IMAGING: CMS Delays Imaging Anti-Markup Provision Until 2009

Why This Topic Matters

The article matters because it addresses a Medicare payment-policy change that affects how physician practices structure and bill for imaging and certain pathology services. It also flags unresolved interpretive issues that may affect compliance planning.

Article Sections

1. Delay in anti-markup implementation

   Summarizes the CMS postponement of the anti-markup provisions and the general timeframe involved. It frames the policy change in the context of Medicare billing for imaging-related services.

2. Services not covered by the delay

   Describes the categories of services that were not included in the postponement and the related uncertainty for practices. The section focuses on the broad scope of the remaining policy questions.

3. Questions about independent contractor technicians

   Discusses unresolved issues involving services furnished by outside technicians in group practice settings. It addresses the broader compliance concerns raised by different arrangements for furnishing diagnostic services.

4. Whether the service is performed by the group or an outside supplier

   Explores the interpretive issue of how a diagnostic service arrangement may be characterized for billing purposes. The discussion stays at a general level about operational and payment implications.