Radiology’s Fight Against Prior Authorization Delays
ACR is leading national efforts to make prior authorization more efficient and clinically appropriate while reducing the administrative burden and supporting national legislation.
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ACR Provides Detailed Summary of 2025 HOPPS Proposed Rule
July 18, 2024
The American College of Radiology® (ACR®) prepared a detailed summary of the 2025 Hospital Outpatient Prospective Payment System (HOPPS) proposed rule released by the Centers for Medicare and Medicaid Services (CMS) July 10. If finalized, the rule changes will take effect Jan 1.
The summary outlines issues that affect radiology, including a proposal regarding separate payment for diagnostic radiopharmaceuticals with per-day costs above a $630 threshold. This proposal comes after CMS requested feedback on appropriate payment for diagnostic radiopharmaceuticals in the 2024 HOPPS rule; CMS now requests additional input regarding the use of average sales price (ASP) for payment in future years as the agency deliberates updates to the threshold in future years.
ACR will submit comments to CMS by the Sept. 9 deadline. If you have questions, contact Kimberly Greck, ACR Senior Economic Policy Analyst.
The summary outlines issues that affect radiology, including a proposal regarding separate payment for diagnostic radiopharmaceuticals with per-day costs above a $630 threshold. This proposal comes after CMS requested feedback on appropriate payment for diagnostic radiopharmaceuticals in the 2024 HOPPS rule; CMS now requests additional input regarding the use of average sales price (ASP) for payment in future years as the agency deliberates updates to the threshold in future years.
ACR will submit comments to CMS by the Sept. 9 deadline. If you have questions, contact Kimberly Greck, ACR Senior Economic Policy Analyst.
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