#Netspot scan code
#Netspot scan professional

Subject: In Support of Medicare Diagnostic Radiopharmaceutical Payment Equity!ĭiagnostic radiopharmaceuticals are drugs necessary for all nuclear medicine imaging studies to diagnose and determine the severity of the disease. You may use the sample language below as well as a personal story if you wish. You will be asked for your contact information at the end of the process as well as the topic (“health”) that will be passed to your congressperson. Democracy.io will not track your information.

#Netspot scan code

All you need to do is enter your zip code to determine who the letter will be sent to. If you would like to write your Congressional representatives about this topic - makes this process easy. 3772) passed is important.įor the best opportunity for this bill to pass, letters should focus on imaging and Medicare. That is why getting The Medicare Diagnostic Radiopharmaceutical Payment Equity Act of 2019 (H.R. It is likely that there will be fewer places that will offer a Ga68 DotaTate scan for patients with NETS and those that do will potentially have to make up the losses in other areas of their NET program. What will likely happen if we don't get Congress to act? On Jan 1, 2020, NETSPOT (Ga68 DotaTate PET/CT) will no longer be paid for separately and while Medicare will still cover the scan (as appropriate) at the highest bundle level (~$1,400), this reimbursement will be less than the cost of the imaging agent (~$3,200). After the 3-year period when Medicare paid for these agents separately expired, 2/3 of the facilities offering scans with these new agents stopped providing the scan. Then innovation happened - several imaging agents have come to market that cost thousands of dollars. After 3 years the imaging agent is no longer billed separately and is added to one of the various bundles with the idea that some agents would be cheaper and some more expensive and it would average out. The provider would be paid the average selling price + 6% for the imaging agent. To accommodate new imaging agents, Medicare allowed a provider (hospital) to bill new agents outside the bundle and be paid for separately as a drug for a period of 3 calendar years. The most expensive bundle is ~ $1,400 (there are some regional adjustments). These bundles allowed a provider to bill for all PET imaging in a simplified manner. The simplification reduced an infinite combination of supplies and tracers to a few PET bundles based on tracer cost. In 2008, Medicare/CMS simplified how CMS paid for PET Imaging. This bill is not looking at broader medical payment, billing or cost issues. 3772), which many in the nuclear medicine community are working on to help improve, will impact Medicare payments for imaging only. The Medicare Diagnostic Radiopharmaceutical Payment Equity Act of 2019 (H.R. This webpage provides more information on how this will impact NET patients and providers along with a tool for those that are interested in taking action. In Tennessee, GoodRx is registered as a Prescription Drug Discount Plan Operator.On October 18, 2019, an opinion piece that NorCal CarciNET Community’s Josh Mailman opinion article ( “CMS policy shouldn't penalize those with rare disease”) was published by The Hill, The opinion piece highlighted the challenges with the current method that Medicare/CMS use to pay for radiopharmaceuticals. In all states except Tennessee, GoodRx is considered a marketer of prescription discount cards. Please seek medical advice before starting, changing or terminating any medical treatment.

#Netspot scan professional

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