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CMS Plans to Cut Mammography Reimbursements

Posted Jun 19, 2017

 

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CMS Proposed Cuts to Mammography Reimbursements

Due to be released in early July, the CMS will likely propose a 50 percent cut to the technical component of mammography reimbursement in the 2018 Medicare Physician Fee Schedule (MPFS) proposed rule. According to industry experts, cutting down mammography reimbursements could potentially drive down access to a mammography. As a result, imaging organizations are raising questions about outdated reimbursement formulas in an effort to prevent the cuts from happening.

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Imaging Practices Need to Establish CDS Before January Deadline

Posted Jun 19, 2017

 

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Imaging Clinical Decision Support (CDS) Mandate

In the Protecting Access to Medicare Act (PAMA) of 2014, Congress mandated that ordering providers consult appropriate use criteria (AUC) through electronic clinical decision support (CDS) mechanisms when ordering outpatient advanced imaging exams for Medicare patients. Imaging practices are running out of time to incorporate AUC into clinical workflows before the Protecting Access to Medicare Act (PAMA) requires it in 2018. The CDS mandate has a deadline set for January 1, 2018 for referring providers to begin consulting CDS when placing advanced outpatient imaging orders, and for furnishing providers to submit documentation of CDS use on Medicare claims for reimbursement.

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CMS Uncovers 2018 Medicare Advantage Plan Rates

Posted May 8, 2017

2018 Medicare Advantage Plan Rates

 

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Converting your Top Ortho ICD9 Codes to ICD10

There are many orthopedic coding that will come with the switch from ICD-9 to ICD-10.This free guide will help you understand ICD-10, prepare for it, and give you the resources to guide your transition.

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Imaging Growth Leveling off Due to Reimbursement Cuts

Posted May 8, 2017

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Decline in Imaging Utilization

The significant growth in imaging use experienced at the beginning of the millennium has mostly leveled off and declined in recent years, according to researchers from the Department of Radiology at Thomas Jefferson University. Major cuts to reimbursement and more careful ordering of noninvasive exams are the main reasons for the decline in growth. However, according to the head researcher of the study, David Levin M.D and his fellow colleagues record levels of insured Americans and increases in preventative screening should ensure imaging utilization remains steady in the nearby future.

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MedPAC Discusses Refining MIPS and A-APMs

Posted Apr 13, 2017

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On March 3rd, the Medicare Payment Advisory Commission (MedPAC) discussed proposed reforms to the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payments Models (A-APMs). The purpose of this meeting was to review the issues and challenges facing the Medicare program and then making policy recommendations to Congress. Commissioners suggested different ways to help physicians’ transition from MIPS to A-APMs, and discussed their recommendations for the future.

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