Medicare Payments: Use of Revised 'Inherent Reasonableness' Process Generally Appropriate Page: 3 of 62
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Appendixes Appendix I: Scope and Methodology 36
Appendix II: Comparison of the Inherent Reasonableness
Procedures for HCFA and the DMERCs 39
Appendix III: 1998 Fee Payments and the Total Proposed Payment
Reductions for the Surveyed Product Groups,
by State 40
Appendix IV: GAO Analysis of DMERC Sampling Methods 52
Appendix V: Comments From the Health Care Financing
Tables Table 1: 1998 Medicare Maximum Payment Allowance, Median
Retail Price, and Percentage Reduction for Six Product
Groups Under Inherent Reasonableness Review 18
Table 2: 1998 Medicare Expenditures, Medicare Maximum Payment
Allowance, VA Median Price, and Percentage Markup, by
Product Group 28
Table 3: 1998 State Fees and the Total Proposed Percentage
Reductions for Gluc o se Testing Strips 40
Table 4: 1998 State Fees and Total Proposed Percentage
Reductions for Lancets 42
Table 5: 1998 State Fees and Total Proposed Percentage
Reductions for Latex Foley Catheters 44
Table 6: 1998 State Fees and Total Proposed Percentage
Reductions for Catheter Insertion Trays Without Drainage
Table 7: 1998 State Fees and Total Percentage Payment Reductions
for Catheter Insertion Trays With Drainage Bags 48
Table 8: 1998 Fees and Total Proposed Percentage Reductions for
Eyeglass Frames, by State 50
Table 9: Percentage of Surveyed Prices, by Population Level,
Compared With U.S. Population 52
Table 10: Median Surveyed Price by Product Group and Population
GAO/HEHS-00-79 Inherent Reasonableness
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United States. General Accounting Office. Medicare Payments: Use of Revised 'Inherent Reasonableness' Process Generally Appropriate, report, July 5, 2000; Washington D.C.. (digital.library.unt.edu/ark:/67531/metadc291085/m1/3/: accessed January 23, 2019), University of North Texas Libraries, Digital Library, digital.library.unt.edu; crediting UNT Libraries Government Documents Department.