Friday, January 6, 2017

Radiology Provisions in the 2017 MPFS Final Rule

A positive for breast imaging, is that the Centers for Medicare and Medicaid Services (CMS) has recognized the value provided by radiologists in providing mammography services through an increase in the physician work relative value units (RVUs) for diagnostic mammography and maintaining the current value for screening mammography. Essentially, as we continue towards value-based care and the implementation of MIPS, the reimbursements for diagnostic mammography will have more weight via RVUs because the time and expertise are being acknowledged which is not present in our current fee for service system. This is a WIN for the breast imaging service.

Unfortunately, CMS estimates an overall impact of the MPFS finalized changes to radiology to be an overall 1 percent decrease, while interventional radiology lost a few CPT codes and would see an estimated decrease of 7 percent in reimbursement, radiation oncology and nuclear medicine will see a 0 percent change.

Author: SuperUser121

Categories: LegislationNumber of views: 5030


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The purpose of this page is to inform SBI members about legislative updates that impact breast imaging and breast imagers. Dr. Nicole Saphier will be contributing and providing the posts on a quarterly basis. 

About Nicole B. Saphier, MD: 

I am a board certified radiologist with fellowship training in Oncologic Imaging and am the Director of Breast Imaging at Memorial Sloan Kettering Monmouth facility. I see patients at MSK in New York City as well as at MSK Monmouth New Jersey with my primary clinical focus of breast imaging and intervention, including mammography, breast ultrasound, and breast MRI.

In addition to breast imaging, I am active in healthcare leadership, policy, and advocacy at local and national levels as well as holding a seat on the RADPAC board. Although I see many patients every year, being involved in advocacy and legislation allows me to reach infinitely more. I am also the creator of the Twitter hashtag #RadsHaveAFace which I developed in an effort to bring radiologists out of the dark and into the light in our rapidly changing healthcare paradigm.