Radiologix Provides Update on Medicare Reimbursement
09 Februar 2006 - 5:42PM
PR Newswire (US)
DALLAS, Feb. 9 /PRNewswire-FirstCall/ -- Radiologix, Inc.
(AMEX:RGX), a leading national provider of diagnostic imaging
services, today provided an update on the impact of federal
legislation on its Medicare reimbursement. On February 8, 2006, the
President signed into law the Deficit Reduction Act of 2005 (DRA).
The DRA provides that reimbursement for the technical component for
imaging services (excluding diagnostic and screening mammography)
in non-hospital based freestanding facilities will be capped at the
lesser of reimbursement under the Medicare Part B physician fee
schedule or the Hospital Outpatient Prospective Payment System
(HOPPS) schedule. Currently, the technical component of our imaging
services is reimbursed under the Part B physician fee schedule,
which generally allows for higher reimbursement than under the
HOPPS. Under the DRA, we will be reimbursed at the lower of the two
schedules, beginning January 1, 2007. The DRA also codifies the
reduction in reimbursement for multiple images on contiguous body
parts previously announced by the Centers for Medicare and Medicaid
Services (CMS). In November 2005, CMS announced that it will pay
100% of the technical component of the higher priced imaging
procedure and 50% for the technical component of each additional
imaging procedure for imaging procedures involving contiguous body
parts within a family of codes when performed in the same session.
Under current methodology, Medicare pays 100% of the technical
component of each procedure. CMS will phase in this rate reduction
over two years, so that the reduction will be 25% for each
additional imaging procedure in 2006 and another 25% in 2007. We
believe the implementation of the reimbursement reductions
contained in the DRA will have a significant effect on our
business, financial condition and results of operations. For the
fiscal year ended December 31, 2005, Medicare revenue from our
imaging centers represented approximately 26% of our total revenue
from our imaging centers. If both reimbursement reductions
contained in the DRA had been in effect during fiscal year 2005, we
estimate that our Medicare revenue would have been reduced by
approximately $13.3 million. The estimated future reduction in
revenue and pre-tax earnings from the reimbursement changes
contained in the DRA is as follows: Estimated Reduction in Revenue
and Pre-Tax Earnings from DRA (In thousands of dollars) 2006 2007
Contiguous Body Parts $ 1,900 $ 2,900 Fee Schedule Change $ 0 $
10,400 Total $ 1,900 $ 13,300 These estimated reductions do not
assume any impact from our unconsolidated joint ventures and do not
include any reductions that would result if commercial payors adopt
reimbursement reductions similar to those contained in the DRA. We
have been notified by one payor that it will adopt the contiguous
body part imaging reduction in 2006. If commercial payors adopt
reimbursement reductions similar to those contained in the DRA,
this would result in additional reductions in our estimated revenue
and pre-tax earnings that could be much greater than the reductions
shown above, leading to a further material and substantially
negative effect on our business. About Radiologix Radiologix
(http://www.radiologix.com/) is a leading national provider of
diagnostic imaging services, owning and operating multi-modality
diagnostic imaging centers that use advanced imaging technologies
such as positron emission tomography (PET), magnetic resonance
imaging (MRI), computed tomography (CT) and nuclear medicine, as
well as x-ray, general radiography, mammography, ultrasound and
fluoroscopy. The diagnostic images created, and the radiology
reports based on these images, enable more accurate diagnosis and
more efficient management of illness for ordering physicians.
Radiologix owned or operated 72 diagnostic imaging centers located
in 7 states as of December 31, 2005. Forward-Looking Statements
This press release contains "forward-looking statements" within the
meaning of Section 27A of the Securities Act and Section 21E of the
Securities Exchange Act of 1934, as amended (the "Exchange Act").
Forward-looking statements include words such as "may," "will,"
"would," "could," "likely," "estimate," "intend," "plan,"
"continue," "believe," "expect" or "anticipate" and other similar
words, and include all discussions about our acquisition and
development plans. We do not guarantee that the events described in
this press release will occur as described, or that any positive
trends noted in this press release will continue. These
forward-looking statements generally relate to our plans,
objectives and expectations for future operations and are based
upon management's reasonable estimates of future results or trends.
Although we believe that our plans and objectives reflected in, or
suggested by, such forward-looking statements are reasonable, we
may not achieve such plans or objectives. You are cautioned not to
unduly rely on such forward-looking statements when evaluating the
information presented in this press release. You should read this
press release completely and with the understanding that actual
future results may be materially different from what we expect. We
will not update forward-looking statements even though our
situation may change in the future. Specific factors that might
cause actual results to differ from our expectations include, but
are not limited to: * economic, demographic, business and other
conditions in our markets; * the highly competitive nature of the
healthcare business; * changes in patient referral patterns; *
changes in the rates or methods of third-party reimbursement for
diagnostic imaging services; * changes in our contracts with
radiology practice groups; * changes in the number of radiologists
operating in our contracted radiology practice groups; * the
ability to recruit and retain technologists; * the availability of
additional capital to fund capital expenditure requirements; *
lawsuits against Radiologix and our contracted radiology practice
groups; * changes in operating margins, particularly changes due to
our managed care contracts and capitated fee arrangements; *
failure by Radiologix to comply with state and federal
anti-kickback and anti-self referral laws or any other applicable
healthcare regulations; * changes in business strategy and
development plans; * changes in federal, state or local regulations
affecting the healthcare industry; * our indebtedness, debt service
requirements and liquidity constraints; * risks related to our
Senior Notes and healthcare securities generally; * interruption of
operations due to severe weather or other extraordinary events; and
* charges for unusual or infrequent (non-recurring) matters. A more
comprehensive list of such factors is set forth in the Company's
Annual Report on Form 10-K, for the year ended December 31, 2004,
and our other filings with the Securities and Exchange Commission.
Any forward-looking statement speaks only as of the date on which
such statement is made. The information in this press release is as
of February 9, 2006. Radiologix undertakes no obligation to update
any forward-looking statement or statements to reflect new events
or circumstances or future developments. First Call Analyst: FCMN
Contact: paul.streiber@radiologix.com
http://www.newscom.com/cgi-bin/prnh/19991026/RLGXLOGO
http://photoarchive.ap.org/ DATASOURCE: Radiologix, Inc. CONTACT:
Paul R. Streiber, Investor Relations of Radiologix, Inc.,
+1-214-303-2702, or Web site: http://www.radiologix.com/
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