Professional component payment reductions for diagnostic imaging examinations when more than one service is rendered by the same provider in the same session: An analysis of relevant payment policy

Journal of the American College of Radiology

Volumn 8, Issue 9, 2011, Pages 610-616

  Allen, Bibb ^a   Donovan, William D ^b   McGinty, Geraldine ^c   Barr, Robert M ^d   Silva, Ezequiel ^e   Duszak, Richard ^f,g   Kim, Angela J ^h   Kassing, Pam ^h  

^a Trinity Medical Center   (United States)

^b William W Backus Hospital   (United States)

^c NRAD Medical Associates   (United States)

^d Mecklenburg Radiology Associates   (United States)

^e South Texas Radiology Group   (United States)

^f Mid South Imaging and Therapeutics   (United States)

^g UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER   (United States)

^h AMERICAN COLLEGE OF RADIOLOGY   (United States)

Author keywords

efficiencies; multiple procedure payment reduction; physician work; Professional component; relative value unit

Indexed keywords

ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC IMAGING; HEALTH CARE PERSONNEL; HEALTH CARE POLICY; HEALTH SERVICE; HUMAN; MEDICAL FEE; NUCLEAR MAGNETIC RESONANCE IMAGING; NUCLEAR MEDICINE; PHYSICIAN; ULTRASOUND; WORK CAPACITY;

EID: 84928096358     PISSN: 15461440     EISSN: 1558349X     Source Type: Journal    
DOI: 10.1016/j.jacr.2011.06.012     Document Type: Article

References (5)

1. US Government Accountability Office Medicare physician payments: fees could better reflect efficiencies achieved when services are provided together (GAO-09-647) http://www.gao.gov/new.items/d09647.pdf Accessed May 27, 2011
2. Medicare Payment Advisory Commission Public meeting transcript, Thursday, April 7, 2011 http://www.medpac.gov/transcripts/0407-0408MedPAC.final.pdf Accessed May 27, 2011
3. American Medical Association 2011 Medicare RBRVS: the physicians' guide 2011 American Medical Association Chicago, Ill
4. W.C. Hsiao, P. Braun, and E. Becker A national study of resource-based relative value scales for physician services: phase IIIfinal report 1992 Harvard School of Public Health Boston, Mass
5. Centers forMedicare andMedicaid Services. Medicare program; payment policies under the physician fee schedule and other revisions to Part B for CY 2011; proposed rule. 42 CFR Parts 405, 409, et al. (July 13, 2010).