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GAO Report: Better Data and Greater Transparency Could Improve Accuracy of Medicare Physician Payment Rates
U.S. Government Accountability Office [GAO]Link to more items from this source
May 22, 2015
67 pages. "The American Medical Association/Specialty Society Relative Value Scale Update Committee (RUC) has a process in place to regularly review Medicare physicians' services' work relative values (which reflect the time and intensity needed to perform a service). Its recommendations to [CMS] ... may not be accurate due to process and data-related weaknesses.... The Protecting Access to Medicare Act of 2014 included a provision for GAO to study the RUC's process for developing relative value recommendations for CMS.... CMS should better document its process for establishing relative values and develop a process to inform the public of potentially misvalued services identified by the RUC. CMS should also develop a plan for using funds appropriated for the collection and use of information on physicians' services in the determination of relative values." [GAO-15-434, May 21, 2015]

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