Two Medicare ‘anti-markup’ options could impact cardiology care

Article Overview

This article covers proposed Medicare physician fee schedule changes from CMS that would expand anti-markup rules, along with concerns raised by cardiovascular societies about their effect on cardiology practices, diagnostic testing arrangements, and beneficiary access. It is relevant to physicians, practice managers, coders, compliance staff, and others tracking Medicare policy and self-referral-related payment rules. The discussion focuses on the general policy options under review, stakeholder objections, and the relationship to physician practice structure and Medicare administration.