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WASHINGTON -- Medical organizations are hoping that an unprecedented delay in the 2003 Medicare physician fee schedule will buy them some time to lobby for legislation to fix the flawed payment formula.
Citing various problems--including concerns about payment for anesthesia services--the Centers for Medicare and Medicaid Services pushed back the effective date for the new payment rates until Feb. 1, 2003.
"This could buy us more time to get Congress to fix the payment formula" before the new rates kick in, perhaps ameliorating a 4.4% cut in physician reimbursement, Richard Trachtman, director of congressional affairs for the American College of Physicians-American Society of Internal Medicine, told this newspaper.
CMS' error in calculating the formula resulted in a 5.4% pay cut in 2002. Physicians around the country have been reporting that the pay reduction hurt their practices, forcing them either to refuse new Medicare patients--or in some cases, drop patients.
Lobbying efforts by medical organizations to get Congress to fix the formula, however, were unsuccessful this year. Several Medicare reform bills got stuck in Congress, including a targeted "giveback" bill from the Senate Finance Committee (5. 3018).
The final blow came in mid-November, when the Senate failed to act on an unemployment benefits bill from the House (H.R. 5063) that would have provided legal protection to CMS, should. it attempt to fix the payment formula.
Administration officials expressed concern that an effort to fix the ...
Source: HighBeam Research, Hope endures for Medicare relief early this year. (Delay in Fee...