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HHS/CMS

RIN: 0938-AI52

Publication ID: Spring 1999

Title: Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 1999 (HCFA-1006-FC) (HCFA-1006-P)
Abstract: This final rule will update physician payments by Medicare as required by section 1848 of the Social Security Act. It includes a provision to change the method of determining practice expense relative value units from the current charge-based system to a resource-based system. In addition, new procedure codes for 1999 have been added. It also will include several policy changes involving medical direction of anesthesia services, and separate payment for abnormal Papanicolaou smears. A provision to make some minor rebasing and revisions to the Medicare Economic Index is also included. Several changes are being made to clarify some provisions of the Balanced Budget Act of 1997 (BBA).
Agency: Department of Health and Human Services(HHS)	Priority: Other Significant
RIN Status: Previously published in the Unified Agenda	Agenda Stage of Rulemaking: Completed Actions
Major: No	Unfunded Mandates: No
CFR Citation: 42 CFR 410    42 CFR 414
Legal Authority: 42 USC 1395w(4)    PL 105-33, sec 4505    PL 105-33, sec 4507    PL 105-33, sec 4511    PL 105-33, sec 4512    PL 105-33, sec 4541    PL 105-33, sec 4556

Legal Deadline: Action Source Description Date NPRM  Statutory    01/01/1999

Timetable: Action Date FR Cite NPRM  06/05/1998  63 FR 30818    NPRM Comment Period End  09/03/1998     Final Action  11/02/1998  63 FR 58814    Final Action Effective  01/01/1999

Regulatory Flexibility Analysis Required: No	Government Levels Affected: None
Small Entities Affected: Businesses
Included in the Regulatory Plan: No
Agency Contact: Stanley Weintraub Center for Health Plans and Providers Department of Health and Human Services Centers for Medicare & Medicaid Services 7500 Security Boulevard, Baltimore, MD 21244 Phone:410 786-4498