CMS Continues Regulatory Crackdown on Self-Referral of Diagnostic Imaging Services
8/15/2008
On July 7, 2008, CMS released its Proposed Medicare Physician Fee Schedule for Calendar Year 2009. Continuing a trend started with the Proposed MPFS for 2008, CMS included in the 2009 proposed fee schedule a number of proposed changes to the regulations that control the manner in which Medicare pays for diagnostic imaging services.
In particular, CMS proposed revisions to both the performance standards for Independent Diagnostic Testing Facilities (“IDTFs”) (42 C.F.R. §410.33) and the Anti Mark-Up Rule (42 C.F.R. §414.50) that could result in further limitations on the ability of physicians and medical groups to refer patients in need of diagnostic imaging services to diagnostic imaging facilities they own. Read more ...
