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.

‘Concerning’ data connect industry payments to cardiologists with medical device use
U.S. physicians often receive payments from medical device manufacturers and pharmaceutical companies. New research in JAMA found a connection between receiving such payments and using specific devices—should the industry be concerned?
Medicare reimbursement down 29% for cardiologists, 58% for heart surgeons
Physician payments are down slightly across the board, but they've fallen significantly for a handful of specialties. Researchers examined the long-term impact this trend could have on patient care.
Why the business side of cardiology was a key focus at ACC.24
Alison Bailey, MD, co-chair of the business of cardiology sessions at ACC.24, emphasized that reimbursement cuts can have a long-term negative impact on patient.
Strategies to solve the toughest issues facing radiology practice management
Rebecca Farrington and Sandy Coffta from Healthcare Administrative Partners explain how to best tackle real-world issues radiology practices are facing.
Use of AI in radiology revenue cycle management
Dave Walker, senior director of revenue cycle, Radiology Associates of North Texas, explains how his practice uses artificial intelligence for revenue cycle management during the Radiology Business Management Association (RBMA) 2024 meeting.

Stephen Little, MD, discusses trends in echocardiography at ASE 2023. #ASE23 #ASE2023 What is new in cardiac ultrasound.

Back in the spotlight: Exploring echocardiography's revival

American Society of Echocardiography President Stephen Little, MD, says several trends and technologies are coming together at once, leading to renewed interest in echo.

July 10, 2023

The Society for Cardiovascular Angiography and Interventions (SCAI), American College of Cardiology (ACC) and Heart Rhythm Society (HRS) have asked the U.S. Centers for Medicare and Medicaid Services (CMS) to clarify a key detail related to the national coverage determination (NCD) for percutaneous left atrial appendage closure (LAAC).

Interventional cardiologists, electrophysiologists ask CMS to clarify policy after unexpected denials

Three cardiology societies have reached out to CMS with questions about how MACs are interpreting a policy related to shared decision-making.

July 6, 2023

Nearing a ‘breaking point’: Cardiologists support legislation designed to mitigate Medicare cuts to office-based services

These latest cuts could be a "breaking point" for physicians, according to a new letter to lawmakers.

June 2, 2023

Sam Jones, MD, explains why CMS reduced payments for EP ablation and how it will negatively impact electrophysiology. #HRS #HRS2023 #EPeeps #EPlab #Medicare

Making sense of the huge Medicare reimbursement cuts in electrophysiology

Samuel Jones, MD, examines the large reimbursement reductions in cardiac ablations and what the impact might be on access to care in EP labs.

May 31, 2023

Conifer, Welldoc partner in digital health app

Conifer Health Solutions, a revenue cycle and value-based care solution provider, has teamed up with Welldoc to launch a new digital health app, Conifer Connect.

April 26, 2023

Cardiologists, cardiac surgeons support new bill that could limit Medicare cuts

More than 100 U.S. medical societies—including the ACC, ASNC and others—have united in support of a new bill that would make a long-term impact on Medicare payments.

April 24, 2023

Society for Cardiovascular Angiography and Interventions (SCAI) is asking its interventional cardiologist members to take action to prevent further cuts in Medicare payments in 2024 by contacting their Congressmen. There were substantial cuts in Centers for Medicare and Medicaid Services (CMS) payments to physicians in 2023 further cuts each year can only be prevented if Congress changes the laws for how CMS pays physicians.

SCAI blasts Medicare payment cuts to cardiology, asks members to take action

The group hopes its members can increase congressional support of a new bill introduced in the House.

April 12, 2023

Top 1% of physicians account for 17.5% of Medicare pie

Private-payer billings not radiology’s revenue category to lead

Going by claims submitted to commercial insurers, radiology ranks 15th out of 18 physician specialties.

April 3, 2023

Revenue & Reimbursement

‘Concerning’ data connect industry payments to cardiologists with medical device use

Medicare reimbursement down 29% for cardiologists, 58% for heart surgeons

Why the business side of cardiology was a key focus at ACC.24

Strategies to solve the toughest issues facing radiology practice management

Use of AI in radiology revenue cycle management