decisionhealth Newsletters, Part B News - 2009 Issue 8 (August)
New PET scan rules delayed so CMS can improve clarity
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Article Overview
This news brief is for medical coders, billing staff, and compliance professionals who track Medicare imaging policy updates. It covers a temporary delay in implementation of a CMS transmittal tied to PET scan coverage, the relationship between the transmittal and the National Coverage Determinations manual, and the fact that CMS plans to reissue the guidance after clarifying certain provisions.
Why This Topic Matters
It alerts readers that Medicare PET scan coverage guidance is in flux and that implementation timing has changed. Organizations that code, bill, or audit PET imaging claims need to monitor the revised CMS guidance when it is released.
What You Will Learn
- How a CMS transmittal update can affect Medicare coverage policy for PET scans
- Why temporary rescission of implementation guidance matters for billing and compliance
- How the transmittal relates to broader National Coverage Determinations manual provisions
- What types of stakeholders should watch for the reissued guidance
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Radiology practices
- Hospital revenue cycle teams
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