CMS to Carriers: Process Doc Bills with 21.3% Cut

Left with no other choice, CMS has instructed its carriers to lift the hold on processing physician claims submitted since June 1 and begin paying the bills with the 21.3% negative sustainable growth rate update. Before leaving town for the weekend, the Senate addressed the mounting physician reimbursement crisis by passing a bill that grants a 2.2% pay increase through November 30, 2010, and retroactive to June 1. However, the House is not scheduled for a floor vote until Tuesday, June 22, the soonest it could vote. The American Jobs and Closing Tax Loopholes Act of 2010—HR 4213—is a $141 billion package that also granted a reprieve to recipients of unemployment insurance, extending the filing deadline for existing tiers of unemployment benefits until November 30, 2010, among other measures. It will generate $63 billion in revenue through closing tax loopholes that affect wealthy individuals and corporations. According to a notice on the web site of the American College of Radiology, CMS will retroactively adjust any June claims that have been paid if and when HR 4213 is passed by the House and signed by the president.
Cheryl Proval,

Vice President, Executive Editor, Radiology Business

Cheryl began her career in journalism when Wite-Out was a relatively new technology. During the past 16 years, she has covered radiology and followed developments in healthcare policy. She holds a BA in History from the University of Delaware and likes nothing better than a good story, well told.

Around the web

The patient, who was being cared for in the ICU, was not accompanied or monitored by nursing staff during his exam, despite being sedated.

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.