Medicare proposals attack self-referrals

September 5, 2008 Diagnostic Imaging. Medicare proposals attack self-referrals Proposal would make nonhospital imaging subject to IDTF, anti-markup restrictions BY THOMAS W. GREESON, J.D. -------------------------------------------------------------------------------- It is hardly a coincidence that the General Accountability Office released a major report on the growth of Medicare Part B imaging services at the same time the Centers for Medicare and Medicaid Services issued sweeping rules that target self-referred imaging services. The GAO found that Medicare spending for imaging services paid under the Medicare Physician Fee Schedule more than doubled between 2000 and 2006. The GAO also documented a significant increase in the proportion of Medicare spending on imaging services that has migrated to physician office settings.

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