The U.S. Centers for Medicare and Medicaid Services (CMS) has released its proposal for changes under the 2009 Medicare physician fee schedule. The proposal includes a statutory reduction in spending of 5.4 percent. Total Medicare spending under the 2009 physician fee schedule is projected at $54 billion, down 5 percent from the $57 billion projected for 2008. CMS is also proposing additional improvements to the Physician Quality Reporting Initiative (PQRI). Increasing the number of conditions covered by measures groups to nine; adding rheumatoid arthritis, care during surgery, and back pain to the original measures groups are among the suggested changes.
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