Medical fees (41 - 50 of 62 items)
Medicare: HCFA Can Improve Methods for Revising Physician Practice Expense Payments
HEHS-98-79: Published: Feb 27, 1998. Publicly Released: Feb 27, 1998.
Pursuant to a legislative requirement, GAO reviewed the Health Care Financing Administration's (HCFA) proposed practice expense revisions and its ongoing efforts to refine its data and methodologies, focusing on: (1) HCFA's approach for estimating the practice expenses directly associated with each medical service or procedure; (2) two methodologies HCFA used to adjust the direct expense estimates...
Defense Health Care: Reimbursement Rates Appropriately Set; Other Problems Concern Physicians
HEHS-98-80: Published: Feb 26, 1998. Publicly Released: Feb 26, 1998.
Pursuant to a legislative requirement, GAO examined: (1) whether the Department of Defense's (DOD) methodology for setting the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) maximum allowable charge (CMAC) rates complies with statutory requirements and how current CMAC rates compare with Medicare rates for similar services; (2) the basis for physicians' concerns about CMAC...
HCFA: Medicare Program--Revisions to Payment Policies and Five-Year Review of and Adjustments to the Relative Value Units and Physician Fee Schedule Update for Calendar Year 1997 Notice
OGC-97-9: Published: Dec 9, 1996. Publicly Released: Dec 9, 1996.
Pursuant to a legislative requirement, GAO reviewed the Health Care Financing Administration's (HCFA) new rule on revisions to the Medicare Program's payment policies and 5-year review of and adjustments to the relative value units under the physician fee schedule for calendar year 1997 and its physician fee schedule update for calendar year 1997 and physician volume performance standard rates of...
Vaccines for Children: Critical Issues in Design and Implementation
PEMD-94-28: Published: Jul 18, 1994. Publicly Released: Jul 19, 1994.
Pursuant to a congressional request, GAO reviewed the Centers for Disease Control's (CDC) implementation plans for the Vaccines for Children (VFC) Program, focusing on: (1) how CDC plans to implement the VFC Program; and (2) the likelihood that CDC will meet its program goals.GAO found that: (1) as of July 5, 1994, only 4 of the 15 contracts with vaccine manufacturers had been awarded; (2) as of J...
Medicare Physician Payment: Geographic Adjusters Appropriate But Could Be Improved With New Data
HRD-93-93: Published: Jul 20, 1993. Publicly Released: Jul 20, 1993.
Pursuant to a congressional request, GAO assessed whether the Health Care Financing Administration (HCFA) used the best available data when setting the geographic adjusters for the Medicare program.GAO found that: (1) time constraints limited HCFA ability to develop data sources for use in establishing geographic adjusters; (2) HCFA contracted with several research organizations to develop recomme...
RBRVS and Administrative Costs
HRD-92-38R: Published: Jul 13, 1992. Publicly Released: Jul 13, 1992.
Pursuant to a congressional request, GAO commented on the costs physicians might incur as a result of Medicare changing from the reasonable charge payment method to a resource-based relative value scale (RBRVS). GAO noted that: (1) the procedure codes and descriptions for physician visits changed when RBRVS went into effect, which probably required physicians to spend some time becoming familiar w...
Medicare: Payments for Medically Directed Anesthesia Services Should Be Reduced
HRD-92-25: Published: Mar 3, 1992. Publicly Released: Mar 3, 1992.
Pursuant to a legislative requirement, GAO reviewed whether: (1) payments to anesthesiologists are excessive for services provided when they concurrently direct certified registered nurse anesthetists (CRNA); and (2) reduced payments resulting from the Omnibus Budget Reconciliation Act (OBRA) of 1987 have affected the use and employment of CRNA.GAO found that: (1) Medicare is providing an economic...
Medicare: Variations in Payments to Anesthesiologists Linked to Anesthesia Time
HRD-91-43: Published: Apr 30, 1991. Publicly Released: Apr 30, 1991.
Pursuant to a legislative requirement, GAO reviewed anesthesia times that physicians reported to Medicare to verify their accuracy.GAO found that: (1) there was no consistent time schedule or average Medicare payment among anesthesiologists who performed identical procedures; (2) while Medicare paid other doctors based on procedure instead of time, it paid anesthesiologists based on the amount of...
[Comments on Reductions in Labor's Payments to a Physician Providing Services Under FECA]
B-221498.35: Published: Oct 16, 1986. Publicly Released: Oct 16, 1986.
In response to a congressional request, GAO commented on reduced payments that the Department of Labor made to a physician for medical services he furnished to recipients of federal employee compensation benefits under the Federal Employees' Compensation Act (FECA) prior to enactment of the Balanced Budget and Emergency Deficit Control Act. GAO found that: (1) all government programs were subject...
Physician Payment Rates Under Medicare's End Stage Renal Disease Program
130404: Jul 16, 1986
GAO discussed the results of a questionnaire that it sent to physicians who provided renal services to beneficiaries of the Medicare End Stage Renal Disease (ESRD) program. GAO found that the Monthly Capitation Payment (MCP) which physicians received each month for treated ESRD patients was too high because the computation overstated physician involvement with patients dialyzing at home. GAO recom...