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CMS-1403-FC
that this figure will change as actual information on
economic performance becomes available to us in 2009.
● Factor 4--Percentage Change in Expenditures for
Physicians' Services Resulting From Changes in Statute or
regulations in CY 2009 Compared With CY 2008
The statutory and regulatory provisions that will
affect expenditures in CY 2009 relative to CY 2008 are
estimated to have an impact on expenditures of 4.2 percent.
These include the DRA provision reducing payments for
imaging services, the MMSEA provision regarding the PQRI
bonuses payable in 2009, and the MIPPA provisions regarding
the change in cost sharing for mental health services, the
physician update, and the change in application of BN to
the CF. The details of the MIPPA provisions are discussed
in section III. of this final rule with comment period.
2. Detail on the 2008 SGR
A more detailed discussion of our revised estimates of
the four elements of the 2008 SGR follows.
● Factor 1--Changes in Fees for Physicians' Services
(Before Applying Legislative Adjustments) for 2008
This factor was calculated as a weighted-average of
the 2008 changes in fees that apply for the different types
of services included in the definition of physicians'
services for the SGR.
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