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The Omnibus Budget Reconciliation Act of 1989 enacted a Medicare fee schedule, and as of 2010 about 7,000 distinct physician services were listed. [2] The services are classified under a nomenclature based on the Current Procedural Terminology (CPT) to which the American Medical Association holds intellectual property rights. [ 2 ]
However, "in the private fee-for-service context, the loss of specialist income is a powerful barrier to e-referral, a barrier that might be overcome if health plans compensated specialists for the time spent handling e-referrals." [20] In Canada, the proportion of services billed under FFS from 1990 to 2010 shifted substantially. [21]
RBRVS was created at Harvard University in their national RBRVS study from December 1985 and published in JAMA on September 29, 1988. [6] William Hsiao was the principal investigator who organized a multi-disciplinary team of researchers, which included statisticians, physicians, economists and measurement specialists, to develop the RBRVS.
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In 1982, Blue Shield merged with The Blue Cross Association to form the Blue Cross and Blue Shield Association (BCBS). [11] Prior to 1986, organizations administering BCBS were tax exempt under 501(c)(4) as social welfare plans. The Tax Reform Act of 1986 revoked the exemption, however, because the plans sold commercial-type insurance.
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The project schedule is a calendar that links the tasks to be done with the resources that will do them. It is the core of the project plan used to show the organization how the work will be done, commit people to the project, determine resource needs, and used as a kind of checklist to make sure that every task necessary is performed.
The Swift Blue Line is a bus rapid transit route operated by Community Transit in Snohomish County, Washington, as part of the Swift system. The Blue Line is 16.7 miles (26.9 km) long and runs on the State Route 99 and Evergreen Way corridor between Everett Station and Shoreline North/185th station .
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