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Under a new payment system for physician services, Medicare will pay physicians based on the resources they use to provide care. This new payment system (the Medicare Fee Schedule, or MFS), in addition to changing how much physicians are paid, incorporates new codes and definitions for evaluation and management services. This report investigates how physicians code their medical visits and evaluates alternative coding systems. In particular, it investigates how accurately physicians coded medical visits prior to the MFS, and whether there were incentives for upcoding; and it evaluates the effects of proposed improvements to the coding system. The study also considers how shifts in physicians' coding might affect the Medicare program. The findings suggest that physicians describe their visits with about half of the levels of service available. Policymakers must reach a better understanding of physicians' evaluation of the tradeoffs between increased coding complexity to account for time spent, and possible financial losses resulting from simplified coding.

Medicare. --- Medical fees --- Physicians --- Medical care --- Delivery of Health Care --- Fees, Medical. --- Practice Management, Medical. --- Classification. --- economics.

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#gsdb7 --- aansprakelijkheid (recht) --- Physician and patient --- Relations médecin-patient --- Expérimentation humaine en médecine --- Practice Management, Medical. --- 614.253.83 --- $?$91/11 --- 614.25 <493> --- 342.7-056.24 <493> --- 343.62 <493> --- 614.27 <493> --- 614.2 <493> --- 343.61 <493> --- 615.212 <493> --- 343.81-056.36 <493> --- vrije beroepen --- 340.13 --- Geneeskunde - Geneeskunst --- Recht (wetten) --- Management, Medical Practice --- Medical Practice Management --- Practice Management Services, Medical --- Medical Practice Management Services --- Managements, Medical Practice --- Medical Practice Managements --- Practice Managements, Medical --- professions liberales --- Ethiek van de verschillende beroepen. Plichtenleer. Deontologie. --- Positief recht. --- Médecine - Art de guérir --- Droit sanitaire --- Wettelijke en contractuele aansprakelijkheid ; Geneesheren ; Veeartsen ; Apothekers ; Tandartsen ; Paramedici --- PROFESSIONAL PRACTICE, legislation, Belgium --- Practice Management, Medical --- MEDICAL, Belgium --- PROFESSIONAL PRACTICE, legislation, Belgium. --- MEDICAL, Belgium. --- Academic Collection --- Professional practice, legislation, belgium. --- Practice management, medical. --- Medical, belgium. --- Relations médecin-patient --- Professional Practice --- Legislation, Medical. --- Academic collection --- 34 --- 351.82*8 <493> --- 351.84*7 <493> --- 614.25 --- 614.253 --- 61 --- #A9110A --- recht --- AA / International- internationaal --- BE / Belgium - België - Belgique --- 173 --- 343.2 --- Archi-JU --- Gezondheidsrecht --- 13.12 --- Medical Legislation --- Medicine --- 351.84*7 <493> Medisch recht. Gezondheidsrecht. Wetgeving i.v.m. ziekenhuizen--België --- Medisch recht. Gezondheidsrecht. Wetgeving i.v.m. ziekenhuizen--België --- 351.82*8 <493> Beroepenrecht. Vestigingswetgeving--België --- Beroepenrecht. Vestigingswetgeving--België --- legislation & jurisprudence. --- droit --- Geneeskunde. --- Strafwetten. --- legislation & jurisprudence --- gezondheidsrecht --- verzekeringen --- gezondheidszorg --- artsen --- Medical law --- geneeskunde --- Legislation, Medical --- Ethiek van de verschillende beroepen. Plichtenleer. Deontologie --- Geneeskunde --- Positief recht --- Strafwetten --- Legislation --- Medical laws and legislation --- Physicians --- Medical ethics --- Human experimentation in medicine --- Médecine --- Médecins --- Ethique médicale --- Expérimentation humaine en médecine --- Malpractice --- Discipline --- Law and legislation --- Droit --- Responsabilité professionnelle --- Belgium --- DROIT MEDICAL ET BIOETHIQUE --- MEDECIN --- MEDECINE --- ORDRE DES MEDECINS --- RELATIONS MEDECIN / PATIENT --- INTERRUPTION VOLONTAIRE DE GROSSESSE (IVG) --- PROCREATION MEDICALEMENT ASSISTEE (PMA) --- DROIT CIVIL BELGE --- DROIT CIVIL FRANCAIS --- MALADES MENTAUX --- EUTHANASIE --- PRELEVEMENT D'ORGANES --- SECRET MEDICAL --- BANQUE DE DONNEES MEDICALES --- MEDECINS --- PROFESSIONS DE SANTE --- EXERCICE ILLEGAL --- DROIT DES PERSONNES --- NAISSANCE --- MINEUR --- DOSSIER MEDICAL --- HONORAIRES