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Outpatient Payment Draft Supports Preventive Health Care Screening Tests

This article was originally published in The Gray Sheet

Executive Summary

Medicare beneficiaries would no longer have to pay coinsurance for certain colorectal cancer screening tests under CMS' 2011 Outpatient Prospective Payment System proposed rule

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Industry Urges CMS To Be Cautious In Outpatient Payment Packaging

Medical device firms want CMS to collect more complete and accurate data on new medical technologies before the agency proposes including them in bundled payment packages

Industry Urges CMS To Be Cautious In Outpatient Payment Packaging

Medical device firms want CMS to collect more complete and accurate data on new medical technologies before the agency proposes including them in bundled payment packages

CMS In Brief

CMS expands coverage of PET for solid tumors: Agency finalizes its coverage reconsideration Aug. 4 on positron emission tomography for solid tumors and myeloma, easing its previous strict limit of one FDG PET study per patient during the initial treatment stages. While CMS will continue to nationally cover only one PET scan to determine the location and/or extent of a tumor for therapeutic purposes related to the initial treatment strategy, local Medicare contractors will now have discretion to determine whether to cover additional PET scans as needed during the initial treatment stage. CMS opened the reconsideration late last year at the request of several radiology and nuclear medicine professional societies (1"The Gray Sheet" Nov. 16, 2009)

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