decisionhealth Newsletters, Part B News - 2000 Issue 12 (December)
Lack of new source for PE data could affect future reimbursements
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Article Overview
This article covers the policy dispute between specialty societies and HCFA over how practice expense data should be gathered for the physician fee schedule. It explains why the suspension of the AMA’s Socioeconomic Monitoring System matters, how HCFA says current and future practice expense RVUs will be supported, and why some stakeholders want a broader replacement survey. The piece is relevant to physicians, medical specialty societies, and coding or reimbursement professionals tracking Medicare payment methodology.
Why This Topic Matters
Practice expense data are part of the methodology used to support physician reimbursement, so changes in survey sources or collection timing can influence future payment calculations and specialty-level comparisons. The article highlights concerns about access, adequacy, and funding for replacement data sources.
What You Will Learn
- Why specialty groups are concerned about the lack of a replacement source for practice expense data
- How HCFA describes its current approach to practice expense RVU support
- What stakeholders say about survey cost, feasibility, and funding
- Why the issue is being framed as a longer-term reimbursement policy concern
Who Should Read This
- Medical coders
- Physician reimbursement professionals
- Practice managers
- Medical specialty societies
- Health policy analysts
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