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Amyloid PET scans improve outcomes in AD patients

AuntMinnie

Alzheimer’s disease patients with cognitive impairment or dementia who were referred for amyloid PET scans had fewer hospitalizations compared with a matched control group, according to a study published October 9 in JAMA Neurology. Eligible participants were Medicare beneficiaries 65 years or older with a diagnosis of MCI or dementia.

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Strategic Radiology shares concern about inconsistencies in MAC payment determinations

Radiology Business

Providers have reported issues with one Medicare Administrative Contractor covering PET scans, for example, with reimbursement falling significantly below the expense.

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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).

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Alzheimer’s drug could spur upward of $500M in new Medicare spending on imaging

Radiology Business

Lecanemab requires a baseline PET scan and follow-up MRIs after infusions, spelling heavy demand for radiology services, experts wrote in JAMA.

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CMS proposal covers PET scans for Alzheimer’s disease

AuntMinnie

Centers for Medicare and Medicaid Services (CMS) has proposed coverag.

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What Does the Future Hold for Medicare Coverage of Amyloid PET Scans?

Diagnostic Imaging

Various organizations have applauded the decision by the CMS to remove National Coverage Determination (NCD) limitations to coverage for amyloid PET scans, including the limitation of Medicare or Medicaid coverage to one PET scan per a patient’s lifetime.

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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).