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CMS Cuts Advanced Imaging Payments In 2012 Physician Fee Schedule

This article was originally published in The Gray Sheet

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Washington Roundup, November-December 2012

The latest medical device regulatory and reimbursement news from Elsevier Business Intelligence’s “The Gray Sheet.” This month we cover the post-election picture, pending reimbursement reductions for interventional cardiologists, and new guidance on PMA and 510(k) submission reviews.

Doc Payments For Coronary Stenting Will Drop Next Year, But Will Better Reflect Procedure Complexity

New coding structure for coronary stenting recognizes more complex procedure with higher levels of Medicare reimbursement, but overall physician payments for percutaneous coronary interventions will go down in 2013.

GAO: Self-Referrals For Advanced Imaging Cause Medicare Costs To Rise

A Government Accountability Office report recommends CMS take direct measures to reduce Medicare spending on self-referred imaging services, but the Medicare agency is not on board with most of GAO’s ideas.

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