With the recent adjustment, the conversion factor is now 1.77% lower than it was in 2023, at $33.2875, consulting firm Healthcare Administrative Partners notes.
UHC has labeled an IR service docs have been delivering for 9 years as “unproven and not medically necessary due to insufficient evidence of efficacy."
Only 65% of patients actually receive recommended additional imaging in this setting, with a median turnaround time of 50 days, according to a new study.
Women covered by commercial plans with higher out-of-pocket costs received significantly fewer subsequent procedures, experts wrote Monday in JAMA Network Open.