tci Medicare Compliance & Reimbursement - 2004 Issue 29

COVERAGE: Imaging Crackdown May Require Legislation

CMS can intervene, but there's a limit to its powers. It may require legislation to prevent nonradiolo-gists from performing imaging tests such as MR or CT scans, one advocate admits. The American College of Radiology is working with other groups to convince the Centers for Medicare & Medicaid Services to tighten up the Stark II self-referral regulations to hinder nonradiolo-gists'billing for imaging, according to Tom Hoffman, the ACR's associate general counsel. But CMS doesn't have the statutory authority to do everything the ACR would like to accomplish, notes Hoffman. In fact, CMS is unlikely to do even the things...

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