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  2. Specialty Society Relative Value Scale Update Committee

    en.wikipedia.org/wiki/Specialty_Society_Relative...

    Before the 1992 implementation of the Medicare fee schedule, physician payments were made under the "usual, customary and reasonable" payment model (a "charge-based" payment system). Physician services were largely considered to be misvalued under this system, with evaluation and management services being undervalued and procedures overvalued ...

  3. Physician Payments Sunshine Act - Wikipedia

    en.wikipedia.org/wiki/Physician_Payments...

    The Sunshine Act requires manufacturers of drugs, medical devices, biological and medical supplies covered by the three federal health care programs Medicare, Medicaid, and State Children's Health Insurance Program (SCHIP) to collect and track all financial relationships with physicians and teaching hospitals and to report these data to the Centers for Medicare and Medicaid Services (CMS).

  4. Healthcare Cost and Utilization Project - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Cost_and...

    The Healthcare Cost and Utilization Project (HCUP, pronounced "H-Cup") is a family of healthcare databases and related software tools and products from the United States that is developed through a Federal-State-Industry partnership and sponsored by the Agency for Healthcare Research and Quality (AHRQ).

  5. How Trump’s Agenda 47, plus Project 2025, offer clues into ...

    www.aol.com/finance/trump-agenda-47-plus-project...

    Donald Trump's Agenda 47 and the Heritage Foundation's Project 2025 provide plenty of clues into what health-care changes may be coming. ... outcomes for patients than traditional Medicare ...

  6. Resource-based relative value scale - Wikipedia

    en.wikipedia.org/wiki/Resource-based_relative...

    Using the 2005 Conversion Factor of $37.90, Medicare paid 1.57 * $37.90 for each 99213 performed, or $59.50. Most specialties charge 200–400% of Medicare rates for their procedures and collect between 50 and 80% of those charges, after contractual adjustments and write-offs. [citation needed]

  7. How 'Project 2025' could change Medicare - AOL

    www.aol.com/finance/project-2025-could-change...

    Traditional Medicare as seniors know it could be radically altered depending on this year's election cycle. One proposal in a "Project 2025" plan developed by allies of former President Donald ...

  8. Recovery Audit Contractor - Wikipedia

    en.wikipedia.org/wiki/Recovery_Audit_Contractor

    DHHS, through its Centers for Medicare and Medicaid Services (CMS) branch, began the program in 2005, using Recovery Audit Contractors to perform the actual work of reviewing, auditing, and identifying improper Medicare payments. At the inception of the program, it focused on Medicare payments in the states of California, New York, and Florida.

  9. Fact check: Harris falsely claims Project 2025 blueprint ...

    www.aol.com/fact-check-harris-falsely-claims...

    The 920-page Project 2025 blueprint was organized by The Heritage Foundation think tank and developed in significant part by people who served in Trump’s administration; Trump has publicly ...