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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.

Medicare 261
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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%

Medicare 264
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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. The findings were published December 18 in the Journal of the American College of Radiology. Nuclear medicine 0.76 Ultrasound 0.85

Medicare 203
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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 Quality Payment Program changes affecting radiology practices for 2025

AuntMinnie

Radiology practices often participate in the Medicare Quality Payment Program (QPP) through the Merit-based Incentive Payment System (MIPS). The MIPS Quality performance category scoring has been modified for 2025, which could have a positive effect for radiology practices. The completeness criteria remain at 75%.

Medicare 191
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HPI: Nonradiologists interpret more than a third of office-based imaging

AuntMinnie

The study was published April 2 in the Journal of the American College of Radiology. Nonradiologist specialties, aside from cardiology, lack the rigorous and comprehensive training in imaging interpretation that occurs during the four years of a radiology residency program. Ultrasound 52% Nuclear medicine 39.5%

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HPI: Almost a third of image interpretation done by nonradiologists

AuntMinnie

of all imaging studies for Medicare fee-for-service beneficiaries in 2022, but that the remaining 27.9% The results were published on June 28 in the Journal of the American College of Radiology. The team conducted a study that included data from 123 million 2022 Medicare Part B imaging claims. for nuclear medicine 33.9%