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Archive July 2022

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Advocacy Alert: High-volume PET/CT Code Rate Increases in CY2023 HOPPS Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) has released the Hospital Outpatient Prospective Payment System (HOPPS) proposed rule for CY2023.
ASNC's advocacy team will perform a thorough analysis of CMS's proposals. For now, we want to draw your attention to where the proposed rule places PET/CT codes in CMS's Ambulatory Payment Classification (APC) categories. 

Advocacy Alert: Analysis Reveals Proposed Fee Schedule's Potential Impact on SPECT

Nuclear Cardiology Payment Chart Available  
Last week, the Centers for Medicare & Medicaid Services released the CY2023 Medicare Physician Fee Schedule (PFS) proposed rule. The proposed rule includes cuts to the conversion factor that, if finalized, will impact all services in the physician fee schedule. ASNC has analyzed the proposed rule with a focus on the potential impact on nuclear cardiology services.

Advocacy Update: AUC Mandate Penalty Phase Delayed 'Until Further Notice'

On July 7, in concert with the release of the CY2023 Medicare Physician Fee Schedule proposed rule, the Centers for Medicare & Medicaid Services (CMS) issued a notice stating that the payment penalty phase of the Appropriate Use Criteria (AUC) Program will not begin until further notice. The announcement further explained that CMS is not able to forecast when the penalty phase of the program will begin.

Advocacy Win: Blue Cross Blue Shield of Florida Corrects PET/CT MPI Codes Omission

ASNC vigilance paid off last month when Blue Cross Blue Shield of Florida corrected an error that would have resulted in PET/CT tests not being reimbursed in the state.

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