Diagnostic Imaging
OCTOBER 16, 2023
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.
AuntMinnie
OCTOBER 9, 2023
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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Diagnostic Imaging
OCTOBER 11, 2023
In a study of over 25,000 Medicare beneficiaries with mild cognitive decline or dementia, researchers found that obtaining amyloid positron emission tomography (PET) scans resulted in no statistically significant differences upon subsequent hospitalization and emergency department visit rates at one year.
Radiology Business
SEPTEMBER 27, 2024
Providers have reported issues with one Medicare Administrative Contractor covering PET scans, for example, with reimbursement falling significantly below the expense.
AuntMinnie
JULY 18, 2023
Centers for Medicare and Medicaid Services (CMS) has proposed coverag.
AuntMinnie
OCTOBER 13, 2023
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).
AuntMinnie
JULY 10, 2024
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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