Battle for Medicare PET coverage heats up

Article Overview

This article covers a Medicare coverage review for positron emission tomography (PET) and the debate over whether payment should expand beyond a narrow set of covered uses. It is relevant to coders, billing staff, imaging providers, and reimbursement professionals who follow Medicare policy, HCFA coverage actions, and outpatient imaging payment issues. The article discusses the policy and billing context at a high level, including specialty society advocacy, congressional interest, and the way PET claims were being handled at the time.