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.

The long legal saga of Richard Paulus, a Kentucky cardiologist accused of performing unnecessary cardiac procedures, appears to still be going strong in 2022 and might be reviewed by the Supreme Court. The New York state radiologist is facing 36 misdemeanor counts for secret sexual recording without consent, according to a story in the Boston Herald.

Cardiologist’s legal fight against fraud conviction may be heard by Supreme Court

Kentucky cardiologist Richard Paulus was first found guilty back in October 2016, but he was granted a new trial in 2021.

April 20, 2022

Imaging industry advocate slams feds’ failure to address PET coverage gap in recent ruling

The Society for Nuclear Medicine & Molecular Imaging expressed "strong opposition" following CMS' decision, arguing there is no evidence to support limiting pay for such scans.

April 11, 2022

American College of Radiology, patient advocacy groups urge feds to fix CTC coverage gap

ACR and others have submitted a formal national coverage determination request, asking the agency to address payment gaps for virtual colonoscopies.

April 7, 2022

District of Columbia DC congress capitol hill

CMS delays start of Radiation Oncology Alternative Payment Model yet again

The mandatory bundled payment initiative was slated to kick off Jan. 1, 2023, following numerous delays, but will now launch on a to-be-determined date.

April 7, 2022

Medicare money payment physician. The CardioVascular Coalition and Society for Cardiovascular Angiography and Interventions have both issued new statements highlighting their issues with the 2024 MPFS proposed rule.

S&P downgrades radiology provider Envision Healthcare, citing ongoing cash crunch

Analysts expect the Nashville, Tennessee-based physician firm's liquidity position to "meaningfully deteriorate" over the next year under its current operating structure.

April 5, 2022

Moody’s upgrades RadNet’s outlook to ‘positive’ amid full recovery from COVID-19, improved financials

Analysts highlighted the imaging giant's “strong” competitive position, multifaceted revenue streams through the delivery of various imaging modalities, and payer diversity.

April 4, 2022

DBT coverage mandates increase use but have no impact on patients’ out-of-pocket costs

More than a dozen states have required private payers to cover digital breast tomosynthesis, producing a $39 decrease in average price for the exam.

March 28, 2022

Imaging center operator Akumin announces CEO’s departure following board of directors vote

After closing its purchase of Alliance Healthcare, the company had deployed two chief executives, but ended the arrangement March 18.

March 21, 2022

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