Radiologists Struggling with MRI Reimbursement Cuts

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FloridaPolicy changes by the Centers for Medicare & Medicaid Services that resulted in MRI reimbursement cuts are dramatically affecting radiology groups, according to a recent article in Diagnostic Imaging.

According to Mike Mabry, executive director of the Radiology Business Management Association, for the two codes, CMS decreased its estimate of the amount of time a room would be used from 63 minutes to 33 minutes, resulting in lower equipment and direct costs, as well as a lower technical component.

Consequently, freestanding centers are seeing reimbursement cuts of about 30 percent for these two codes.

"Organizations and physicians are shocked by and surprised by the change," Mabry told Diagnostic Imaging article, calling the MRI joint codes high volume and one of the more common MRI exams conducted by practices.

"A 30 percent hit on two fairly commonly performed scans is fairly noticeable."

Mabry also warned that more cuts are coming, particularly with the part of the Taxpayer Relief Act that contains a provision increasing the assumption rate for CT and RMI from 75 percent to 90 percent by 2014.

David Marichal, chief technology officer at Radiology and Imaging Specialists in Florida called the cuts "dramatic." Data from his company's different facilities show that while imaging volume has increased, revenues have decreased.


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