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Reformed CT, MRI Cost Reporting: Valid Cost Saver Or Misinformed Policy?

This article was originally published in The Gray Sheet

Executive Summary

Adding new lines to standard hospital cost report forms for computed tomography and magnetic resonance imaging scans may allow Medicare to save money on outpatient imaging costs, but product manufacturers say that the savings would be based on inaccurate assumptions

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More Specific Device Cost Data May Inform Medicare Inpatient Payments In FY 2014

CMS says it is finally ready to start relying on a specific cost-report line that it created five years ago for implantable devices, as well as distinct lines for cardiac catheterizations, CT scans and MRIs established more recently, to calculate hospital inpatient payments. It’s a positive for implantables and a negative for advanced imaging payments.

More Specific Device Cost Data May Inform Medicare Inpatient Payments In FY 2014

CMS says it is finally ready to start relying on a specific cost-report line that it created five years ago for implantable devices, as well as distinct lines for cardiac catheterizations, CT scans and MRIs established more recently, to calculate hospital inpatient payments. It’s a positive for implantables and a negative for advanced imaging payments.

CMS Moves Forward With Addressing Charge Compression For Implantable Devices

The agency finalized its decision to base its payment calculations on data that separates hospital charges for implantable devices from those for lower-priced medical supplies in the final 2013 outpatient rule.

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