decisionhealth Newsletters, Coder Pink Sheets - 2010 Issue 7 (July)
New rules to follow when prescribing imaging services
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Article Overview
This article explains a Medicare and Stark law-related change affecting physician practices that refer patients for advanced imaging services and own the equipment used to provide them. It is aimed at practices, physicians, and compliance staff who need to understand the new patient-notification requirement, the scope of the affected services, and the practical need to update referral workflows and patient-facing forms.
Why This Topic Matters
Practices that do not adjust their referral process may face compliance risk and potential loss of Medicare payments tied to the affected imaging services. The article helps readers understand the kind of operational and documentation changes that may be needed.
What You Will Learn
- What prompted the new imaging referral disclosure requirement
- Which general types of services are affected
- Why physician practices need to update patient communications and forms
- How the change relates to Medicare and Stark law compliance
- What operational steps practices may consider while awaiting further guidance
Who Should Read This
- Physicians
- Medical practice managers
- Compliance officers
- Billing and coding staff
- Healthcare attorneys
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