CMS proposes crackdown on cardio imaging ventures

Why This Topic Matters

The proposed changes could alter how hospitals and physician practices structure imaging relationships, contract for diagnostic services, and handle billing compliance. Understanding the scope of the proposal helps stakeholders assess operational, referral, and reimbursement implications.

Article Sections

1. Stark self-referral and imaging joint ventures

   This section discusses proposed CMS changes affecting physician self-referral rules and hospital-based imaging joint venture arrangements. It focuses on how the proposal relates to cardiovascular diagnostic services and under-arrangement models.

2. Anti-markup applied to prof. component

   This section addresses proposed expansion of the anti-markup provision within diagnostic testing payment policy. It also discusses related contracting practices for technical and professional components.

3. Other rules that CMS is proposing to change

   This section summarizes additional proposed CMS policy changes affecting imaging-related leasing arrangements and independent diagnostic testing facilities. It also notes revisions to supervision and facility operation requirements.