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. 

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ACR PAC will not back Wolf, Flinn

Politics may be local, but in the world of lobbying and campaign finance, money goes where it can have the most influence, which is why radiologists Milton Wolf, MD, and George Flinn, MD. will not receive support from RADPAC.

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HOPPS rule proposes outpatient bundles for endovascular repairs

Just in time for your summer reading pleasure, the ACR has posted detailed summaries of the proposed rules for the 2015 Medicare Physician Fee Schedule and the 2015 Hospital Outpatient Prospective Payment System.

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What does a 2% reimbursement cut mean to radiology?

It could have (and has) been worse, but an overall 2% reduction in Medicare reimbursement paid under the MPFS will have repercussions for any radiology practice. That’s the overall impact of practice expense (PE) RVU changes (and a slightly lower conversion factor) contained in the proposed 2015 Medicare Physician Fee Schedule.

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Radiology is continued target in proposed 2015 MPFS

CMS identified 80 more potentially “misvalued” codes in its proposed 2015 Medicare Physician Fee Schedule (MPFS), and 20% pertain to radiology. Mammography, chest x-ray, x-ray of the knee are all on the hit list, and you can thank PACS for that.

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Mining the Medicare Physician Dataset

On April 9, 2014, CMS released its Medicare Provider Utilization and Payment Data, a dataset representing an aggregation of 2012 volume, charge, and payment information by physician, by CPT code, by place of service—more than 9 million records.

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Radiology and the ACO: Early Experiences

Healthcare in the U.S. is shifting toward management of population health, and several models for radiology practice involvement have emerged

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The Clinical Decision-support Mandate: Now What?

An act of Congress opened the door for clinical decision-support for advanced imaging in U.S. hospitals: The radiologist is key to the initiative’s success

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MGMA cries foul over high fees charged for EFT transactions

Just six months after implementation of the new electronic funds transfer (EFT) operating rules, the Medical Group Management Association has dashed off a letter to the CMS Administrator Marilyn Tavenner complaining that payors and clearinghouses are charging unreasonable fees to providers for EFT transactions, asking for guidance from the agency.

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.