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2006 proposed fee schedule - American Society of Clinical Oncology

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Specialty<br />

<strong>2006</strong><br />

(25%<br />

Blend)<br />

2007<br />

(50%<br />

Blend)<br />

2008<br />

(75%<br />

Blend)<br />

324<br />

2009<br />

(100%<br />

Blend)<br />

Rheumatology -0.9% -1.8% -2.7% -3.6%<br />

Thoracic Surgery -0.8% -1.5% -2.3% -3.0%<br />

Urology 1.8% 3.6% 5.5% 7.3%<br />

Vascular Surgery<br />

Practitioners:<br />

0.5% 0.9% 1.4% 1.9%<br />

Audiologist -5.8% -11.3% -16.5% -21.3%<br />

Chiropractor -1.3% -2.7% -4.0% -5.3%<br />

<strong>Clinical</strong> Psychologist -0.6% -1.1% -1.7% -2.2%<br />

<strong>Clinical</strong> Social Worker -0.6% -1.2% -1.8% -2.4%<br />

Nurse Anesthetist -0.4% -0.8% -1.2% -1.6%<br />

Nurse Practitioner 0.1% 0.1% 0.2% 0.2%<br />

Optometry -0.8% -1.6% -2.4% -3.1%<br />

Oral/Maxill<strong>of</strong>acial Surgery 0.8% 1.6% 2.4% 3.2%<br />

Physical/Occupational Therapy 1.5% 2.9% 4.4% 6.0%<br />

Physician Assistants 0.0% 0.1% 0.1% 0.2%<br />

Podiatry 1.3% 2.6% 3.9% 5.3%<br />

Suppliers:<br />

Diagnostic Testing Facility -2.4% -4.7% -7.0% -9.2%<br />

Independent Laboratory 6.4% 13.1% 20.3% 28.0%<br />

Portable X-Ray Supplier 0.4% 0.8% 1.1% 1.5%<br />

The table shows the effect <strong>of</strong> the <strong>proposed</strong> refinements to<br />

the PE methodology. As described in section II.A.2. in the<br />

preamble <strong>of</strong> this <strong>proposed</strong> rule, we are proposing to use the<br />

updated practice expense per hour data from the accepted<br />

supplementary surveys only in the calculation <strong>of</strong> indirect PE, and<br />

to utilize a “bottom-up” methodology to calculate direct PE.<br />

Even if no other changes were made to our PE<br />

calculation methodology, a significant redistribution <strong>of</strong> PE<br />

RVUs would still be produced by the acceptance <strong>of</strong> the<br />

supplementary PE surveys from seven specialties and the<br />

corresponding increases in the direct and indirect PE per

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