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DecisionHealth, DecisionHealth - 2011 Issue 11 (November)

Radiology, primary care will see major losses in 2012 due to MPPR cut

You and your peers will lose millions of dollars on physician interpretations of diagnostic imaging scans once the 25% multiple procedure payment (MPPR) hits the professional component (PC) in less than two months.

Remember: CMS finalized the imaging cut to the PC of CT, MRI and ultrasound tests in its 2012 Physician Fee Schedule final rule on Nov. 1, with virtually no changes from the proposed rule other than reducing the pay cut from a 50% discount to 25%. Starting Jan. 1, you will only get 75% of the fee schedule rate for interpretations of multiple imaging scans done on the same patient, in the same day. NOTE: Provider payments for imaging readings will always be paid in full for the highest-value test interpreted in the same session, while all others read that session will be paid at 75%.

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