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Unified Agenda 0938-AR11

Revisions to Payment Policies Under the Physician Fee Schedule and Part B for CY 2013 (CMS-1590-P)

Summary

This annual proposed rule would revise payment polices under the physician fee schedule, as well as other policy changes to payment under Part B. These changes would be applicable to services furnished on or after January 1.

Statement of need

The statute requires that we establish each year, by regulation, payment amounts for all physicians' services furnished in all fee schedule areas. This major proposed rule would implement changes affecting Medicare Part B payment to physicians and other Part B suppliers. The final rule has a statutory publication date of November 1, 2012, and an implementation date of January 1, 2013.

Legal Basis

Section 1848 of the Social Security Act (the Act) establishes the payment for physician services provided under Medicare. Section 1848 of the Act imposes a deadline of no later than November 1 for publication of the final rule or final physician fee schedule.

Alternatives

None. This implements a statutory requirement.

Costs and Benefits

Total expenditures will be adjusted for CY 2013.

Risks

If this regulation is not published timely, physician services will not be paid appropriately, beginning January 1, 2013.

Timeline

1 action from June 2012

  • June 2012
    • NPRM

Contacts

  • Christina Ritter
    Director, Division of Practitioner Services
    Phone 410 786-4636
    Mail Stop C4-03-06, 7500 Security Blvd,
    Baltimore MD 21244

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