19.02.2013 Views

2006 proposed fee schedule - American Society of Clinical Oncology

2006 proposed fee schedule - American Society of Clinical Oncology

2006 proposed fee schedule - American Society of Clinical Oncology

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

C. Medicare Telehealth Services<br />

In section II.D. <strong>of</strong> this <strong>proposed</strong> rule, we are<br />

proposing to add individual medical nutrition therapy, as<br />

345<br />

represented by HCPCS codes G0270, 97802, and 97803, to the<br />

list <strong>of</strong> telehealth services. We believe that this change<br />

will have little effect on Medicare expenditures.<br />

D. Contractor Pricing <strong>of</strong> CPT codes 97039 and 97139<br />

As discussed earlier in the preamble <strong>of</strong> this <strong>proposed</strong><br />

rule (section II.E.), we are proposing to have the<br />

contractors value CPT codes 97039 and 97139. This will make<br />

the pricing methodology for these services consistent with<br />

our policy for other unlisted services and we believe it<br />

will have no significant impact on Medicare expenditures.<br />

E. ESRD–MMA Related Provisions<br />

The ESRD related provisions in this <strong>proposed</strong> rule are<br />

discussed in section II.G. In order to understand the<br />

impact <strong>of</strong> the <strong>proposed</strong> changes affecting payments to<br />

different categories <strong>of</strong> ESRD facilities, it is necessary to<br />

compare estimated payments under the current payment system<br />

(current payments) to estimated payments under the <strong>proposed</strong><br />

revisions to the composite rate payment system as set forth<br />

in this <strong>proposed</strong> rule (<strong>proposed</strong> payments). To estimate the<br />

impact among various classes <strong>of</strong> ESRD facilities, it is<br />

imperative that the estimates <strong>of</strong> current payments and<br />

<strong>proposed</strong> payments contain similar inputs. Therefore, we

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!