Department of Health and Human Services, Centers for Medicare and Medicaid Services: Medicare Program; Revisions to Payment Policies, Five-Year Review of Work Relative Value Units, Changes to the Practice Expense Methodology Under the Physician Fee Schedule, and Other Changes to Payment Under Part B; Revisions to the Payment Policies of Ambulance Services Under the Fee Schedule for Ambulance Services; and Ambulance Inflation Factor Update for CY 2007
GAO-07-271R: Dec 12, 2006
- Full Report:
GAO reviewed the Department of Health and Human Services, Centers for Medicare and Medicaid Services' (CMS) new rule on revised payment policies, the five-year review of work relative value units, changes to the practice expense methodology and other changes under Part B, revisions to the payment policies of ambulance services, and an ambulance inflation factor update. GAO found that (1) the final rule makes changes to the Medicare Part B payment policy to implement certain provisions of the Deficit Reduction Act, finalizes the calendar year(CY) 2006 interim value units, revises the payment policies under the fee ambulance services and the ambulance inflation fact, and it announces the physician fee schedule update for CY 2007 is consistent with the initial estimate for the substantial growth rate and the conversion factor for CY 2007; and (2) aside from the required 60-day delay in its effective date, CMS complied with the applicable requirements in promulgating the rule.