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HEHS-94-129R 1 (1994-04-05)

handle is hein.gao/gaobackng0001 and id is 1 raw text is: A~t United States General Accounting Office Washington, D.C. 20548 Human Resources Division B-256821 April 5, 1994 The Honorable Fortney H. (Pete) Stark Chairman Subcommittee on Health Committee on Ways and Means House of Representatives The Honorable William M. Thomas Ranking Minority Member Subcommittee on Health Committee on Ways and Means House of Representatives On April 20, 1993, we testified on the preliminary results of our study of physician self-referrals in the Medicare program.' Since that testimony we have further analyzed physician referrals for Medicare diagnostic imaging services, including imaging performed in physicians' offices, group practices, and other settings in which the ordering physician has a practice affiliation. On March 11, 1994, we met with selected Subcommittee staff to discuss these additional analyses and our plans to issue a report on our further work late this spring. However, because the Congress is now considering legislation to amend the self-referral restrictions enacted under the Omnibus Budget Reconciliation Act of 1993 (OBRA 1993) (P.L. 103-66), the staff asked that we provide you with our analyses of in-practice imaging services as soon as they were finalized. The attachments to this letter provide the information requested at our March 11 meeting. Attachment I is a description of the methodology we used, and attachment II provides comparisons of in-practice and referral imaging rates by physician specialty for each of seven types of imaging services. 'Medicare: Physicians Who Invest in Imaging Centers Refer More Patients for More Costly Services (GAO/T-HRD-93-14, April 20, 1993). GAO/HEHS-94-129R Medicare Diagnostic Imaging Rates

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