tci Medicare Compliance & Reimbursement - 2004 Issue 27

RADIOLOGY: Bar 'Self Referrals' of Imaging Tests, ACR Urges CMS

CMS trying to cut back on steep increase of MRIs and CAT scans. Can the Centers for Medicare & Medicare Services staunch the flood of imaging services ordered by physicians who aren't radiologists? The American College of Radiology thinks so. The ACR urged CMS and the HHS Office of Inspector General to interpret the Stark II physician self-referral law more narrowly in regulations and their enforcement. If CMS agrees, it could publish new regulations that would quickly cut off many physicians from billing for imaging scans. In its late June comments on CMS' recent Stark II interim final rule...

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