tci Medicare Compliance & Reimbursement - 2008 Issue 3

Imaging: CMS Grants Anti-Markup Provision Reprieve Until 2009

Delay does not apply to some pathology services One of Medicare's most confusing new rules has gone away, allowing practices another year to make sense out of the anti-markup rule's provisions. Medicare had planned to implement its new rule, which said that you can't bill Medicare more than you pay the physician who provides the imaging interpretation and report, unless the doctor is an employee of your practice and comes to your actual office. The rule was set to go into effect Jan. 1, but CMS pushed the regulation back another year. "The new anti-markup provisions will not go...

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