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Policy

 

45 members of the House of Representatives sent a letter to the Secretary of Health and Human Services and the Administrator of the Centers for Medicare and Medicaid Services, imploring against future cuts to lung cancer screening reimbursement.

In the ever-changing landscape of anti-kickback regulations, a new rule is in the mix that imaging providers should understand. While there is no such thing as a free lunch, a free ride is legitimate when it comes to transporting patients and even a helper to imaging exams. This action is key to opening up access to more patients, as long as providers follow the regulations closely.

Increases in imaging utilization combined with the search methodology used by policymakers to look for misvalued medical services has resulted in disproportionate reimbursement cuts to diagnostic radiology services, according to a study published in the Journal of the American College of Radiology.

The Congressional Budget Office (CBO) projected the number of uninsured Americans would rise to 51 million under the American Health Care Act (AHCA), compared to the 28 million who lack insurance under the Affordable Care Act.

CMS will likely propose a 50 percent cut to the technical component of mammography reimbursement in the 2018 Medicare Physician Fee Schedule (MPFS) proposed rule, due to be released in early July.

 

Recent Headlines

2018 QPP proposed rule offers plenty of pros for imaging

The 2018 Quality Payment Program proposed rule eases the burden on small and rural practices compared to the 2017 rule, more or less responding to criticism of the 2017 rule’s high expectations on practices.

AMIC supports CMS proposal to classify advanced imaging consultation of AUC as high-weighted improvement activity

The Access to Medical Imaging Coalition released a statement Thursday applauding CMS for its proposal that clinician consultation of appropriate use criteria (AUC) related to advanced imaging services be considered a high-weighted improvement activity for the 2018 Merit-based Incentive Payment System (MIPS) performance period.

Dozens of House members caution against further cuts to lung screening reimbursement

45 members of the House of Representatives sent a letter to the Secretary of Health and Human Services and the Administrator of the Centers for Medicare and Medicaid Services, imploring against future cuts to lung cancer screening reimbursement.

Need a Lift?: CMS Approves Free Patient Transportation for Imaging Providers

In the ever-changing landscape of anti-kickback regulations, a new rule is in the mix that imaging providers should understand. While there is no such thing as a free lunch, a free ride is legitimate when it comes to transporting patients and even a helper to imaging exams. This action is key to opening up access to more patients, as long as providers follow the regulations closely.

Texas nears decision on mandated DBT screening

Texas may become the seventh state to mandate coverage of digital breast tomosynthesis (DBT) under private insurance plans, as long as Governor Gregg Abbott signs the bill that’s been on his desk since May 30. If Abbot does nothing for 21 days, the bill will become law without his signature, a legislative tactic sometimes used when a governor’s distaste for a bill doesn’t quite warrant a veto.

Will the Senate AHCA bill require coverage for cancer screening? Nobody knows

Senate Republicans don't plan to release a draft of their Affordable Care Act (ACA) replacement bill, as reported by Axios. The 13-member healthcare workgroup is on track to finish writing the bill tonight, according to two senior GOP aides, but plans to send it straight to the Congressional Budget Office for scoring upon completion.

Looking for misvalued exam codes has contributed to outsized imaging reimbursement cuts

Increases in imaging utilization combined with the search methodology used by policymakers to look for misvalued medical services has resulted in disproportionate reimbursement cuts to diagnostic radiology services, according to a study published in the Journal of the American College of Radiology.

AHCA would leave millions uninsured and destabilize markets, says CBO

The Congressional Budget Office (CBO) projected the number of uninsured Americans would rise to 51 million under the American Health Care Act (AHCA), compared to the 28 million who lack insurance under the Affordable Care Act.

How to prepare for CMS proposed cuts to mammography reimbursements

CMS will likely propose a 50 percent cut to the technical component of mammography reimbursement in the 2018 Medicare Physician Fee Schedule (MPFS) proposed rule, due to be released in early July.

Trump budget proposes deep cuts for HHS

The Trump Administration released its detailed budget for HHS, proposing massive budget cuts to several key institutions with a stake in imaging, including the National Cancer Institute and the Food and Drug Administration.

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