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News
Changes to Medicare’s quality payment program may disadvantage radiologists
21+ hour, 30+ min ago (214+ words) CMS first introduced the Merit-based Incentive Payment System in 2017, seeking to link physician reimbursement to performance. Under MIPS, providers receive a composite final score that determines an upward, neutral or downward adjustment to their payments. However, CMS is now moving…...
Lawmakers introduce bipartisan bill to speed up prior authorization in Medicare Advantage
4+ mon, 6+ day ago (310+ words) Members of Congress recently introduced bipartisan legislation aimed at speeding up prior authorization in the Medicare Advantage program. Leaders in the House led by Rep. John Joyce, MD, R-Pa., on April 20 proposed Medicare Advantage Improvement Act, renewing efforts to rein…...
Radiologists urge Medicare contractor to exempt professional component from new pay restriction
5+ mon, 2+ day ago (322+ words) Radiologists are railing against one Medicare Administrative Contractor’s newly erected roadblock to payment for interpreting certain CT and MR imaging exams. Noridian Healthcare Solutions is implementing a targeted review for two CPT (Current Procedural Terminology) codes after purportedly high error…...
Radiology societies fight Medicare Administrative Contractor’s proposed coverage restriction
5+ mon, 4+ week ago (273+ words) Two radiology societies are fighting one Medicare Administrative Contractor’s proposal to restrict coverage for a key image-guided procedure. National Government Services is seeking to limit the use of thermal destruction of the intraosseous basivertebral nerve or BVN. Commonly known as…...