RADIOLOGY: Bar 'Self-Referrals'of Imaging Tests, ACR Urges CMS

Why This Topic Matters

The topic matters because Medicare self-referral policy can influence where imaging studies are performed, who may bill for them, and how physician practices structure diagnostic services. Readers following compliance, reimbursement, and radiology policy will want to understand the organizations and regulatory issues involved.

Article Sections

1. CMS Stark II interim final rule and ACR comments

   Discusses the regulatory background and the ACR's response to CMS guidance on physician self-referral and designated health services. It frames the policy issue in terms of imaging services and federal oversight.

2. Nuclear medicine and PET/CT concerns

   Addresses concerns about imaging modalities and how changing technology may affect utilization and practice costs. It focuses on the place of nuclear medicine within the broader regulatory debate.

3. In-office ancillary services exception and same-building test

   Summarizes the exception that allows certain services to be furnished within physician practices and describes the same-building framework discussed in the article. The section presents the general structure of the CMS approach without detailing specific billing outcomes.

4. Medical society positions on imaging access

   Reviews the positions of other physician organizations on whether diagnostic imaging should remain available within physician practices. It highlights the patient care and practice-access arguments raised in the debate.