decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 12 (December)
Nuke codes escape DRA cap; new cardiac MRI codes aren’t so lucky
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Article Overview
This premium article reviews Medicare payment updates affecting nuclear imaging, new cardiac MRI services, and cardiac CT angiography. It focuses on how hospital outpatient payment policy and the DRA cap influence whether selected imaging codes are capped, along with comparative fee changes for the upcoming year. The piece is intended for coding, billing, and reimbursement professionals who follow imaging payment policy and CMS rate-setting changes.
Why This Topic Matters
Imaging practices need to understand which services are affected by Medicare’s payment caps and which are not, because these changes can alter expected reimbursement and billing strategy for the next fee year.
Article Sections
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Nuclear imaging payment changes
Discusses Medicare payment updates affecting selected nuclear medicine services and the way hospital outpatient policy interacts with the DRA cap.
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DRA cap background
Provides a short overview of the policy context behind the cap and how it relates to imaging reimbursement in office settings.
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New cardiac MRI codes
Reviews newly introduced cardiac MRI services and how their Medicare payment rates are addressed in the upcoming year.
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Cardiac CT angiography capped amounts drop
Summarizes payment updates for cardiac CT angiography technical components under the outpatient fee schedule.
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2008 cardiac MRI codes and their DRA-capped global fees
Presents a comparison of Medicare global fee amounts for selected cardiac MRI services under the cap and the outpatient payment setting.
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Technical component rates for Cardiac CT angiography for 2008 vs. 2007
Shows comparative technical component rate information for cardiac CT angiography services across two payment years.
What You Will Learn
- How Medicare payment policy affects selected imaging services
- How the DRA cap interacts with hospital outpatient payment rules
- Which categories of cardiac MRI services are discussed in the article
- How cardiac CT angiography payment updates are presented for the upcoming year
- How the article compares prior-year and upcoming-year reimbursement data
Who Should Read This
- Medical coders
- Radiology billing staff
- Revenue cycle professionals
- Imaging practice administrators
- Compliance staff
Codes Discussed
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