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<strong>CMS</strong>-1403-FC<br />

The AMA developed the SMS survey in 1981 and<br />

discontinued it in 1999. Beginning in 2002, we incorporated<br />

the 1999 SMS survey data into our calculation of the PE<br />

RVUs, using a 5-year average of SMS survey data. (See the<br />

CY 2002 PFS final rule with comment period (66 FR 55246).)<br />

The SMS PE survey data are adjusted to a common year, 2005.<br />

The SMS data provide the following six categories of PE<br />

costs:<br />

● Clinical payroll expenses, which are payroll<br />

expenses (including fringe benefits) for nonphysician<br />

clinical personnel.<br />

● Administrative payroll expenses, which are payroll<br />

expenses (including fringe benefits) for nonphysician<br />

personnel involved in administrative, secretarial, or<br />

clerical activities.<br />

● Office expenses, which include expenses for rent,<br />

mortgage interest, depreciation on medical buildings,<br />

utilities, and telephones.<br />

● Medical material and supply expenses, which include<br />

expenses for drugs, x-ray films, and disposable medical<br />

products.<br />

● Medical equipment expenses, which include<br />

depreciation, leases, and rent of medical equipment used in<br />

the diagnosis or treatment of patients.<br />

42

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