decisionhealth Newsletters, Coder Pink Sheets - 2005 Issue 9 (September)
Medicare plans multiple procedure cut for diagnostic imaging
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Article Overview
This article covers a proposed Medicare policy change in the 2006 Physician Fee Schedule that would reduce payment for multiple diagnostic imaging services performed during the same visit. It is relevant to radiology and orthopedic billing professionals who need to understand how the proposal groups imaging studies by modality and body area, and how it may affect technical-component reimbursement across several imaging families.
Why This Topic Matters
The proposal could change reimbursement for commonly ordered imaging studies when more than one service is performed on the same patient in one session. Providers, coders, and billing teams may need to review imaging workflows and claim payment expectations for services discussed in the article.
Article Sections
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Overview of the proposed payment change
Introduces the Medicare proposal and describes the general payment approach for multiple diagnostic imaging services in a single visit. It also notes the types of payment components affected by the proposal.
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Diagnostic imaging families identified by Medicare
Summarizes the imaging families and body-area groupings discussed in the proposal. The section presents the broad structure used to organize the imaging services addressed in the article.
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Family listings for MRI, MRA, CT, and CTA services
Lists the specific imaging family groupings referenced for body regions such as chest, pelvis, spine, and extremities. The section is organized by modality and anatomic area.
What You Will Learn
- How the proposed Medicare imaging payment change is structured
- Which broad imaging service groupings are referenced in the article
- What categories of providers and billers may be affected by the proposal
- How the article frames the relationship between imaging modality and body-area grouping
Who Should Read This
- Medical coders
- Radiology billing staff
- Physician office billers
- Orthopedic practice administrators
- Compliance teams
- Healthcare consultants
Codes Discussed
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