CMS Increases Hospital DXA Reimbursement Rates for 2017
Date: November 03, 2016
As a result of the advocacy efforts by the Fracture Prevention Coalition, of which ASBMR is an active member, the U.S. Centers for Medicare and Medicaid Services (CMS) this week announced that it is increasing the reimbursement for DXA tests in the hospital setting to $112.69 starting in 2017 (available at https://s3.amazonaws.com/public-inspection.federalregister.gov/2016-26515.pdf; the final version will be published in the Federal Register by mid-November). This is a $12 increase for the service compared to current rates. CMS had initially proposed a 37% decrease in reimbursement of hospital-based DXAs for the upcoming year.
The advocacy of the field was led by the International Society for Clinical Densitometry Fracture Prevention Coalition. ASBMR supported this change by submitting written comments to CMS opposing the proposed decrease, as well as participating in a Fracture Prevention Coalition Meeting with CMS staff in September to educate them on the impact that the proposed change would have to access to DXA and prevention of fractures.