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CMS-1403-FC
imaging services, the MIEA-TRHCA provisions regarding the
2007 PQRI reporting bonuses payable in 2008, and the MIPPA
provisions regarding the physician update and the bonus
payments for mental health services. The details of the
MIPPA provisions are discussed in section III. of this
final rule with comment period.
3. Detail on the CY 2007 SGR
A more detailed discussion of our final revised
estimates of the four elements of the CY 2007 SGR follows.
● Factor 1--Changes in Fees for Physicians' Services
(Before Applying Legislative Adjustments) for 2007
This factor was calculated as a weighted-average of
the CY 2007 changes in fees that apply for the different
types of services included in the definition of physicians'
services for the SGR.
Services paid using the PFS accounted for
approximately 82.8 percent of total Medicare-allowed
charges included in the SGR for CY 2007 and are updated
using the MEI. The MEI for CY 2007 was 2.1 percent.
Diagnostic laboratory tests represented approximately
7.4 percent of total CY 2007 Medicare allowed charges
included in the SGR and are updated by the CPI-U. However,
section 628 of the MMA specifies that diagnostic laboratory
tests will receive an update of 0.0 percent from CY 2004
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