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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% This reduction in payments continues a trend that has seen the Medicare fee schedule reduced by nearly 10% over the past 10 years. Radiology -3.8% -1.8% -2.8%

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Coding for enhanced interventional radiology reimbursement

AuntMinnie

The importance of accurate and complete coding cannot be overemphasized for any area of radiology, but the complexity of interventional radiology (IR) coding makes it even more critical for optimal reimbursement. Erin Stephens. This is especially attractive to large practices of 16 or more eligible clinicians.

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X-ray vision: The complexities of radiology revenue cycle management

AuntMinnie

Recent changes, such as the 2024 Medicare Physician Fee Schedule final rule, represent a decrease in reimbursement by approximately 3.37%. Interventional radiology saw the highest overall impact at 4%, which has affected how radiology practices manage referrals and compensation, with significant implications for RCM.

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Meet the Minnies 2024 semifinal candidates

AuntMinnie

Scientific Paper of the Year Advanced Practice Provider Procedures Commonly Performed in Interventional Radiology: Medicare Volume Trends From 2010 to 2021. Lindquester, et al, Journal of the American College of Radiology , July 1, 2024. Plesner, et al, Radiology , September 26, 2023.

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Medicare finalizes 2025 Fee Schedule cut

AuntMinnie

This is slightly more of a cut than had been predicted in the Medicare Physician Fee Schedule (MPFS) Proposed Rule that was issued in July. As we reported in our analysis of the Proposed Rule , this reduction in payments continues a trend that has seen the Medicare fee schedule reduced by nearly 10% over the past 10 years.

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