Recently, a proposal through the Centers for Medicare and Medicaid Services (CMS) recommended a change to the 2020 Medicare Physician Fee Schedule (MPFS) that would reduce reimbursement for cardiac PET scan procedures by 80%. While the proposed change doesn't prevent anyone from continuing to offer cardiac PET services, it does drop reimbursement to a level well below what's needed to maintain a viable cardiac imaging service, a move that will force many providers out of the market and eliminate access to service for the majority of patients.
This news raises several questions. What is CMS thinking with this proposal? What will patients do if the proposal is accepted? And what can be done about it? We'll answer these questions below to shed more light on the situation and what's to be done as CMS administrators make their deliberations.