Physician Notes: Pathology Services Payments Could Face an Overhaul

Article Overview

This article summarizes several Medicare and healthcare policy developments of interest to hospitals, laboratories, physicians, and compliance professionals. It touches on a potential change to how outsourced pathology technical services are paid, a CMS reconsideration of a PET coverage decision related to Alzheimer’s disease and dementia, a physician settlement involving alleged improper billing, and federal fraud and abuse enforcement results for a recent fiscal year. The piece is useful for readers tracking reimbursement policy, coverage reconsiderations, and enforcement activity affecting Medicare and Medicaid.