tci Medicare Compliance & Reimbursement - 2005 Issue 33

PHYSICIANS: CMS Pushes Self-Referral Ban For PET Scans

Nuclear medicine also on chopping block.Physicians could have a much harder time performing PET scans and nuclear medicine tests if a new proposal goes through.The Centers for Medicare and Medicaid Services wants to make diagnostic nuclear medicine and PET scans Designated Health Services under the Stark self-referral law, according to the 2006 Physician Fee Schedule proposed rule. Under the Stark law, physicians who examine patients can't provide DHS themselves, because that's considered DHS self-referral. Physicians will also be prohibited from sending patients to any facilities that they have an ownership interest in. Currently, DHS includes X-rays, ultrasounds...

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