CMS prepares to launch new rules for diagnostic tests

Why This Topic Matters

The topic matters because diagnostic test billing arrangements can change under CMS anti-markup policy, affecting how practices structure contracts, manage billing responsibilities, and coordinate professional and technical services under Medicare.

Article Sections

1. CMS timing and compliance update

   Summarizes the scheduled Medicare change and the operational steps practices may need to take before the rules apply.

2. Impact on cardiology diagnostic test arrangements

   Discusses how the policy affects cardiology practices that provide diagnostic test components in-house or through outside arrangements.

3. Examples of arrangements between practices

   Describes general billing and contracting scenarios involving interpretations and diagnostic services furnished for other practices.

4. Two tests check whether Medicare's anti-markup rules apply to your dx tests

   Outlines the two general tests CMS uses to determine whether the anti-markup framework applies to diagnostic test billing arrangements.