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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). tim.hodson Thu, 11/07/2024 - 11:25 Nov.

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What is the impact of the 2025 MPFS changes on radiology practices?

AuntMinnie

The 2025 conversion factor (CF) that sets the overall rate for the Medicare Physician Fee Schedule (MPFS) was adjusted downward by 2.83% from the 2024 rate, to $32.3465 per RVU vs. $33.2875 per Relative Value Unit (RVU). 879, the Medicare Patient Access and Practice Stabilization Act of 2025, has been introduced but no action has been taken.

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HPI: Nonradiologists interpret more than a third of office-based imaging

AuntMinnie

A significant percentage of imaging studies ordered by office-based healthcare providers are self-interpreted rather than referred to radiologists for reading, according to researchers from the Harvey L. million office-based imaging claims for Medicare fee-for-service beneficiaries in 2022 that were ordered by nonradiologists.

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Higher Medicaid-to-Medicare reimbursement ratios boost imaging use

AuntMinnie

Higher Medicaid-to-Medicare reimbursement ratios (MMRR) are linked to increased likelihood of Medicaid patients receiving CT, MR, ultrasound, and x-ray imaging, researchers have reported. Hence, the potentially beneficial aspects of increased Medicaid reimbursement, although not [necessarily] specific to imaging, are broad-based."

Medicare 203
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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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Bipartisan bill aims to boost Medicare patients’ access to diagnostic imaging agents

Radiology Business

The Facilitating Innovative Nuclear Diagnostics Act of 2023 would eliminate barriers to nuclear medicine, supporters charged.

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HPI: Almost a third of image interpretation done by nonradiologists

AuntMinnie

Almost a third of imaging exam interpretations are performed by nonradiologists, according to a Harvey L. of all imaging studies for Medicare fee-for-service beneficiaries in 2022, but that the remaining 27.9% The team conducted a study that included data from 123 million 2022 Medicare Part B imaging claims.