President Obama's Fiscal Year 2014 Budget Proposal Sets Stage for Action on Imaging Policy
The Administration's FY 2014 budget proposal calls for the development of Medicare physician payment models to provide stability in Medicare physician payment for several years. Click here to read more.
HHS OIG Fiscal Year 2013 Work Plan to Review Imaging Services
The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently released its work plan for fiscal year (FY) 2013. Among the many areas of the health care sector that are slated for review by the OIG, HHS highlights several initiatives related to imaging services.
Specifically, the OIG will review Medicare payments for Part B imaging services to determine whether they reflect the expenses incurred and whether the utilization rates reflect industry practices. For selected imaging services, the OIG will focus on the practice expense components, including the equipment utilization rate.
Additionally, the OIG plans to review Medicare payments for high-cost diagnostic radiology tests to determine if they were medically necessary. The OIG will also examine the extent to which the same diagnostic tests are ordered for a beneficiary by primary care physician and physician specialists for the same treatment.
Both reports are expected for release during FY 2013 (October 1, 2012 through September 30, 2013). SCCT will keep you apprised of developments as they occur.
Issue Brief Laboratory Accreditation
Issue Brief Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2013
Issue Brief Physician Ownership and Referral
Issue Brief Reimbursement for Cardiac CT/Coronary CTA Services under the Hospital Outpatient Prospective Payment System
Issue Brief The Role of Congress in Medicare Physician Payment
Issue Brief Physician Payment
Medicare Payment Advisory Commission
June 2013 MedPAC Report
SCCT Health Policy Update MedPAC Supports Changes in Reimbursement for Ancillary Services. More Information.