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CMS Adjusts Nuclear Medicine Reimbursement Policy, Expanding Access to Life-Saving Scans

Imaging Technology

1, 2024 — The Centers for Medicare & Medicaid Services (CMS) have announced a significant adjustment to the Hospital Outpatient Prospective Payment System (HOPPS). We commend CMS for this significant move to improve access to life-saving nuclear medicine scans, ensuring that patients across the country can receive the best possible care.”

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Medicare proposed rule again cuts radiology reimbursement in 2025

AuntMinnie

Centers for Medicare and Medicaid Services (CMS) has issued its proposal for payments in 2025 under the Physician Fee Schedule (PFS), and it contains an across-the-board 2.8% The Conversion Factor (CF) in the 2025 Proposed Rule is $32.3562, compared with the $33.2875 currently in use. Nuclear Medicine -3.8% -1.8% -2.8%

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Imaging societies' reactions mixed on finalized MPFS, HOPPS rules

AuntMinnie

Centers for Medicare & Medicaid Services (CMS) 2025 Medicare Physician Fee Schedule (MPFS) and Hospital Outpatient Prospective Payment System (HOPPS) final rules. Although the 2025 MPFS calls for an overall 2.9% This means that the finalized 2025 MPFS conversion factor is $32.35, a decrease of 2.8%

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CMS proposes new coverage for PET imaging agents

AuntMinnie

Centers for Medicare and Medicaid Services (CMS) proposed a new reimbursement plan July 10 for diagnostic PET scans that would provide separate payments for radiopharmaceuticals, as well as an extra payment for hospitals when they use domestically produced technetium-99m (Tc-99m).

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NNSA's Mo-99 program: A bumpy ride

AuntMinnie

initiative to secure domestic supplies of molybdenum-99, according to an official who spoke at a National Nuclear Security Administration (NNSA) meeting October 9 in Arlington, VA. Mo-99’s daughter decay chain isotope is technetium-99m (Tc-99m), which is used in an estimated 40,000 diagnostic nuclear medicine exams each day.

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Royal Philips highlights greenhouse gas emissions success

AuntMinnie

The company noted the following achievements from hospital systems in the U.S. Champalimaud Foundation (Lisbon, Portugal): 24% emissions reduction per exam in its radiology and nuclear medicine department, with a goal to cut the carbon footprint of its diagnostic and interventional imaging departments by half by 2028.

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New CMS plan adds Medicare coverage of PET imaging agents

AuntMinnie

Centers for Medicare and Medicaid Services (CMS) proposed a new reimbursement plan July 10 for diagnostic PET scans that would provide separate payments for radiopharmaceuticals, as well as an extra payment for hospitals when they use domestically produced technetium-99m (Tc-99m).