2006 proposed fee schedule - American Society of Clinical Oncology

Speciality
Impact of
Removing
Aberrant
Malpractice
Data
Impact of
Crosswalk
Changes
Combined
Impacts*
Chiropractor 0.0% -0.5% -0.6%
Clinical Psychologist 0.0% 0.0% -0.3%
Clinical Social Worker 0.0% 0.0% -0.4%
Nurse Anesthetist 0.0% -0.2% 0.0%
Nurse Practitioner 0.0% 0.0% 0.0%
Optometry 0.0% -0.1% 0.0%
Oral/Maxillofacial Surgery 0.0% 0.0% 0.0%
Physical/Occupational Therapy 0.0% 0.0% -0.5%
Physician Assistants 0.0% 0.0% 0.0%
Podiatry 0.2% 0.0% 0.0%
Suppliers:
Diagnostic Testing Facility 0.0% 0.0% 0.0%
Independent Laboratory 0.0% 0.0% 0.0%
Portable X-Ray Supplier 0.0% 0.0% 0.0%
*Sum of the columns may be different due to rounding.
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As discussed in section II.J. of this proposed rule, we
are proposing to reduce payments for technical components of
certain multiple imaging procedures performed in the same
session within the same imaging families. In order to
calculate the impact of this proposed change, we examined
2004 PFS carrier claims processed through March 31, 2005.
We extracted all claims that were billed on the same day,
for the same beneficiary, at the same provider, for multiple
diagnostic imaging procedures within the same family of
codes. For each subset of claims, the procedures were
arrayed based on the pricing of the technical component of
these services. We simulated the effect of the multiple
procedure payment reduction by accounting for 100 percent of
the highest priced technical component, and 50 percent of
all other technical components. Note that if the procedure