Policy & Regulations

This channel includes news coverage of healthcare policy and regulations set by Congress, the states, Centers for Disease Control and Prevention (CDC), the Department of Health and Human Services (HHS), U.S. Food and Drug Administration (FDA), and medical associations and societies. 

What radiology practices need to know about 2021 CPT coding changes

In particular, the code for low-dose lung cancer screening has been replaced, with financial implications for physicians. 

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CMS approves 5 new Merit-Based Incentive Payment System measures, relieving radiology’s quality crunch

The specialty has seen a decline in available MIPS metrics in recent years, as the feds have "topped out" those with extremely high national performance, experts said. 

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Lawmakers delay RO model again as reps. seek to scale back ‘intensity’ of payment cuts

CMS had originally planned to kick off the mandatory bundled-payment effort in July, but will now punt the go-live date to Jan. 1, 2022. 

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Congress mitigates radiologist pay cuts, passing year-end spending bill with $3B cash infusion

Lawmakers also finalized a long-discussed ban on surprise medical bills and pushed back the radiation oncology payment model's go-live date.

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Surprise medical billing ban nears finish line with inclusion in final government spending deal

Congress approved the measure on Dec. 21, targeting out-of-network radiology care with a new arbitration process. 

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Radiology providers see improvement, but continued concern in ‘No Surprises’ medical billing proposal

Lawmakers are pushing to include the measure in an end-of-year legislative package, but practice leaders are worried they're moving too fast. 

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‘Unconscionable’: Nearly 80 medical societies endorse new Senate bill to address radiology Medicare cuts

Organizations including the Society of Nuclear Medicine and Molecular Imaging voiced their support for S. 5007 in a letter written to five Republican senators on Monday

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Senators introduce bill to avert millions in ‘misguided’ Medicare reimbursement cuts

The bill mirrors the “Holding Providers Harmless from Medicare Cuts During COVID-19 Act of 2020,” previously introduced in the House and favored by rads.

Around the web

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.

The all-in-one Omni Legend PET/CT scanner is now being manufactured in a new production facility in Waukesha, Wisconsin.