Dresevic Adrienne, Kalmowitz Carey F
Wachler & Associates, P.C., USA.
Radiol Manage. 2009 Mar-Apr;31(2):30-6; quiz 37-8.
Medicare's recently finalized anti-markup rule provides a flexible 2 alternative approach to determining whether or not a diagnostic testing arrangement is subject to the anti-markup payment limitation. Both tests measure whether a performing or supervising physician "shares a practice"with the billing physician or other supplier. Although in the 2009 Medicare Final Physician Fee Schedule CMS declined to implement the IDTF enrollment proposals, which would have required any physician or non-physician practitioner furnishing diagnostic testing services to enroll as an IDTF and be subject to most IDTF performance standards, CMS did finalize its earlier proposal to require mobile IDTFs to enroll and bill Medicare directly for the technical component services that they provide. Imaging services providers should be prepared for heightened Medicare auditing activity, as CMS has made permanent and is expanding its Recovery Audit Contractors program.
医疗保险最近最终确定的反加价规则提供了一种灵活的替代方法，用于确定诊断检测安排是否受反加价支付限制。这两种测试都衡量执行或监督医生是否与计费医生或其他供应商“共享执业”。尽管在2009年医疗保险最终医生费用表中，医疗保险和医疗补助服务中心（CMS）拒绝实施独立诊断测试设施（IDTF）注册提案，该提案本要求提供诊断检测服务的任何医生或非医生从业者注册为IDTF并遵守大多数IDTF绩效标准，但CMS最终确定了其早期提案，要求移动IDTF注册并直接向医疗保险计费其提供的技术组件服务。由于CMS已使恢复审计承包商计划永久化并正在扩大该计划，成像服务提供商应做好准备迎接加强的医疗保险审计活动。
