Policy & Regulations

This channel includes news coverage of healthcare policy and regulations set by Congress, the states, Centers for Disease Control and Prevention (CDC), the Department of Health and Human Services (HHS), U.S. Food and Drug Administration (FDA), and medical associations and societies. 

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Weathering the CMS processing freeze on FDG PET: Tips and pointers

Medicare’s temporary freeze on payments for certain PET scans of solid tumors, which began Oct. 6 and won’t end until Nov. 11, came as no surprise. The agency announced last spring that it needed time to test and edit this part of its claims-processing system. 

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Perspectives

Its full steam ahead as the health insurance exchange (HIE) open enrollment period comes to a close. With the announcement that 7 million individuals have enrolled in the plan, many changes are expected based on this new patient population.

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The Transition to ICD-10: What it Means to You

APS

On October 1, 2014, healthcare practices will be required to use a revised version of the International Classification of Diseases code: ICD-10.

ACR Asks CMS for Reimbursement Cut Dampening

In a comment letter on the final 2014 Medicare fee schedule for physicians, the ACR pointed out once more the cumulative effect on imaging reimbursement of various recent legislative and policy changes and urged CMS to adopt a “dampening” policy to limit the total amount a specific procedural code could be reduced in a given year.

Christie Signs New Jersey Breast Density Bill

The Garden State becomes the 14th state that requires mammography providers to include breast density status in reports sent to patients.

Interoperability and Population Health Management: Unlocking the Data

McKesson

As health care moves from fee-for-service to value-based medicine, and, eventually, to population health management, imaging is facing the imperative to redefine its role in the care continuum. “We’ll be focused closely on value and outcome measures in the environment we’re calling imaging 3.0,” says Mike Tilkin, CIO of the American College of Radiology (ACR). “Radiologists will play pivotal roles throughout the care process—from the time a study is ordered to being engaged as a consultant throughout the care cycle to being a resource to the patient.”