CMS Final Rule - 2013 Cuts for Medical Imaging

Posted by Rachel Masey

Sun, Nov 11, 2012 @ 09:48 AM

On November 1, the U.S. Centers for Medicare and Medicaid Services (CMS) announced more unfavorable cuts for medical imaging. Under the sustainable growth rate (SGR) formula requirements, overall physician payment rates will be cut by 26.5%. Since 2003, Congress has overridden this required reduction. If Congress takes action again for the 2013 rule, payments to primary care specialists will increase, however, select specialties such as radiology will decrease.

In the final rule, CMS said, “Payments to primary care specialties ... will increase due to redistributions from changes in payments for services furnished by other specialties. Because of the budget-neutral nature of this system, decreases in payments for one service result in increases in payments in others."

The rule will be published in the Federal Register on November 16; the final comment period will close on December 31, and the rule will take effect on January 1, 2013.

Read more about the CMS final rule here.