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HHS/CMS RIN: 0938-AP40 Publication ID: Fall 2008 
Title: ●Revisions to Payment Policies under the Physician Fee Schedule for CY 2010 (CMS-1413-P) 
Abstract: This major proposed rule would revise payment polices under the physician fee schedule, as well as other policy changes to payment under Part B. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Yes  Unfunded Mandates: Undetermined 
CFR Citation: 42 CFR 405    42 CFR 410 to 411    42 CFR 413 to 414    42 CFR 426   
Legal Authority: Social Security Act, sec 1102    Social Security Act, sec 1871   
Legal Deadline:
Action Source Description Date
Final  Statutory    11/01/2009 

Statement of Need: The statute requires that we establish each year, by regulation, payment amounts for all physicians' services furnished in all fee schedule areas. This major proposed rule would make changes affecting Medicare Part B payment to physicians and other Part B suppliers. The final rule has a statutory publication date of November 1, 2009, and implementation of January 1, 2010.

Summary of the Legal Basis: Section 1848 of the Social Security Act (the Act) establishes the payment for physician services provided under Medicare. Section 1848 of the Act imposes a deadline of no later than November 1 for publication of the final physician fee schedule rule.

Alternatives: None. This is a statutory requirement.

Anticipated Costs and Benefits: Total expenditures will be adjusted for CY 2010.

Risks: If this regulation is not published timely, physician services will not be paid appropriately.

Timetable:
Action Date FR Cite
NPRM  06/00/2009    
Regulatory Flexibility Analysis Required: Yes  Government Levels Affected: Federal 
Small Entities Affected: Businesses  Federalism: Undetermined 
Included in the Regulatory Plan: Yes 
RIN Data Printed in the FR: Yes 
Related RINs: Related to 0938-AN04 
Agency Contact:
Diane Milstead
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Centers for Medicaid Mangement, Mailstop C4-03-06, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-3355
Email: diane.milstead@cms.hhs.gov