2006 proposed fee schedule - American Society of Clinical Oncology

TABLE 14--Practice Expense Per Hour Figures
Specialty Clinical Admin. Office Medical Medical Other Total
Staff Staff Expense Supplies Equipment
Radiology 14.8 18.6 16.5 6.5 13.1 26.8 96.3
Cardiology 38.3 34.5 35.7 16.5 12.2 19.1 156.3
Radiation Oncology 35.6 18.9 28.5 4 20.1 21.2 128.3
Urology 18.4 27.9 35.3 16.7 7.5 15.9 121.7
Dermatology 27.9 35.2 49.4 12.4 7.2 20 152.1
Allergy/Immunology 48.2 39.8 47 17.3 4.8 22.4 179.6
Gastroenterology 15.4 23.2 26.8 4.8 3.3 11.5 85
The deadline to submit supplemental PE surveys was
March 1, 2005. As discussed in detail below, we are
proposing to revise our methodology to calculate direct PE
RVUs from the current top-down cost allocation methodology
to a bottom-up methodology. Although we would continue to
use the SMS data and the incorporated supplemental survey
data for indirect PEs, we are not proposing to extend the
deadline for submitting supplemental survey data at this
time. Instead, we are inviting comment on the most
appropriate way to proceed to ensure the indirect PEs per
hour are accurate and consistent across specialties.
(3) Revisions to the PE Methodology
Since 1997, when we first proposed a resource-based PE
methodology, we have had several major goals for this payment
system. One has been to encourage the maximum input from the
medical community regarding our PE data and methodology. We
have worked closely with the PEAC, PERC, RUC and the Health Care
Professional Advisory Committee (HCPAC) which are all
multi-specialty groups that allow the medical community to
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