Medicare Compliance & Reimbursement

Here's your checklist of what the future really holds.

With so many changes being talked about for next year, it's hard to know what's written in stone, and what's scribbled in sand.

But don't worry. Here's a complete list of all the changes that have actually become law or final regulations. Of course, Congress could always go back and rewrite the law, and the Centers for Medicare & Medicaid Services (CMS) could change its regulations.

· Fee schedule cut. Once again, the law calls for your payments to fall by around 4.6 percent next year, unless Congress takes action. Congress has acted to prevent the last few cuts, but it allowed a steep cut to go through in 2002. Since this is an election year, you can expect some change, predicts Quinten Buechner with ProActive Consulting in Cumberland, WI. Status: final--for now.

· Nuclear medicine. Next year nuclear medicine (including PET scans) will come under the Stark self-referral law.

This means your practice won't be able to own a PET scanner unless the ownership fits into one of the Stark exceptions. For example, you could own a PET scanner or other nuclear medicine device as long as you keep it in the office where you treat patients. Status: final regulation.

· Oncology changes. A demonstration project that pays oncology practices for reporting on some measures of quality will expire in 2007, unless CMS takes action to renew it. Status: final.

· Enrollment changes. All doctors must have national provider identifiers (NPIs) by May 2007. Status: final.