AMA Clinical Examples in Radiology - 2016 Bulletin 1
PC MPPR Rollback Enacted in 2016 Consolidated Appropriations Act
PC MPPR Rollback Enacted in 2016 Consolidated Appropriations Act Thanks to the tireless efforts of American College of Radiology's (ACR's) physician leadership and membership working in concert with the Government Relations Department, H.R. 2029, the Consolidated Appropriations Act of 2016, included provisions to substantially roll back the 25% professional component (PC) multiple procedure payment reduction (MPPR). Effective Jan. 1, 2017, the PC MPPR will be lowered from 25% to 5%. This new, reduced percentage applies to one or more radiologists who interpret multiple images from the same patient, during a single session, on the same day. The inclusion...
Subscribe or sign in to view the full article.
Article Overview
This short radiology policy article explains a federal reimbursement change tied to the 2016 Consolidated Appropriations Act and discusses the professional component multiple procedure payment reduction in general terms. It is relevant to radiologists, coding and reimbursement staff, and compliance teams who track Medicare payment policy updates and advocacy-related legislative changes.
Why This Topic Matters
The article highlights a change that affects payment for interpretation of multiple images in a single session, so it may influence reimbursement monitoring and practice management planning for imaging groups.
What You Will Learn
- The general purpose of the policy update described in the article
- How the article situates the change within broader radiology advocacy efforts
- The types of reimbursement and Medicare-related issues addressed by the update
- The effective date referenced for the policy change
Who Should Read This
- Radiologists
- Radiology coding staff
- Reimbursement specialists
- Billing and compliance professionals
- Healthcare policy readers
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com
