Highlights of the fee schedule include a conversion factor of 36.066 for 2009 and withdrawal of CMS' July proposal to apply Independent Diagnostic Testing Facility (IDTF) accreditation requirements to physician offices. The Academy and hundreds of ophthalmologists called on CMS to withdraw the onerous physician accreditation proposal it introduced in July. The Medicare Improvements for Patients and Physicians Act enacted in July mandates a 1 percent increase in the Medicare conversion factor for 2009. A negative adjustment based on the growth in services above $20 million will be applied to the conversion factor rather than work values. This move benefits ophthalmology payments, therefore rates for nearly all ophthalmology services will increase for 2009.