Revenue & Reimbursement

Healthcare reimbursement is payment that a hospital, diagnostic imaging facility, subspecialty department or healthcare providers receive for performing a service. This also includes individual radiologist or cardiologist reimbursement and billing and coding rules for submitting claims.

ACC raises red flags over telehealth, payment reform and the cardiologist shortage
"We need telehealth the way we had it for COVID," Cathie Biga told Cardiovascular Business at TCT 2025. "We don't want to go back to having it so restricted."
ASE leading push to revise CPT code for interventional echocardiography
The pressure is on for ASE and other societies to create a new CPT code for the use of interventional echocardiography during structural heart procedures.
Common methods for attributing cardiac care in ACOs may be falling short
As the United States continues to move toward quality-based care, ACOs need to rethink the way they attribute care to cardiologists and other members of the heart team.
What the DOJ looks for to spot healthcare fraud
Former principal assistant deputy chief of the U.S. Department of Justice's Healthcare Fraud Unit, Lisa Miller, explains what the DOJ is looking for in healthcare fraud cases.
SCAI highlights the benefits of ICE-guided structural heart interventions
ICE is gaining momentum as a helpful imaging option during structural heart interventions, according to a new SCAI position statement. TEE and TTE remain incredibly important, but there are times when ICE can provide the guidance necessary.

At the recent American College of Cardiology (ACC) Legislative Committee meeting, leaders warned that ongoing federal policy uncertainty threatens patient access and the stability of cardiovascular care. Cathie Biga, MSM, immediate past president of the ACC, outlined growing concerns over telehealth, shrinking Medicare reimbursement, and mounting physician workforce shortages driven by visa restrictions.

ACC raises red flags over telehealth, payment reform and the cardiologist shortage

"We need telehealth the way we had it for COVID," Cathie Biga told Cardiovascular Business at TCT 2025. "We don't want to go back to having it so restricted."

ASE leading push to revise CPT code for interventional echocardiography

The pressure is on for ASE and other societies to create a new CPT code for the use of interventional echocardiography during structural heart procedures.

David Magid, MD, MPH/MSPH, a professor of cardiology at the University of Colorado, explains attributing cardiac patient care to physicians in accountable care organizations.

Common methods for attributing cardiac care in ACOs may be falling short

As the United States continues to move toward quality-based care, ACOs need to rethink the way they attribute care to cardiologists and other members of the heart team.

Lisa Miller, JD, former deputy assistant attorney general U.S. Department of Justice (DOJ) Criminal Division, a former principal assistant deputy chief of the DOJ healthcare fraud unit, and now a partner in the legal firm Sidley Austin LLP, explains what the DOJ is looking for in Medicare fraud cases.

What the DOJ looks for to spot healthcare fraud

Former principal assistant deputy chief of the U.S. Department of Justice's Healthcare Fraud Unit, Lisa Miller, explains what the DOJ is looking for in healthcare fraud cases.

SCAI highlights the benefits of ICE-guided structural heart interventions

ICE is gaining momentum as a helpful imaging option during structural heart interventions, according to a new SCAI position statement. TEE and TTE remain incredibly important, but there are times when ICE can provide the guidance necessary.

SCAI outlines broken Medicaid reimbursement model for congenital heart disease

SCAI says many children and adults living with congenital heart disease are being left behind by a payment system that does not adequately value their care.

Anders Gilberg, MGA, Senior Vice President, Government Affairs at Medical Group Management Association (MGMA), said the rapid fire changes in healthcare policy under the Trump administration has been a whirlwind with a mix of reactions by stakeholders to policies based on reality and and also perception of possible impacts. #MGMA

MGMA weighs in on Washington’s political turmoil, Medicaid cuts and healthcare policy uncertainty

“It’s been a whirlwind,” Anders Gilberg, senior vice president of government affairs at MGMA, told HealthExec. “Rarely do we have an administration come in and do so much in such a short period of time.”

MGMA's Anders Gilberg says Congress needs to act soon to preserve access to telemedicine programs.

MGMA: Congress needs to act soon to preserve access to telemedicine programs

Congress needs to act soon to extend telemedicine services that were greatly expanded under COVID provisions, or they will expire by October. Anders Gilberg, senior vice president of government affairs at the Medical Group Management Association, explains concerns raised by doctors and lawmakers.