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.

AMA president Bruce Scott, MD, warns prior authorization is hurting patients and causing doctors to call it quits.

AMA president warns prior authorization hurting patients, driving burnout and practice closures

American Medical Association President Bruce Scott, MD, explains the growing issues with insurance prior authorization impacting patient care and what the AMA is doing about it.

SCAI AMA HOD delegates Jeff Marshall, MD, and And Edward Tuohy, MD, explain how the resolution will have AMA advocate for Medicare payment policy that removes high-ticket supplies from OBL physician payments and will enable these to be billed separately.

AMA to advocate for improved Medicare payments for office-based labs

SCAI and other healthcare groups want changes made to how healthcare providers are paid after performing office-based lab procedures. "As much as we love delivering care as doctors, if we are losing money doing something, we cannot sustain it," one cardiologist explained. 

American Medical Association (AMA) President Bruce Scott, MD, an otolaryngologist in Louisville, Kentucky, explains some of the key issues facing physicians, including burnout, growing medical staffing shortages, declining numbers of doctors in rural areas, increasing numbers of patients, large medical education debt payments, the lack of residency positions to train new doctors, and declining Medicare payments, which have declined 33% since 2000. Scott said these issues are also interrelated.

AMA President highlights growing crisis facing U.S. physicians

American Medical Association President Bruce Scott, MD, explains some of the key issues facing physicians, including burnout, growing medical staffing shortages, doctors leaving rural areas, increasing patients and declining Medicare payments.

 

Interventional radiologist radiology IR genicular artery embolization surgery

Society of Interventional Radiology joins others in urging Medicare payment for high-cost disposables

The resolution urges the AMA to advocate for separate payment for certain services using supplies priced above $500, as well as those containing high-cost equipment. 

healthcare surprise billing statement payment

Upcoding on the rise across all outpatient settings, study finds

A report by researchers at Trilliant Health found that common symptoms—such as cough, nausea and rash—are often coded as complex medical events, resulting in higher reimbursement rates.

Gerald Blackwell, president and CEO of MedAxiom, discusses the business of cardiology at ACC 2025.

Cardiology employment models undergoing a dramatic shift

Gerald G. Blackwell, MD, MBA, MedAxiom's president and CEO, examined how different cardiology employment models look today compared to even a decade ago.

Tariffs will have a significant impact on the nuclear imaging supply chain in the US

"Domestic radiopharmaceutical suppliers, who receive isotopes from abroad, would be impacted by price changes and uncertainty caused by additional tariffs,” SNMMI President Cathy Cutler, PhD, wrote in a letter to the U.S. Department of Commerce this week.

Tariffs not enough to make Siemens Healthineers move production or raise prices—yet

The imaging manufacturer expects to spend between $227 million and $340 million on tariff mitigation efforts, leaders said Wednesday.