Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, DME Face-to-Face Encounters, Elimination of the Requirement for Termination of Non-Random Prepayment Complex Medical Review and Other Revisions to Part B for CY 2013
medicare · Centers for Medicare and Medicaid Services · Rule · Published 2012-11-16 · 77 FR 68892
Document
Document number
2012-26900
Federal Register citation
77 FR 68892
CFR reference
42 CFR 410
Type
Rule
Action
Final rule with comment period.
Category
medicare
Sub-agency
Centers for Medicare and Medicaid Services
Publication date
2012-11-16
HHS docket
CMS-1590-FC
Abstract
This major final rule with comment period addresses changes to the physician fee schedule, payments for Part B drugs, and other Medicare Part B payment policies to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. It also implements provisions of the Affordable Care Act by establishing a face-to-face encounter as a condition of payment for certain durable medical equipment (DME) items. In addition, it implements statutory changes regarding the termination of non-random prepayment review. This final rule with comment period also includes a discussion in the Supplementary Information regarding various programs . (See the Table of Contents for a listing of the specific issues addressed in this final rule with comment period.)