Journal of the American College of Radiology
Volume 2, Issue 2 , Pages 139-150 , February 2005

The fundamentals of the US Medicare physician reimbursement process

  • Iara O. Woody, MA

      Affiliations

    • American Association of Homes and Services for the Aging, Washington, DC.
    • Corresponding Author InformationCorresponding author and reprints: Iara O. Woody, MA, Health & Finance Policy Associate, American Association of Homes and Services for the Aging, AAHSA, 2519 Connecticut Ave., Washington, DC 20008

References 

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  2. The Henry J. Kaiser Family Foundation . Medicare at a glance (fact sheet) . 2004; Available at: http://www.kff.org/medicare/loader.cfm?url=/commonspot/security/getfile.cfm&PageID=33319. Accessed March
  3. A dire report on Medicare finances under new law: hospital fund may run out by 2019 . The Washington Post . 2004; March 24 :A-01
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  8. Medicare (financial challenges and considerations for reform) . 2003; GAO-03-577T. US Government Accounting Office; April 10
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  10. MED-LAW, MED-GUIDE ¶ 16,948D, Soc. Act § 1848 (42 USC § 13952-4[d]).
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  12. Centers for Medicare and Medicaid Services, Office of Public Affairs . Estimated sustainable growth rate and conversion factor for Medicare payment to physicians in 2004 . 2004; Available at: http://www.cms.hhs.gov/providers/sgr/sgr2004f.pdf. Accessed March
  13. Foster R . The Centers for Medicare and Medicaid (CMS) . Physician volume and intensity response, memorandum . 1998; August 13
  14. Centers for Medicare and Medicaid Services, Office of Public Affairs . Estimated sustainable growth rate and conversion factor for Medicare payment to physicians in 2004 . 2004; Available at: http://www.cms.hhs.gov/providers/sgr/sgr2005p.asp. Accessed March
  15. Crunch-time coming . The Economist . 2004;34; March 17-April 2
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  20. Hillman BJ , Joseph BA , Mabry MR , Sunshine JH , Kennedy SD , Noether M . Frequency and costs of diagnostic imaging in office practice—a comparison of self-referring and radiologist-referring physicians . N Engl J Med . 1990;332:1604–1608
  21. Hillman BJ , Olson GT , Griffith PE , et al.   Physicians’ utilization and charges for outpatient diagnostic imaging in a Medicare population . JAMA . 1992;268:2055–2059
  22. Maitino AJ , Levin DC , Parker RL , Sunshine JH . Practice patterns of radiologists and nonradiologists in utilization of diagnostic imaging among the Medicare population . Radiology . 2003;228(3):795–801
  23. Levin DC , Parker L , Intenzo CM , Sunshine JH . Recent rapid increase in utilization of radionuclide myocardial perfusion imaging and related procedures: 1996-1998 practice patterns . Radiology . 2002;222:144–148
  24. Rosen HS . Social insurance II: health care . In: Public finance . 6th ed. New York: McGraw-Hill Irwin; 2002;p. 201–219
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  26. Moon M . The Urban Institute . What will beneficiaries pay? . 1999; January 7
  27. Medicare (observations of program sustainability and strategies to control spending for any proposed drug benefit) . 2003; GAO-03-650T. US General Accounting Office; April 9

PII: S1546-1440(04)00331-X

doi: 10.1016/j.jacr.2004.07.023

Journal of the American College of Radiology
Volume 2, Issue 2 , Pages 139-150 , February 2005

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