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2006 proposed fee schedule - American Society of Clinical Oncology

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psychology to the nonsurgical risk factor for psychiatry<br />

(risk factor <strong>of</strong> 1.11). We crosswalked occupational therapy<br />

to occupational medicine (risk factor <strong>of</strong> 1.11). The PLI<br />

Workgroup recommends crosswalking these pr<strong>of</strong>essions to<br />

allergy and immunology, with a risk factor <strong>of</strong> 1.00 (although<br />

the Workgroup suggests the actual risk factor for these<br />

pr<strong>of</strong>essions may be below the risk factor for allergy and<br />

immunology and encourages the collection <strong>of</strong> malpractice<br />

premium data for these pr<strong>of</strong>essions).<br />

The Workgroup also believes that opticians and<br />

optometrists should be assigned this risk factor <strong>of</strong> 1.0, as<br />

opposed to being crosswalked to ophthalmology (nonsurgical<br />

risk factor <strong>of</strong> 1.24, surgical risk factor <strong>of</strong> 2.31). The<br />

Workgroup further suggests that it would be more appropriate<br />

to assign the risk factor <strong>of</strong> 1.0 to the chiropractic and<br />

physical therapy specialties rather than their current<br />

crosswalk to physical medicine and rehabilitation<br />

(nonsurgical and surgical risk factors <strong>of</strong> 1.26). The<br />

Workgroup felt that these specialties will not incur PLI<br />

premiums in excess <strong>of</strong> the current base premiums associated a<br />

risk factor <strong>of</strong> 1.0.<br />

We examined the risk factors assigned to these<br />

pr<strong>of</strong>essions, and agree that the PLI associated with them<br />

should reflect the lowest physician specialty risk factor<br />

(absent actual premium data for these pr<strong>of</strong>essions).<br />

99

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