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Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...
CMS-1403-FC above conditions and medical specialties on an interim final basis and we welcome public comments on the selected conditions and medical specialties, as well as any additional conditions and medical specialties to include in the feedback program. To select physicians, CMS recruited participants for the Baltimore and Boston program sites based on self- designated medical specialty. Both the Baltimore and Boston sites included physicians from all of the medical specialties listed above. Once physicians agreed to participate in the Baltimore and Boston program sessions, CMS used Medicare physician identifiers to find Medicare FFS claims data to populate individual physician RURs for the participating physicians. Approximately 50 physicians participated in a 60-minute individual in-depth session with one interviewer that covered approximately 4 different RUR designs. Each one-on-one physician/interviewer session educated the physician on his/her individual Medicare FFS resource utilization. In the cases where Medicare FFS data was available, a de-identified report of real data was used for educational purposes. The RURs contained all of the elements discussed throughout section 6.c of this final rule. In particular, we are soliciting public comments on the following: 798
CMS-1403-FC reports? ● Do physicians prefer paper or electronic feedback ● How do physicians prefer to provide comments on or ask questions about the RURs? ● What other types of the outreach/educational efforts are useful in helping physicians understand resource use? As mentioned previously, section 1848(n)(4) of the Act permits us to focus the program as appropriate, such as focusing the program on physicians practicing in certain geographic areas. The RURs disseminated in Baltimore included a geographic benchmark for all physicians treating one condition (listed above) in the Baltimore-Washington, DC metro area, as defined by zip codes. The Baltimore program site also used hospital service area (HSA) as a geographic benchmark. The HSA was based upon all hospitals in the Baltimore-Washington, DC metro area that physicians typically refer beneficiaries to for a particular condition. The Boston program site also used the HSA benchmark and used the state of Massachusetts as a benchmark. We welcome public comment on the selected geographic benchmarks implemented for those areas, as well as any additional geographic benchmarks that could be included in the Physician Resource Use Feedback Program. 799
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<strong>CMS</strong>-1403-FC<br />
above conditions and medical specialties on an interim<br />
final basis and we welcome public comments on the selected<br />
conditions and medical specialties, as well as any<br />
additional conditions and medical specialties to include in<br />
the feedback program.<br />
To select physicians, <strong>CMS</strong> recruited participants for<br />
the Baltimore and Boston program sites based on self-<br />
designated medical specialty. Both the Baltimore and<br />
Boston sites included physicians from all of the medical<br />
specialties listed above. Once physicians agreed to<br />
participate in the Baltimore and Boston program sessions,<br />
<strong>CMS</strong> used Medicare physician identifiers to find Medicare<br />
FFS claims data to populate individual physician RURs for<br />
the participating physicians. Approximately 50 physicians<br />
participated in a 60-minute individual in-depth session<br />
with one interviewer that covered approximately 4 different<br />
RUR designs. Each one-on-one physician/interviewer session<br />
educated the physician on his/her individual Medicare FFS<br />
resource utilization. In the cases where Medicare FFS data<br />
was available, a de-identified report of real data was used<br />
for educational purposes. The RURs contained all of the<br />
elements discussed throughout section 6.c of this final<br />
rule. In particular, we are soliciting public comments on<br />
the following:<br />
798