tci Medicare Compliance & Reimbursement - 2016 Issue 17

Industry Note: MPPR Updates Boost Radiology Payments

It looks like radiology practices have something to smile about. The Centers for Medicare & Medicaid Services (CMS) will be paying a little bit more of their fee schedule amounts in relation to the procedural component (PC) with new changes to its Multiple Procedure Payment Reduction (MPPR) system. “Effective January 1, 2017, MACs shall pay 95 percent of the fee schedule amount for the PC of each additional procedure furnished by the same physician (or physician in the same group practice) to the same patient, in the same session on the same day,” according toMLN Matters® article...

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