DecisionHealth, DecisionHealth - 2011 Issue 11 (November)

Radiology, primary care will see major losses in 2012 due to MPPR cut

You and your peers will lose millions of dollars on physician interpretations of diagnostic imaging scans once the 25% multiple procedure payment (MPPR) hits the professional component (PC) in less than two months.

Remember: CMS finalized the imaging cut to the PC of CT, MRI and ultrasound tests in its 2012 Physician Fee Schedule final rule on Nov. 1, with virtually no changes from the proposed rule other than reducing the pay cut from a 50% discount to 25%. Starting Jan. 1, you will only get 75% of the fee schedule rate for interpretations of multiple imaging scans done on the same patient, in the same day. NOTE: Provider payments for imaging readings will always be paid in full for the highest-value test interpreted in the same session, while all others read that session will be paid at 75%.

To read the full article, sign in and subscribe to the DecisionHealth Newsletters.

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth Coding, Billing and Compliance Library

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.