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.

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American Society of Nuclear Cardiology (ASNC) President-elect Jamieson M. Bourque, MD, MHS, FASNC, medical director of nuclear cardiology, echocardiography, and the stress laboratory at UVA Health in Charlottesville, and a professor of medicine and radiology at the University of Virginia, said the society is fighting a major proposed cut in CMS reimbursements in 2026.

ASNC calls on members to fight 57% Medicare cut for cardiac amyloid imaging

Jamieson M. Bourque, MD, MHS, president-elect of the American Society of Nuclear Cardiology, shared the group's concerns with Cardiovascular Business. “This is going to have a highly negative impact," he said. 

Anders Gilberg, MGA, senior vice president, government affairs at Medical Group Management Association (MGMA) explained the need to renew the Medicare geographic pay adjustments in rural areas to make payments more competitive than urban areas. He said this is vital to help retain physicians in rural areas who otherwise could find higher paying jobs in larger cities.

Looming end of Medicare rural pay adjustment raises concerns about doctor shortages

Anders Gilberg, senior vice president of government affairs at the Medical Group Management Association, explains why Congress needs to renew the Medicare geographic pay adjustments in rural areas—to make payments competitive with urban areas and help retain physicians in those communities.

nders Gilberg, MGA, senior vice president, government affairs at Medical Group Management Association (MGMA), shares concerns about the draft fee schedule published in July. Congress was poised to reverse part of the cut in physician pay last December, but Elon Musk intervened and no fix was made. Congress instead made promises to help in 2026, but MGMA says it is not enough.

MGMA raises alarm over 2026 Medicare Physician Fee Schedule, warns of access crisis

Many make federal reimbursement plans into an issue about high-paid specialists complaining about pay cuts, but these fees also compensate nurses, technicians, support staff and administrators. Payment keeps the doors of brick-and-mortar medical practices open, MGMA warns.

Anders Gilberg, MGA, senior vice president, government affairs at Medical Group Management Association (MGMA), shares concerns about the draft fee schedule published in July. A major concern is the government possibly changing how relative value units (RVUs) are set, rather than allowing the American Medical Association and medical speciality representatives having a say. #MGMA

MGMA warns of government overreach in the proposed 2026 Medicare Physician Fee Schedule

The Medical Group Management Association shares concerns about the draft fee schedule published in July. A major concern is the government possibly changing how RVUs are set, rather than allowing the medical specialty representatives to have a say.

Boston Scientific’s Agent Drug-Coated Balloon (DCB), which delivers a therapeutic dose of the anti-proliferative drug paclitaxel to the patient’s scar tissue to prevent ISR from recurring, gained FDA approval on March 1..

Boston Scientific’s coronary DCB gains new Medicare reimbursement

The first coronary DCB to gain FDA approval just received an additional reimbursement that could improve patient access. 

GE HealthCare reports positive second quarter and minimal tariff impacts

GE Healthcare reports Q2 revenue growth of 3% and lower than expected tariff losses at $550 million.

cardiologist salary and compensation data

Physician compensation in 2025 report released

Growing physician shortages have spurred rising salaries as health systems and practices attempt to attract or retain staff. Survey data from over 37,000 physicians shows the average physician pay in the U.S. increased 3.7% from 2023 to 2024 but remains lower than in 2022.

Alan Matsumoto, MD, FSIR, FACR, FAHA, Chairman of Board for the American College of Radiology, professor of radiology and chair of the Department of Radiology, at the University of Virginia, explains ACR support for the Radiology Outpatient Ordering Transmission (ROOT) Act bill in Congress that calls for appropriate use criteria to be used instead of prior authorization.

ACR supports bringing back clinical decision support to combat prior authorizations

Alan Matsumoto, MD, chair of the American College of Radiology, explains ACR support for the Radiology Outpatient Ordering Transmission (ROOT) Act in Congress. 

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