ACR strives to optimize Medicare and Medicaid coverage and reimbursement levels for radiology services. Stay up to date with current trends and activities surrounding the Medicare Physician Fee Schedule, Hospital Outpatient Prospective Payment System, alternative payment models and more.

Medicare Physician Fee Schedule (MPFS)


The Centers for Medicare and Medicaid Services (CMS) uses the MPFS to reimburse physician services. The MPFS is composed of resource costs associated with physician work, practice expense and professional liability insurance.

Hospital Outpatient Prospective Payment System (HOPPS)

HOPPS is used by CMS to reimburse for services provided in hospital outpatient departments.

Development of Resource-Based Values

The ACR is represented on the RUC and submits recommendations to the American Medical Association on radiology-related codes.

National and Local Coverage Determinations

By reviewing and commenting on Local Coverage Decisions and proposed policy changes, the ACR Contractor Advisory Committee network helps ensure members are appropriately reimbursed for medically reasonable and necessary services provided to Medicare patients.

Hospital Inpatient Prospective Payment System (HIPPS)

HIPPS is used by CMS to reimburse hospitals for inpatient services.

Quality Payment Program: Alternative Payment Models

Understand MACRA, stay informed on its implementation, and take steps to thrive in new payment and delivery models.