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.

CABG, TAVR top list of most lucrative heart procedures for hospitals
Other procedures are associated with higher profits—heart transplants, for instance—but CABG and TAVR are performed much more often.
ACC president details key advocacy efforts in cardiology
American College of Cardiology President Cathie Biga, MSN, says Medicare payment reform remains a top priority going forward. Site-neutral payments and improved access to PAD screening are two other issues close to the ACC's heart.
Congressional bill could reverse Medicare cuts and increase physician pay
A bill in Congress would reverse the 2025 Medicare cuts and increase physician pay, but a March deadline looms to make this happen.
Oklahoma cardiologist and his clinic pay $270K to settle whistleblower lawsuit
A Tulsa-based cardiology clinic was accused of submitting false claims for E&M services over a period of several years.
Cardiologist-supported bill to stop ‘harmful’ Medicare cuts returns to Congress
A bipartisan bill designed to block recent Medicare payment cuts has been reintroduced to Congress after failing to pass in 2024. Will things be any different this time around?

healthcare value value-based care money dollar

CABG, TAVR top list of most lucrative heart procedures for hospitals

Other procedures are associated with higher profits—heart transplants, for instance—but CABG and TAVR are performed much more often.

ACC President Cathie Biga explains the American College of Cardiology advocacy efforts in Washington D.C. in 2025.

ACC president details key advocacy efforts in cardiology

American College of Cardiology President Cathie Biga, MSN, says Medicare payment reform remains a top priority going forward. Site-neutral payments and improved access to PAD screening are two other issues close to the ACC's heart.

A graphic released by the AMA showing that cumulative Medicare payment cuts to physicians between 2001-2025 has resulted in a 33% cuts, which medical societies and numerous physicians in Congress says is not sustainable without Medicare patients losing access to care.

Congressional bill could reverse Medicare cuts and increase physician pay

A bill in Congress would reverse the 2025 Medicare cuts and increase physician pay, but a March deadline looms to make this happen.

money court scale of justice ruling legal settlement

Oklahoma cardiologist and his clinic pay $270K to settle whistleblower lawsuit

A Tulsa-based cardiology clinic was accused of submitting false claims for E&M services over a period of several years.

congress money legislation lawmaker bill senate house senator representative

Cardiologist-supported bill to stop ‘harmful’ Medicare cuts returns to Congress

A bipartisan bill designed to block recent Medicare payment cuts has been reintroduced to Congress after failing to pass in 2024. Will things be any different this time around?

Medicare Advantage faces criticism for administrative burdens, pushing doctors to opt out

Medical Group Management Association (MGMA) Senior Vice of Government Affairs, Anders Gilberg, explains the frustration surrounding the Medicare Advantage program.

ACR shares guidance to help members deal with confusing White House executive orders

A string of executive orders from the White House created serious concerns among radiologists and other healthcare providers throughout the United States. The American College of Radiology issued a statement to help guide its members through the chaos.

Melissa Davis, MD, MBA, Yale University, explains her research into private equity market penetration in radiology.

Concerns about private equity's growing influence in radiology

Melissa Davis, MD, vice chair of medical informatics and associate professor at Yale University’s Department of Radiology and Biomedical Imaging, shares her findings from research on private equity market penetration.