIN=0938-AH94&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0938-AH94"],"regulations_dot_gov_info":{},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":33158,"subtype":null,"title":"Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, Other Part B Payment Policies, and Establishment of the Clinical Psychologist Fee Schedule for Calendar Year 1998","toc_doc":null,"toc_subject":null,"topics":[],"type":"Proposed Rule","volume":62}