Medicare to Incentivize Transition From Traditional X-ray to Digital Radiography Starting in 2017

02.22.16

FullSizeRenderOn December 18, 2015, President Obama signed into law (P.L. 114-113) the Consolidated Appropriations Act of 2016.  Included in Section 502 of the Medicare portion of the Act is a provision to incentivize the transition from traditional X-ray imaging to digital radiography.

Reduced Payment for Film X-ray. Starting in 2017, Medicare payments under the hospital outpatient PPS and physician fee schedule technical component will be reduced by 20 percent to providers submitting claims for film X-rays.

Reduced Payment for Computed Radiography. Additionally, the law phases-in Medicare payment reductions under the hospital outpatient PPS and physician fee schedule technical component for X-rays taken using “computed radiography” in an effort to encourage wider use of digital radiography.  Starting in 2018 through 2022, payments for X-rays taken using computed radiography will be reduced by 7 percent, with a 10 percent reduction starting in 2023. All hospitals and imaging facilities that do not replace existing systems will face payment reductions.

“Computed radiography technology” means cassette-based imaging which utilizes an imaging plate to create the image involved.

For more information, please contact Patrick Hope, MITA’s Executive Director, at (703) 841-3235