Medical fees (31 - 40 of 62 items)
Medicare Physician Payments: Medical Settings and Safety of Endoscopic Procedures
GAO-03-179: Published: Oct 18, 2002. Publicly Released: Oct 18, 2002.
Every year millions of Americans covered by Medicare undergo endoscopic medical procedures in a variety of health care settings ranging from physicians' offices to hospitals. These invasive procedures call for the use of a lighted, flexible instrument and are used for screening and treating disease. Although some of these procedures can be performed while the patient is fully awake, most require s...
Medicare Hospital and Physician Payments: Geographic Cost Adjustments Important to Preserve Beneficiary Access to Services
GAO-02-968T: Published: Jul 23, 2002. Publicly Released: Jul 23, 2002.
This testimony discusses Medicare program payment adjustments to hospitals and physicians that account for geographic differences in costs. Because Medicare's hospital and physician payment systems are based on national rates, these geographic cost adjustments are essential to account for costs beyond providers' control and to ensure that beneficiaries have adequate access to services. If these ad...
Medicare Physician Payments: Spending Targets Encourage Fiscal Discipline, Modifications Could Stabilize Fees
GAO-02-441T: Published: Feb 14, 2002. Publicly Released: Feb 14, 2002.
Congress implemented a physician fee schedule and a fee update formula to moderate spending growth relative to specified Medicare spending targets. These spending targets increase annually to reflect higher costs for physician services, the growth in the overall economy, and changes in the number of Medicare beneficiaries. Physician fees are adjusted for changes in the costs of providing services...
Medicare Physician Fee Schedule: Practice Expense Payments to Oncologists Indicate Need For Overall Refinements
GAO-02-53: Published: Oct 31, 2001. Publicly Released: Oct 31, 2001.
Medicare's physician fee schedule establishes payments for more than 7,000 different services, such as office visits, surgical procedures, and treatments. Before 1992, fees were based on charges physicians billed for these services. Since then, the Health Care Financing Administration (HCFA), which runs Medicare, has been phasing in a new fee schedule on the basis of the amount of resources used t...
Health Care Financing Administration: Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2000
OGC-00-9: Published: Nov 15, 1999. Publicly Released: Nov 15, 1999.
Pursuant to a legislative requirement, GAO reviewed the Health Care Financing Administration's (HCFA) new rule on Medicare Program revisions to payment policies under the physician fee schedule for calendar year 2000. GAO noted that: (1) the rule would make several changes affecting Medicare Part B payment; (2) the changes include, among others, implementation of resource-based malpractice insuran...
Physician Shortage Areas: Medicare Incentive Payment Not an Effective Approach to Improve Access
HEHS-99-36: Published: Feb 26, 1999. Publicly Released: Feb 26, 1999.
Pursuant to a congressional request, GAO reviewed the Medicare Incentive Payment program to determine if: (1) it is an effective mechanism for improving access to care for Medicare beneficiaries and underserved populations other than Medicare beneficiaries; and (2) the program's goals, performance measures, and financial controls provide a sound structure for continuing or expanding the program.GA...
Medicare Physician Payments: Need to Refine Practice Expense Values During Transition and Long Term
HEHS-99-30: Published: Feb 24, 1999. Publicly Released: Feb 24, 1999.
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) ongoing efforts to develop resource-based practice expense relative value units (RVUs), focusing on: (1) whether the new methodology is an acceptable approach for revising Medicare's fee schedule; (2) questions about the data, assumptions, and adjustments underlying the new methodology that need to...
HCFA: Medicare Program--Revisions to Payment Policies and Adjustments to the Relative Value Units Under the Physician Fee Schedule for Calendar Year 1999
OGC-99-15: Published: Nov 17, 1998. Publicly Released: Nov 17, 1998.
Pursuant to a legislative requirement, GAO reviewed the Health Care Financing Administration's (HCFA) new rule on payment policies and adjustments to the relative value units under the physician fee schedule for calendar year 1999. GAO noted that: (1) the rule would make several policy changes affecting Medicare Part B payments; (2) the changes that relate to physicians' services include: (a) reso...
Medicare: Concerns With Physicians at Teaching Hospitals (PATH) Audits
HEHS-98-174: Published: Jul 23, 1998. Publicly Released: Aug 12, 1998.
Pursuant to a congressional request, GAO reviewed the Physicians at Teaching Hospitals (PATH) initiative, focusing on: (1) whether the Department of Health and Human Services' (HHS) Office of the Inspector General (OIG) has a legal basis for conducting PATH audits; (2) whether the OIG has followed an acceptable approach and methodology in conducting the audits; and (3) the significance of the bill...
Medicare: HCFA Can Improve Methods for Revising Physician Practice Expense Payments
T-HEHS-98-105: Published: Mar 3, 1998. Publicly Released: Mar 3, 1998.
Pursuant to a congressional request, GAO discussed the efforts of the Health Care Financing Administration (HCFA) to revise the practice expense component of Medicare's physician fee schedule.GAO noted that: (1) HCFA's general approach for collecting information on physicians' practice expenses was reasonable; (2) HCFA convened 15 panels of experts to identify the resources associated with several...