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Profiling has been investigated by the Government Accountability Office as a potential aid in resolving the perennial sustainable growth rate (SGR) problem in the Medicare physician fee schedule. A class action lawsuit filed on December 15, 2006, alleged that the 2007 Medicare Physician Fee Schedule final rule on blood glucose billing prevents diabetic residents from receiving coverage for blood glucose tests. 11), (12) Costs were calculated using data from the 2000 Drug Topics RedBook and 2000 Medicare Durable Medical Equipment Fee Schedule (dressings); 2000 Medicare Physician Fee Schedule (physician fees); and the March 1996 National Sample Survey of Registered Nurses, with monetary values inflated to 2000 equivalents (nursing costs). |
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