tci Medicare Compliance & Reimbursement - 2006 Issue 29

REIMBURSEMENT: 2-Year Delay Possible For Steep Imaging Cuts

New bill offers solid alternatives to payment cuts.Imaging scans such as CT angiography to examine heart arteries or PET/CT exams to pinpoint a tumor location could face cuts of approximately 50 percent next year, the American College of Radiology warned in a July 18 hearing of the House Energy and Commerce Health Subcommittee. Next year, the Centers for Medicare & Medicaid Services (CMS) has proposed cutting imaging services to outpatient payment levels, paying only 50 percent for a second scan on a contiguous body part and restricting "self-referrals" when a physician owns off-site imaging equipment. Rep. Joseph Pitts...

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