Finance & Enjoyment Blog

Imaging Services: Medicare Spending Reduced

Provider payments from Medicare as it pertains to medical imaging procedures have changed since the passing of the Health Care Reform Act of 2010. The reasoning behind this is to curb Medicare spending on imaging services, which rose sharply from $6.6 billion in to $13.7 billion in 2006. The new legislation resulted in three changes, two of which are payment related, while the third deals with disclosing information.

  1. Effective in 2011, there will be a rise in the utilization rate assumption for calculating the payment for advanced imaging equipment. The rate will increase from 50% to 75%.
  2. There will be a reduction for imaging procedures conducted on contiguous body parts. The reduction will go from 25% to 50% of payments. There is no date on this reduction.
  3. Starting immediately, physicians must disclose ownership interest in imaging equipment. They will also have to inform their patients they can get the services elsewhere, and provide a list of 10 alternative sites within 25 miles.

For additional information, please contact KKB at 303-815-1100.


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