2006 proposed fee schedule - American Society of Clinical Oncology

Specialty
Medicare
Allowed
Charges for
2004 ($in
millions)
Impact of
PE RVU
Changes
Impact of
Malpractice
RVU
changes
Impact of
Multiple
Imaging
Discount
Impact of
All
Proposed
Changes
337
Combined
Impact:
Includes
Update
and Drug
Admin.
Trans.
Radiology $5,154 0.4% 0.0% -2.1% -1.7% -6.0%
Rheumatology $400 -0.9% 0.0% 0.1% -0.8% -5.4%
Thoracic Surgery $464 -0.8% 0.2% 0.2% -0.4% -4.7%
Urology $1,782 1.8% 0.0% 0.0% 1.8% -2.6%
Vascular Surgery
Practitioners:
$560 0.5% 0.0% 0.2% 0.7% -3.6%
Audiologist $31 -5.8% 0.0% 0.2% -5.6% -9.9%
Chiropractor $720 -1.3% -0.6% 0.2% -1.8% -6.1%
Clinical Psychologist $527 -0.6% -0.3% 0.2% -0.6% -4.9%
Clinical Social Worker $345 -0.6% -0.4% 0.2% -0.8% -5.1%
Nurse Anesthetist $523 -0.4% 0.0% 0.2% -0.2% -4.5%
Nurse Practitioner $617 0.1% 0.0% 0.2% 0.2% -4.1%
Optometry $720 -0.8% 0.0% 0.2% -0.6% -4.9%
Oral/Maxillofacial
Surgery
$37 0.8% 0.0% 0.2% 1.0% -3.3%
Physical/
Occupational Therapy
$1,283 1.5% -0.5% 0.2% 1.2% -3.1%
Physicians Assistant $472 0.0% 0.0% 0.2% 0.3% -4.0%
Podiatry
Suppliers:
$1,487 1.3% 0.0% 0.2% 1.5% -2.8%
Diagnostic Testing
Facility
$1,087 -2.4% 0.0% -2.9% -5.3% -9.6%
Independent Laboratory $631 6.4% 0.0% 0.2% 6.6% 2.3%
Portable X-Ray Supplier $96 0.4% 0.0% 0.1% 0.5% -3.8%
Table 34 below shows the impact on total payments for
selected high-volume procedures of all of the changes
previously discussed. We selected these procedures because
they are the most commonly provided by a broad spectrum of
physician specialties. There are separate columns that show
the change in the facility rates and the nonfacility rates.
For an explanation of facility and nonfacility practice
expense refer to section II.A. in the preamble of this
proposed rule. If we change any of the proposed provisions