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  2. Geographic pricing cost index - Wikipedia

    en.wikipedia.org/wiki/Geographic_pricing_cost_index

    Geographic Practice Cost Index is used along with Relative Value Units by Medicare to determine allowable payment amounts for medical procedures. There are multiple GPCIs: Cost of Living, Malpractice, and Practice Cost/Expense. These categories allow Medicare to adjust reimbursement rates to take into account regional and practice-specific ...

  3. 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]

  4. National coverage determination - Wikipedia

    en.wikipedia.org/wiki/National_coverage...

    CMS is required (under the MMA) to evaluate LCDs to decide which decisions should be adopted nationally. When new LCDs are developed, a 731 Advisory Group reviews LCD topic submissions to determine which topics are forwarded to the CMS Coverage and Analysis Group (CAG). [2] To promote consistency across LCDs, CMS requires Medicare contractors ...

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  6. Centers for Medicare & Medicaid Services - Wikipedia

    en.wikipedia.org/wiki/Centers_for_Medicare...

    HCFA was renamed the Centers for Medicare and Medicaid Services on July 1, 2001. [9] [11] In 2013, a report by the inspector general found that CMS had paid $23 million in benefits to deceased beneficiaries in 2011. [12] In April 2014, CMS released raw claims data from 2012 that gave a look into what types of doctors billed Medicare the most. [13]

  7. Metropolitan statistical area - Wikipedia

    en.wikipedia.org/wiki/Metropolitan_statistical_area

    The Census Bureau created the metropolitan district for the 1910 census as a standardized classification for large urban centers and their surrounding areas. The original threshold for a metropolitan district was 200,000, but was lowered to 100,000 in 1930 and 50,000 in 1940. [12]

  8. List of regions of the United States - Wikipedia

    en.wikipedia.org/wiki/List_of_regions_of_the...

    U.S. Census Bureau regions and divisions. Since 1950, the United States Census Bureau defines four statistical regions, with nine divisions. [1] [2] The Census Bureau region definition is "widely used... for data collection and analysis", [3] and is the most commonly used classification system.

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