OIG 2011 Work Plan: Imaging Services

Currently, Medicare Part B pays for imaging services pursuant to the physician professional cost component, the malpractice costs, and the practice expenses. Practice expenses are resources used in furnishing the services (i.e., rent, personnel costs, equipment costs, etc.). The OIG will review whether the Medicare payments for practice expenses “reflect the expenses incurred and whether the utilization rates reflect industry practices.” Furthermore, the OIG will review providers of portable x-ray services with unusual claim patterns.

For more information, please contact Adrienne Dresevic, Esq. and Carey F. Kalmowitz, Esq. at (248) 996-8510 or (212) 734-0128 or visit the Diagnostic Imaging Arrangements specialty page on the HLP website.

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