CMS1312FC Changes in Reimbursement for DXA and VFA

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CMS-1321-FCChanges in Reimbursement for DXA and
VFA
Prepared byAndrew Laster, MD ISCD Public Policy
Chair Revised 11.15.2006
ISCD 342 North Main Street West Hartford, CT
06117-2507860.586.7563 Fax [phone]
www.ISCD.org
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MPFS Changes to 77080 (axial DXA total,
non-facility) including BN adjustor of 10.1 and
SGR reduction of 5.0/yr
A 70 -75 reduction in reimbursement over 4 years
MPFS Medicare Physician Fee Schedule BN
budget neutrality SGR sustained growth rate
PE practice expense MP malpractice RVU
relative value units ( ) payments modeled with
CF freeze at 2007 level payments modeled
with 5 reduction/yr. Federal Register November
2006 CMS-1321-FC
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MPFS Changes to 77080 (axial DXA total,
non-facility) including BN adjustor of 10.1, SGR
reduction of 5.0/yr and DRA
?OPPS 77080-TC MPFS 77080-26 (yr) (2007)
72.26 10.07 82.33 (2008) 72.26
9.71 81.97 72.26 9.40
81.66
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MPFS Changes to 77080-26(axial DXA professional,
non-facility) including BN adjustor of 10.1 and
SGR reduction of 5.0
MPFS Medicare Physician Fee Schedule BN
budget neutrality SGR sustained growth rate
PE practice expense MP malpractice RVU
relative value units ( ) payments modeled with
CF freeze at 2007 level payments modeled
with 5 reduction/yr. Federal Register November
2006 CMS-1321-FC
5
MPFS Changes to 77080-TC (axial DXA technical,
non-facility) including SGR reduction of 5.0
MPFS Medicare Physician Fee Schedule BN
budget neutrality SGR sustained growth rate
PE practice expense MP malpractice RVU
relative value units ( ) payments modeled with
CF freeze at 2007 level payments modeled
with 5 reduction/yr. Federal Register November
2006 CMS-1321-FC
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MPFS Proposed Changes to 77082 (VFA total,
non-facility) including BN adjustor of 10.1 and
SGR reduction of 5.0 /yr
A 43 51 reduction in reimbursement over 4
years
MPFS Medicare Physician Fee Schedule BN
budget neutrality SGR sustained growth rate
PE practice expense MP malpractice RVU
relative value units ( ) payments modeled with
CF freeze at 2007 level payments modeled
with 5 reduction/yr. Federal Register November
2006 CMS-1321-FC