HHS Issues Alert on Info Blocking Enforcement
HHS issued an enforcement alert that info blocking rules still apply. ACR has radiology-focused guidance and FAQs available.
Read moreMain Content
ACR Supports Per-Day Threshold in the 2025 HOPPS Rule
Sept. 11, 2024
The American College of Radiology® (ACR®) submitted comments to the Centers for Medicare and Medicaid Services (CMS) related to the calendar year (CY) 2025 Hospital Outpatient Prospective Payment System (HOPPS) proposed rule that address radiology-specific issues and make specific recommendations.
The letter outlines support for the rule’s proposed per-day threshold of $630 to separately pay for diagnostic radiopharmaceuticals but recommends that CMS move toward using Average Sales Price (ASP) to set future years’ calculations for more accurate reimbursement.
The College also lays out potential strategies for CMS to make updates to increase HOPPS payments for CT colonography screening services, which are proposed to be covered via the 2025 Medicare Physician Fee Schedule proposed rule.
CMS will take the comments from stakeholders into consideration and release the final HOPPS rule this November. If finalized, these policies will take effect Jan 1.
If you have questions about the ACR’s HOPPS proposed rule comments, contact Kimberly Greck, ACR Senior Economic Policy Analyst.
The letter outlines support for the rule’s proposed per-day threshold of $630 to separately pay for diagnostic radiopharmaceuticals but recommends that CMS move toward using Average Sales Price (ASP) to set future years’ calculations for more accurate reimbursement.
The College also lays out potential strategies for CMS to make updates to increase HOPPS payments for CT colonography screening services, which are proposed to be covered via the 2025 Medicare Physician Fee Schedule proposed rule.
CMS will take the comments from stakeholders into consideration and release the final HOPPS rule this November. If finalized, these policies will take effect Jan 1.
If you have questions about the ACR’s HOPPS proposed rule comments, contact Kimberly Greck, ACR Senior Economic Policy Analyst.
Related ACR News
MedPAC Meeting Highlights Medicare Policy
The MedPAC meeting included discussions about improving payment accuracy and the Medicare program’s overall financial situation.
Read moreReport Backs NIH Changes to Reduce Childhood Chronic Diseases
The report includes a recommendation that NIH launch a chronic disease initiative using a whole-person approach to research chronic disease prevention.
Read more