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Romano DH – CMS has made some changes to the Stark rules, which included adding nuclear medicine to the list of designated health services, prohibiting certain per–service or per–click leasing arrangements, and prohibiting physicians from owning entities that sell services to providers that then bill for them under arrangements. Because it is unclear whether these policy changes will have much effect on imaging utilization, CMS will continue to seek new ways to rein in utilization.

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