September 23, 2019
Significant reimbursement cuts of up to 80 percent for myocardial PET (positron emission tomography) scans in the physician office setting were included in the proposed 2020 Medicare Physician Fee Schedule.
As we continue our many efforts to address the proposed cuts, we need your help! As previously reported, SNMMI is engaged with The American College of Cardiology (ACC), the American Society of Nuclear Cardiology (ASNC), the American College of Nuclear Medicine (ACNM), and the Cardiology Advocacy Alliance (CAA) — actively working together to address these cuts.
Most recently, the ACC, ASNC, CAA, SNMMI and ACNM have secured a Congressional sign-on letter to the Center for Medicare and Medicaid Services (CMS) by Reps. Mike Kelly, (R-PA), Ron Estes (R-KS), and Ron Kind, (D-WI). This letter will be instrumental in amplifying the very real concerns of clinicians and patients about access to critical cardiovascular care. As members, we urge you to write, call, or email your representatives and senators and ask them to sign the letter and voice concerns with CMS directly. To find out who your representatives in Congress are, click here.
Specifically, we want members of Congress to ask CMS to defer the proposed PET pricing and continue current payment levels while working with stakeholders to ensure that costs are accurately accounted for when setting payment rates for cardiac PET.
Over the past few weeks, the focus has been placed on correcting the inputs and calculations for the payment formula through the public comment process and communication with policymakers. The societies have also been instrumental in educating CMS staff and more than 50 Congressional offices, including professional staff from relevant committees of jurisdiction, about the very real impacts of the proposed cuts on clinics and health centers across the United States — many of which will have difficulty maintaining staff and operations at normal levels given the high purchase and operation costs associated with PET scanners. Click here for some talking points.
Please help us in this effort and take action now!