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Code · STATUTE-COMPILATIONS · Patient Access and Medicare Protection Act · Sec. 3

Sec. 3. TRANSITIONAL PAYMENT RULES FOR CERTAIN RADIATION THERAPY SERVICES UNDER THE MEDICARE PHYSICIAN FEE SCHEDULE

269 words·~1 min read·/statute-compilations/comps-11808/sec-3

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## SEC. 3 TRANSITIONAL PAYMENT RULES FOR CERTAIN RADIATION THERAPY SERVICES UNDER THE MEDICARE PHYSICIAN FEE SCHEDULE ###
(a)In general Section 1848 of the Social Security Act (42 U.S.C. 1395w-4) is amended— ####
(1)in subsection (b), by adding at the end the following new paragraph: > > #### “(11) Special rule for certain radiation therapy services > > The code definitions, the work relative value units under subsection (c)(2)(C)(i), and the direct inputs for the practice expense relative value units under subsection (c)(2)(C)(ii) for radiation treatment delivery and related imaging services (identified in 2016 by HCPCS G-codes G6001 through G6015) for the fee schedule established under this subsection for services furnished in 2017 and 2018 shall be the same as such definitions, units, and inputs for such services for the fee schedule established for services furnished in 2016.” > ; and ####
(2)in subsection (c)(2)(K), by adding at the end the following new clause: > > ###### “(iv) Treatment of certain radiation therapy services > > Radiation treatment delivery and related imaging services identified under subsection (b)(11) shall not be considered as potentially misvalued services for purposes of this subparagraph and subparagraph
(O)for 2017 and 2018.” > . ###
(b)Report to Congress on Alternative Payment Model Not later than 18 months after the date of the enactment of this Act, the Secretary of Health and Human Services shall submit to Congress a report on the development of an episodic alternative payment model for payment under the Medicare program under title XVIII of the Social Security Act for radiation therapy services furnished in nonfacility settings.
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Sec. 3
TRANSITIONAL PAYMENT RULES FOR CERTAIN RADIATION THERAPY SERVICES UNDER THE MEDICARE PHYSICIAN FEE SCHEDULE
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