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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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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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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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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. Medicare reimbursement levels are set by individual states, and they vary across the U.S., Nuclear medicine 0.76 Ultrasound 0.85

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Body composition analysis, MRI safety topped 2024's most read articles

AuntMinnie

Those who specialized -- particularly in CT, MRI, neuroimaging, and nuclear medicine/PET -- earned more. We also noted that radiologic technologists (RTs) had an average base salary of $92,000, up from 2022's $85,238.

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CMS lifts limit on amyloid PET coverage

AuntMinnie

Centers for Medicare and Medicaid Services (CMS) announced on October 13 that it has lifted its coverage limit of one beta-amyloid PET scan per lifetime for patients with Alzheimer’s disease. Medicare coverage decisions for amyloid PET scans will now be made by local Medicare Administrative Contractors (MACs).