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Section 1848(b)(4)(B) of the Act defines imaging services as imaging and computer-assisted imaging services, including X-ray, ultrasound (including echocardiography), nuclear medicine (including PET), magnetic resonance imaging (MRI), computed tomography (CT), and fluoroscopy, but excluding diagnostic and screening mammography. For more information regarding the history of the cap on the TC of the PFS payment amount under the DRA (the OPPS cap), we refer readers to the CY 2007 PFS final rule with comment period (71 FR 69659 through 69662)

[615] Medicare fee-for-service beneficiaries with complex chronic conditions in rural areas have also been shown to have comparable access to primary care physicians but significantly lower access to ambulatory specialists and higher rates of avoidable hospitalizations for chronic conditions compared to similar beneficiaries in urban areas

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We are proposing that billing practitioners who are not MIPS eligible clinicians (as defined at 414.1305) would not be required to report the MVP in order to furnish and bill for APCM services

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