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House bill seeks to fix flaw in reimbursement for cardiology tests

Wed, Feb 17, 2010 |

Cardiology

House bill seeks to fix flaw in reimbursement for cardiology tests

U.S. Rep. Charlie Gonzalez, D-Texas, sponsor of HR 4371 to restore cardiology fees to 2009 levels

Rep. Charlie Gonzalez, D-Texas, has introduced a House bill that would protect cardiology practices from drastic cuts in Medicare and Medicaid reimbursement levels for 2010. The 2010 cuts, Gonzalez says, were based on seriously flawed data on the costs incurred by cardiology practices, primarily is the area of diagnostic imaging.

HR 4371 would restore reimbursement to 2009 levels for imaging expenses including cardiac CT, cardiac MR, and myocardial perfusion imaging. The bill has has 82 sponsors, according to Cardiovascular Business, and support from the American College of Cardiology.

In a letter to Congressional colleagues, Gonzalez said that the survey data used by the Centers for Medicare and Medicaid Services (CMS) to establish 2010 reimbursements for diagnostic cardiology was flawed. The data showed a 42 percent decline in the costs of running a private cardiology practice.  The number of cardiology practices included in the survey was too small to yield reliable figures, and as a result “cardiology practices and their patients are bracing for significant payment cuts that could diminish access to care,” Gonzalez wrote.

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