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CMS-1403-FC
furnishing care to Medicare beneficiaries. If determined
appropriate by the Secretary, the Secretary may also
include information on quality of care furnished to
Medicare beneficiaries by the physician (or group of
physicians) in the reports. We anticipate the impact of
this section to be negligible for the work completed in the
phased pilot physician feedback program to date.
4. Section 133 (b): Expanding Access to Primary Care
Services (BN Adjustment)
The impact of this MIPPA provision is addressed in
section VII. and previously in this section (XVI.A.) as
part of the RVU impact discussion.
5. Section 134: Extension of Floor on Medicare Work
Geographic Adjustment Under the Medicare PFS
As discussed in section III.F. of this preamble,
section 134 of the MIPPA of 2008 extended the 1.000 work
GPCI floor from July 1, 2008, through December 31, 2009.
Additionally, the MIPPA sets a permanent 1.500 work GPCI
floor in Alaska, beginning January 1, 2009. As a result of
this MIPPA provision, 55 (out of 89) PFS localities will
receive an increase in their work GPCI. Alaska receives
the largest increase (+47.49 percent), followed by Puerto
Rico (+10.62 percent), South Dakota (+6.16 percent), North
Dakota (+5.60 percent) and the Missouri “rest of state”
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