The CMS needs to update its process for determining the practice expense component of Medicare reimbursments received by doctors, according to a report from the Government Accountability Office.
The report said that though the CMS reviews data from medical specialties to consider whether it should use the data to determine the practice expense component of Medicare payments, the agency still may be relying on data that might not be representative of physician practices while rejecting other data that may be more relevant.
The CMS is mandated by law to review and revise fees for all physician services every five years. The CMS told the GAO that it can finish its next review of the fee schedule by 2007, but because the CMS does not have a specific plan of action, the agency may not be able to meet its deadline, the report said.
The report can be viewed at gao.gov.