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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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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).

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How are radiology practices impacted by annual changes to the MPFS?

AuntMinnie

Incentive payments for practices participating in the Quality Payment Program’s Alternative Payment Models were increased from 0.75% to 2.63% for performance year 2024 (payment year 2026). For example, an imaging center with all the listed modalities except for PET would see a decrease of 2.6% rather than 2.5%

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