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Payment is not made under the physician fee schedule for technical component services furnished to patients in institutional settings.This article is for clarification only and is not a change to our current policy or practice.​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Uncertainty about the direction of health policy, and major, ongoing changes in the delivery, demographics, and economics of health care can keep leaders up at night.But it's what gets senior leaders up in the morning that we'll be discussing at the Fall 2017 IHI Change Conference: Leading at the Edge, taught by IHI's past and current CEOs. August feels like campaign season, with claims on health care coming at us daily.

References to providers throughout this policy include physicians, and non-physicians, such as clinical psychologists, independent psychologist, nurse practitioners, clinical nurse specialists and physician assistants when the services performed are within the scope of their clinical practice/education and authorized under the state law.It may require a physical exam, communication with the family, prescription medications and ordering laboratory or other diagnostic studies.A psychiatric diagnostic evaluation with medical services also includes physical examination elements.Maureen Bisognano, as a hospital CEO, an innovator in improvement, and as leader of IHI, has changed the conversation about what it means to improve health and care.It is the patient, Maureen has argued throughout her career, who lies at the center of design and improvement.

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