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The Medicare Sustainable Growth Rate (SGR) was a method used by the Centers for Medicare and Medicaid Services (CMS) in the United States to control spending by Medicare on physician services. President Barack Obama signed a bill into law on April 16, 2015, the Medicare Access and CHIP Reauthorization Act of 2015, which ended use of the SGR. The measure went into effect in July 2015. Enacted by the Balanced Budget Act of 1997 to amend Section 1848(f) of the Social Security Act, the SGR replaced the ''Medicare Volume Performance Standard'' (MVPS), which was the previous method that CMS used in an attempt to control costs. Generally, this was a method to ensure that the yearly increase in the expense per Medicare beneficiary did not exceed the growth in GDP. Every year, the CMS sent a report to the Medicare Payment Advisory Commission, which advised the U.S. Congress on the previous year's total expenditures and the target expenditures. The report also included a conversion facto ...
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Centers For Medicare And Medicaid Services
The Centers for Medicare & Medicaid Services (CMS), is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards. In addition to these programs, CMS has other responsibilities, including the administrative simplification standards from the Health Insurance Portability and Accountability Act of 1996 (HIPAA), quality standards in long-term care facilities (more commonly referred to as nursing homes) through its survey and certification process, clinical laboratory quality standards under the Clinical Laboratory Improvement Amendments, and oversight of HealthCare.gov. CMS was previously known as the Health Care Financing Administration (HCFA) until 2001. CMS actively inspects and reports on every nursing home in the United States. This includes maintaini ...
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Resource-Based Relative Value Scale
Resource-based relative value scale (RBRVS) is a schema used to determine how much money medical providers should be paid. It is partially used by Medicare in the United States and by nearly all health maintenance organizations (HMOs). RBRVS assigns procedures performed by a physician or other medical provider a '' relative value'' which is adjusted by geographic region (so a procedure performed in Manhattan is '' worth'' more than a procedure performed in Dallas). This value is then multiplied by a fixed ''conversion factor,'' which changes annually, to determine the amount of payment. RBRVS determines prices based on three separate factors: physician work (54%), practice expense (41%), and malpractice expense (5%).''Medicare physician fees geographic adjustment indices are valid in design, but data and methods need refinement.'' Washington, DC: Government Accountability Office, March 2005. (Publication no. GAO-05-119.) The procedure codes and their associated RVUs are made publ ...
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Fiscal Year
A fiscal year (or financial year, or sometimes budget year) is used in government accounting, which varies between countries, and for budget purposes. It is also used for financial reporting by businesses and other organizations. Laws in many jurisdictions require company financial reports to be prepared and published on an annual basis but generally not the reporting period to align with the calendar year (1 January to 31 December). Taxation laws generally require accounting records to be maintained and taxes calculated on an annual basis, which usually corresponds to the fiscal year used for government purposes. The calculation of tax on an annual basis is especially relevant for direct taxes, such as income tax. Many annual government fees—such as council tax and license fees, are also levied on a fiscal year basis, but others are charged on an anniversary basis. Some companies, such as Cisco Systems, end their fiscal year on the same day of the week each year: the day ...
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Medicare, Medicaid, And SCHIP Balanced Budget Refinement Act Of 1999
The Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 (also called the Balanced Budget Refinement Act or BBRA) is a federal law of the United States, enacted in 1999. The BBRA was first introduced into the House as H.R. 3075 on October 14, 1999, by Rep. William M. Thomas (R-CA) with 75 cosponsors. It was read twice and then referred to the Senate Committee on Finance. The bill was then slightly altered and reintroduced by Thomas as H.R. 3426 on November 17, 1999. After referral to the House committees on Ways and Means and Commerce, it was incorporated by cross-reference in the conference report into H.R. 3194 on November 18, 1999. The H.R. 3194 bill had been introduced by Rep. Ernest J. Istook, Jr. (R-OK) on November 2, 1999, and was enacted with official title: ''Making consolidated appropriations for the fiscal year ending September 30, 2000, and for other purposes''. The State Health Insurance Trial (SCHIP or S. H. 1 - T) was administered by the United S ...
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Protecting Access To Medicare Act Of 2014 (H
The Protecting Access to Medicare Act of 2014 (; ) is a law that delayed until March 2015 a pending cut to Medicare physician payment, a cut that had been regularly delayed for over a decade. Because the law only delayed and did not repeal the physician payment cut, it was a source of controversy. The bill was signed into law on April 1, 2014, during the 113th United States Congress. Background In the United States, Medicare is a national social insurance program, administered by the U.S. federal government since 1966, that guarantees access to health insurance for Americans aged 65 and older who have worked and paid into the system, younger people with disabilities, and a few other groups. As a social insurance program, Medicare spreads the financial risk associated with illness across society to protect everyone, and thus has a somewhat different social role from for-profit private insurers, which manage their risk portfolio by adjusting their pricing according to perceived r ...
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American Taxpayer Relief Act Of 2012
The American Taxpayer Relief Act of 2012 (ATRA) was enacted and passed by the United States Congress on January 1, 2013, and was signed into law by US President Barack Obama the next day. ATRA gave permanence to the lower rates of much of the "Bush tax cuts". The Act centers on a partial resolution to the US fiscal cliff by addressing the expiration of certain provisions of the Economic Growth and Tax Relief Reconciliation Act of 2001 and the Jobs and Growth Tax Relief Reconciliation Act of 2003 (known together as the "Bush tax cuts"), which had been temporarily extended by the Tax Relief, Unemployment Insurance Reauthorization, and Job Creation Act of 2010. The Act also addressed the activation of the Budget Control Act of 2011's budget sequestration provisions. A compromise measure, the Act gives permanence to the lower rate of much of the Bush tax cuts, while retaining the higher tax rate at upper income levels that became effective on January 1 due to the expiration of the ...
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Middle Class Tax Relief And Job Creation Act Of 2012
The Middle Class Tax Relief and Job Creation Act of 2012 (), also known as the "payroll tax cut", was an Act of the United States Congress. The bill was passed by the U.S. House of Representatives on February 17, 2012 by a vote of 293‑132, and by the Senate by a vote of 60‑36 on the same day. The bill was signed into law by President Barack Obama on February 22, 2012. Policy implications The Act: * Extends Medicare payments to doctors, giving seniors the advantage to keep their doctors * Extends the two percent Social Security payroll tax cut for one year (first enacted for 2011) * Extends unemployment benefits ** Amendments were made to Title III of the Social Security Act mandating that states' unemployment compensation laws to require that the unemployment compensation claimant be both able and available to work and to verify that an individual is actively seeking work. ** The Internal Revenue Code and the Social Security Act Title III now also require states ...
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Medicare And Medicaid Extenders Act Of 2010
The Medicare and Medicaid Extenders Act of 2010 is a federal law of the United States, enacted in 2010. The law was first introduced into the United States House of Representatives, House as H.R. 4994 on April 13, 2010, by Rep. John Lewis (D-GA) with 20 cosponsors. It was then referred to the United States House Committee on Ways and Means, House Committee on Ways and Means and the United States House Committee on the Budget, House Committee on the Budget. The bill was signed by Barack Obama, President Barack Obama on December 15, 2010, after passing in United States Congress, Congress. Elements of the law The law prevented implementation of the 2010 conversion factor for the Medicare Sustainable Growth Rate (SGR). The SGR determines how much money Medicare (United States), Medicare will pay physicians and other health care providers for health services. Pursuant to this law, the SGR will not be modified until January 1, 2012. References External links

* , Legislative ...
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Preservation Of Access To Care For Medicare Beneficiaries And Pension Relief Act Of 2010
Preservation may refer to: Heritage and conservation * Preservation (library and archival science), activities aimed at prolonging the life of a record while making as few changes as possible * ''Preservation'' (magazine), published by the National Trust for Historic Preservation * Historic preservation, endeavor to preserve, conserve and protect buildings, objects, landscapes or other artifacts * Conservation and restoration of cultural heritage, protection and care of tangible cultural heritage Mathematics and computer science * Type preservation, property of a type system if evaluation of expressions does not cause their type to change * Case preservation, when computer storage preserves the distinction between upper and lower case * Digital preservation, endeavor to ensure that digital information of continuing value remains accessible and usable Arts and entertainment * ''Preservation'' (2018 novel), historical fiction by Jock Serong about the wreck of the '' Sydney ...
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Continuing Extension Act Of 2010
In the United States, a continuing resolution (often abbreviated to CR) is a type of appropriations legislation. An appropriations bill is a bill that appropriates (gives to, sets aside for) money to specific federal government departments, agencies, and programs. The money provides funding for operations, personnel, equipment, and activities. Regular appropriations bills are passed annually, with the funding they provide covering one fiscal year. The ''fiscal year'' is the accounting period of the federal government, which runs from October 1 to September 30 of the following year. When Congress and the president fail to agree on and pass one or more of the regular appropriations bills, a continuing resolution can be passed instead. A continuing resolution continues the pre-existing appropriations at the same levels as the previous fiscal year (or with minor modifications) for a set amount of time. Continuing resolutions typically provide funding at a rate or formula based on th ...
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Medicare Improvements For Patients And Providers Act Of 2008
The Medicare Improvements for Patients and Providers Act of 2008 ("MIPPA"), is a 2008 statute of United States Federal legislation which amends the Social Security Act. On July 15, 2008, President George W. Bush vetoed the bill. On that same day the House of Representatives and the Senate voted to overturn the veto. This law contained the first revision to policy covering Medicare Part D Medicare Part D, also called the Medicare prescription drug benefit, is an optional United States federal-government program to help Medicare beneficiaries pay for self-administered prescription drugs. Part D was enacted as part of the Medica .... References External links text at Thomas{{Webarchive, url=https://web.archive.org/web/20141223165013/http://thomas.loc.gov/cgi-bin/query/z?c110:H.R.6331: , date=2014-12-23 Acts of the 110th United States Congress United States federal health legislation ...
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