tci Medicare Compliance & Reimbursement - 2005 Issue 3

Physicians: Has The Sustainable Growth Rate Outlived Its Usefulness?

You could be paying the price for federal accountants' errorsAccording to the Government Accountability Office, the process the Centers for Medicare & Medicaid Services uses to update the fee schedule needs an overhaul itself - or else the agency could jeopardize one all-important component: your faith in the system.In "CMS Needs a Plan for Updating Practice Expense Component" (GAO-05-60), the GAO warns that CMS' lack of a systematic or timely review suggests the agency is not relying on the best data.How it works: When estimating Medicare's payments for physicians' operating costs, CMS looks at expense estimates from...

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