DecisionHealth, DecisionHealth - 2011 Issue 7 (July)

Rule cuts pay for test interpretations, hurts radiology, docs on reading panels

Your payments for reading and interpreting the results of diagnostic MRIs, CTs and ultrasounds are under siege by a major new provision in CMS’s proposed 2012 Medicare Physician Fee Schedule (PFS), an exclusive Part B News analysis shows. Under the proposal, the professional component (PC) of affected diagnostic imaging tests would be paid in full once for the most valuable CPT code, then paid at 50% of the fee schedule rate for the second and all subsequent codes.

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