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CMS-1403-FC
management, could have a devastating impact on their
ability to provide services to Medicare beneficiaries. The
commenters also expressed concern that the current PE
payment methodology does not accurately reflect the costs
needed to provide their services.
As discussed in sections III. and VII. of this final
rule with comment period, section 131(a) of the MIPPA
provides that the update to the single CF for CY 2009 shall
be 1.1 percent. Tables 47 and 48 reflect this change. As
required by the statute, payment under the PFS is
resource-based. In future rulemaking, we expect to include
improvements to the resource-based PE methodology that will
include more current specialty specific aggregate cost data
obtained through physician specialty practice surveys.
Table 49 shows the estimated impact on total payments
for selected high-volume procedures of all of the changes
discussed previously. We selected these procedures because
they are the most commonly furnished 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 PE
refer to Addendum A of this final rule with comment period.
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