Note: The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.
Article Overview
This article explains a proposed 2013 Medicare policy change that would expand ordering privileges for several categories of non-physician practitioners. It is relevant to providers, coders, and compliance staff who need to understand how the change intersects with state scope-of-practice rules and CMS monitoring of diagnostic service claims.
Why This Topic Matters
The article matters because it signals a potential shift in who may order certain diagnostic services and notes that CMS is watching these services closely for billing irregularities and compliance risk.
What You Will Learn
Which provider groups are affected by the proposed policy change
How the change relates to Medicare physician fee schedule updates
Why state scope-of-practice rules remain important
What CMS says about monitoring diagnostic service claims
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