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1/6/2025 7:13:32 PM It's a new year and a new colorectal cancer screening exam is now reimbursable by Medicare By Tom Greeson In relatively unknown provisions of the 2025 final Medicare Physician Fee Schedule (MPFS) and Hospital Outpatient Prospective Payment...
7/24/2024 7:27:33 PM CMS proposes more certainty in timelines for investigating and making Medicare overpayment refunds By Tom Greeson What steps must a radiology practice undertake if it has uncovered a possible billing error or a compliance problem impacting Medicare...
7/11/2024 3:18:35 AM CMS proposes only a one-year extension to virtual supervision of diagnostic tests with contrast By Tom Greeson The Centers for Medicare & Medicaid Services (CMS) has just issued a proposed rule that announces and solicits public comments on...
3/29/2024 2:50:23 PM $3.1M FCA settlement underscores why official final radiology interpretation reports must be "real" By Tom Greeson The United States Attorney's Office for the Southern District of New York has announced this week a $3.1 Million False Claims Act...
3/25/2024 2:47:44 PM New and improved processes when billing Medicare for reassigned teleradiology services By Tom Greeson For decades, radiology groups and other providers and suppliers had to jump through all the hoops required for Medicare enrollment when...
3/7/2024 8:15:44 PM Congress acts to avert the full brunt of Medicare physician fee cuts for 2024 By Tom Greeson The annual cycle of cuts to Medicare payments to physicians and the need for Congressional intervention continues. This week, the U.S....
2/19/2024 6:06:39 PM CMS puts final nail in the coffin of Medicare advanced diagnostic imaging AUC program By Tom Greeson The Centers for Medicare & Medicaid Services (CMS) just released a new transmittal for Medicare Administrative Contractors (MACs) to put...
11/9/2023 6:39:04 PM Final 2024 Medicare fee schedule rule cuts payments and updates policies - will Congress act to avert some of the payment cuts? By Tom Greeson Last week, the Centers for Medicare and Medicaid Services (CMS) released its 2024 Medicare Physician Fee Schedule (MPFS) Final Rule. The...
7/31/2023 4:10:46 PM An appeal to CMS for common sense relief from unnecessary burdens when billing for imaging contrast agent and radiopharmaceutical reimbursement By Tom Greeson In a joint letter to the Centers for Medicaid & Medicare Services (CMS), the American College of Radiology (ACR), the Radiology Business...
7/20/2023 11:23:56 AM ACR statement in response to CMS proposal to "pause" appropriate use program for ordering advanced imaging tests By Tom Greeson After several years of struggles by the Centers for Medicaid and Medicare Services (CMS) to implement a Medicare program requiring the...
1/23/2023 2:44:22 PM National health care spending decline in 2021 resulting from reduced Federal spending on health care By Tom Greeson Annually, the Centers for Medicare and Medicaid Services (CMS) conducts a comprehensive analysis of health care expenditures in the...
11/28/2022 2:00:00 PM Delay to 2023 MPFS payment cuts introduced in Congress By Tom Greeson US Representatives Larry Bucshon, M.D. (R-Ind.) and Ami Bera, M.D, (D-Calif.) have introduced legislation to forestall some of the...
8/31/2022 6:14:31 PM CMS finalizes delay of Medicare radiation oncology payment innovation model By Tom Greeson On August, 25, 2022, the Centers for Medicare & Medicaid Services (CMS) displayed a final rule in the Federal Register that finalized the...
4/20/2022 9:57:37 PM Efforts to repeal the AUC advanced imaging program heat up By Tom Greeson Once again, we can hear a drumbeat of calls to repeal the Medicare program requiring the consultation of appropriate use criteria (AUC)...
4/7/2022 1:23:41 PM CMS proposes delay in start of Medicare radiation oncology payment innovation model By Tom Greeson The Centers for Medicare & Medicaid Services has announced that it proposes to delay the start date of a new Radiation Oncology (RO)...
3/21/2022 2:30:49 PM OIG report commends use of telehealth in improving access to health care By Tom Greeson The U.S. Department of Health and Human Services Office of Inspector General (OIG) has released an agency "data brief" lauding the...