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.

CMS approves Medicare coverage for transcatheter tricuspid valve replacement
CMS will cover TTVR for the treatment of symptomatic tricuspid regurgitation on a national level. The agency first proposed such a policy in December, taking time to consider public comments before finalizing its decision.
Cardiology groups urge Congress to ‘take a stand’ after spending proposal fails to fix Medicare cuts
A new spending proposal that would extend government funding for another seven months does not address the Medicare payment cut that went into effect on Jan. 1. More than 100 healthcare groups, including the ACC, STS, SCCT and SCAI, are now voicing their disappointment.
Konica Minolta and ImagineSoftware partner to expand revenue cycle management offerings
Konica Minolta partnered with ImagineSoftware to integrate its AI-driven revenue cycle management platform into the Exa PACS-RIS solution.
Shift toward imaging outside the hospital could save billions
Harvard’s David A. Rosman, MD, MBA, explains how moving imaging outside of hospitals could save billions of dollars for U.S. healthcare.
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.

Edwards Lifesciences Corporation has shared new one-year data on the safety and effectiveness of its Evoque transcatheter tricuspid valve replacement (TTVR) system among patients with tricuspid regurgitation (TR)

CMS approves Medicare coverage for transcatheter tricuspid valve replacement

CMS will cover TTVR for the treatment of symptomatic tricuspid regurgitation on a national level. The agency first proposed such a policy in December, taking time to consider public comments before finalizing its decision.

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Cardiology groups urge Congress to ‘take a stand’ after spending proposal fails to fix Medicare cuts

A new spending proposal that would extend government funding for another seven months does not address the Medicare payment cut that went into effect on Jan. 1. More than 100 healthcare groups, including the ACC, STS, SCCT and SCAI, are now voicing their disappointment.

Konica Minolta Healthcare Americas Inc. and ImagineSoftware announced an integration agreement to integrate the ImagineOne artificial intelligence (AI)-driven platform for automated radiology billing with Konica Minolta’s Exa PACS-RIS solution.

Konica Minolta and ImagineSoftware partner to expand revenue cycle management offerings

Konica Minolta partnered with ImagineSoftware to integrate its AI-driven revenue cycle management platform into the Exa PACS-RIS solution.

David A. Rosman, MD, MBA, deputy chief, radiology enterprise service, Mass General Brigham, explains details of a recent AJR article that showed imaging outside of hospitals could potentially save billions.

Shift toward imaging outside the hospital could save billions

Harvard’s David A. Rosman, MD, MBA, explains how moving imaging outside of hospitals could save billions of dollars for U.S. healthcare.

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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.

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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.