CV Community Comments on Potential PET Cuts

News | Published: Friday, September 13, 2019

The American College of Cardiology (ACC) has submitted a comment letter to the Centers for Medicare and Medicaid Services (CMS) covering a wide variety of services and payment policy proposals in the 2020 proposed physician fee schedule. Of note, the comments addressed proposed alarming updates to payment inputs for myocardial PET that could lead to technical component payment reductions as high as 80 percent for some services. 

“The ACC is concerned that reductions of this scale threaten the viability of the service in the physician office setting, will limit patient access to this important imaging modality, particularly in rural and underserved areas, lead to poorer outcomes for patients, and increase beneficiary and health care system costs,” the letter noted. “Accordingly, the ACC recommends CMS defer implementation of direct practice expense inputs in this rulemaking cycle and set nonfacility PE RVUs at the 2018 paid claims weighted average while additional information is collected.” 

In August, MedAxiom supported the joint effort by the ACC, the Cardiology Advocacy Alliance, the American Society of Nuclear Cardiology, American College of Nuclear Medicine, and the Society of Nuclear Medicine and Molecular Imaging to challenge the proposal and encouraged the MedAxiom community to get involved.   

CMS is expected to release the final physician fee schedule rule by Nov. 2.

MedAxiom will continue to support efforts by the cardiovascular community to correct this situation and address any other proposals that adversely affect patient care.


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