Payment reduction for Computed Tomography (CT) diagnostic imaging services
Physician Practice Insider, December 1, 2015
On November 6, CMS published Transmittal 3402, replacing a prior confidential transmittal on payment reductions for CT services not meeting quality requirements. Effective January 1, 2016, a payment reduction of 5% applies to CT services furnished using equipment that is inconsistent with the CT equipment standard and for which payment is made under the physician fee schedule. Modifier -CT was adopted to indicate these services. The payment reduction increases to 15% in 2017 and subsequent years.
Effective date: January 1, 2016
Implementation date: January 4, 2016
View Transmittal R3402CP.
View MLN Matters article MM9250.
This article was originally published on the Medicare Compliance Watch website.
Related Products
-
Physician Practice Perspective
Physician Practice Perspective subscribers can find the archive of issues on the Part B News website. Find more information...
-
Medical Environment Update
A subscription to Medical Environment Update pays for itself by saving you time sorting through complex regulations and...
-
HealthLeaders Media Physician Leaders
HealthLeaders Media Physician Leaders offers commentaries that focus on the hottest issues for doctors as well as concise...
-
Medical Environment Update - Electronic and Print, 1 year
A subscription to Medical Environment Update pays for itself by saving you time sorting through complex regulations and...
-
Medical Environment Update - Electronic, 1 year
A subscription to Medical Environment Update pays for itself by saving you time sorting through complex regulations and...
Most Popular
- Articles
-
- Don't forget the three checks in medication administration
- Note similarities and differences between HCPCS, CPT® codes
- What does case-mix index mean to you?
- Q&A: Primary, principal, and secondary diagnoses
- Practice the six rights of medication administration
- Complications from immobility by body system
- Prevent dehydration with nursing interventions
- Nursing responsibilities for managing pain
- Neurological checks for head injuries
- OB services: Coding inside and outside of the package
- E-mailed
-
- The pros and cons of bar coding
- Prequalify patients for hyperbaric oxygen therapy to ensure accurate reimbursement
- Patient testimonials lead to HIPAA breach
- Order with no diagnosis code
- Note from the instructor: Update to the CMS Post-Acute Transfer Policy Qualifying DRGs
- Note from the Instructor: Provider-Based vs. Freestanding Locations: Financials Flip-flop with New Packaging
- Insider’s scoop | Verbal orders
- Developing shared governance unit-council bylaws
- Coding Corner: Tips for reporting bronchoscopy procedures
- Clear up confusion surrounding medical necessity
- Searched
