tci Part B Insider - 2005 Issue 29

PHYSICIAN NOTES: Medicare Coding Nightmares Prevent Patients From Receiving Diagnostic Tests

No updates expected until 2008, study saysIf you're feeling as though Medicare reimbursement complexities are keeping you from providing the tests your patients need, you're not alone.At a time when policymakers are trying to cut back on Medicare spending for imaging tests, one new study says that Medicare is already making it too difficult to provide important tests. Quality measures such as the Health Plan Employer Data and Information Set (HEDIS) and evidenced-based clinical guidelines both push the importance of early diagnostic testing, according to "The Value of Diagnostics," a study by the Lewin Group and commissioned...

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