Category: Regulatory Review

By Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq.

This article will focus solely on the new disclosure requirements contained in the healthcare reform bill and a newly requested government study focusing on self-referral and advanced imaging and radiation oncology services.

By Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq.

April 2010–Effective March 15, 2010, pursuant to CMS’ update to the Medicare Claims Processing Manual addressing “Payment to Physician or Other Supplier for Diagnostic Tests Subject to the Anti-Markup Payment Limitation,” among other actions, CMS has effectively eliminated an IDTF’s or radiology group’s ability to bill its local carrier (MAC) for interpretations performed by out of state physicians (the CMS Change Request).

By Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq.

March 2010 — The Medicare Improvements for Patients and Providers Act of 2008 requires the Secretary of the Department of Health and Human Services to designate organizations to accredit suppliers that furnish the technical component of advanced diagnostic imaging services.

By Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq.

February 2010 — The American Recovery and Reinvestment Act of 2009 establishes an incentive payment program to eligible professionals and eligible hospitals that participate in the meaningful use of certified EHR technology.

By Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq.

January 2010 — Marketing is an integral component of any business enterprise’s efforts to maintain and expand its economic base. At the beginning of this New Year, many imaging providers likely will strategize about their 2010 marketing programs as they contemplate the prospects of declining reimbursement and heightened regulatory scrutiny.