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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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Excess imaging produces 'significant' carbon dioxide emissions

AuntMinnie

They also found that total average yearly greenhouse gas emissions from all Medicare imaging exams between 2017 and 2021 ranged from 8.1 to 46 kilotons for x-ray, and 2.7 to 23 kilotons for ultrasound. The researchers reported that the imaging inefficiency rate varied by modality and body region and ranged from 1.1%

Imaging 206
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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., Ultrasound 0.85

Medicare 203
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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 team conducted a study that included data from 123 million 2022 Medicare Part B imaging claims. for digital x-ray 0.9% Ultrasound 0.4% X-ray -- -- 97.9% Of these, 88.5 for CT 91% for MRI 76.6%

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

AuntMinnie

Some specialties may provide targeted training in imaging interpretation that is narrow in scope, such as in ultrasound for emergency medicine or obstetrics/gynecology. million office-based imaging claims for Medicare fee-for-service beneficiaries in 2022 that were ordered by nonradiologists. Ultrasound 52% Nuclear medicine 39.5%

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How are radiology practices impacted by annual changes to the MPFS?

AuntMinnie

With the passage of the Consolidated Appropriations Act, 2024 (CAA 24) , we finally learned the rates physicians will be paid for Medicare services during the remainder of 2024. This makes the Medicare payment rate 1.77% lower than it was in 2023, rather than the 3.37% cut that was contained in the 2024 MPFS Final Rule. decrease (3.9%

Medicare 279
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Current topics in mammography

AuntMinnie

Breast density can often obscure lesions on conventional x-ray mammography, and so other screening modalities such as MRI or ultrasound are often recommended for follow-up. Breast density assessment is important not only for the patients health, but it also has reimbursement implications for radiologists.

Mammogram 290