Radiology Reimbursement: Good News and Bad News

There is good news and bad news for radiology in proposed changes for 2022 reimbursement.

Good news

Bad news

  • The proposed Medicare Physician Fee Schedule (MPFS) for 2022 estimates a CY 2022 conversion factor of $33.5848 compared to 2021 at $34.8931.
  • CMS estimates an overall impact on radiology to be a 2 percent decrease, with interventional radiology seeing a decrease of 9 percent, nuclear medicine a 2 percent decrease and radiation oncology and radiation therapy centers a 5 percent decrease.
  • The American College of Radiology, the AMA and others are lobbying Congress to offset the 2022 decreases.
  • If the pause in the two-percent sequestration cut is allowed to expire, as planned, on December 31, 2021, these decreases will be larger, unless Congress intervenes.
  • Late in 2021, Congress included a 3.75 percent adjustment to the 2021 conversion factor which rolled back the payment cuts to radiologists from 10 percent to approximately 4 percent. While Congressional action is possible for 2022, that uncertainty will remain until late this year.

References

https://www.acr.org/-/media/ACR/NOINDEX/Advocacy/2022-MFS-PR-Preliminary-Summary.pdf 

https://www.auntminnie.com/index.aspx?sec=ser&sub=def&pag=dis&ItemID=132927 

https://www.radiologybusiness.com/topics/economics/cms-delay-imaging-appropriate-use-criteria-program

https://www.radiologybusiness.com/topics/policy/cms-coverage-restrictions-pet-imaging-oncology 

https://www.radiologybusiness.com/topics/policy/physicians-congress-2022-medicare-practice-cuts 

https://www.radiologybusiness.com/topics/policy/congress-protect-payment-mammography-screenings 

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