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.

MGMA: Congress needs to act soon to preserve access to telemedicine programs
Congress needs to act soon to extend telemedicine services that were greatly expanded under COVID provisions, or they will expire by October. Anders Gilberg, senior vice president of government affairs at the Medical Group Management Association, explains concerns raised by doctors and lawmakers.
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.
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.
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.
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.

Dana H. Smetherman, MD, MPH, MBA, FACR, the new CEO of the American College of Radiology (ACR), explains with the ongoing 2024 election, it is very unlikely there will be any serious reform to the Medicare payment system this year. She said further Medicare cuts set for 2025 also further threaten patient access to care.

Meaningful Medicare reform unlikely in 2024

New American College of Radiology CEO Dana Smetherman, MD, discusses the impact of reimbursement cuts, issues with staffing costs and prior authorization.

Cardiology groups push for Medicare reform in face of ‘unsustainable’ payment cuts

Nearly 130 healthcare groups are urging Congress to pass legislation that would provide relief to U.S. physicians struggling to keep up with wave after wave of payment reductions.

How the proposed Medicare Physician Fee Schedule could impact nuclear cardiology

The American Society of Nuclear Cardiology explored some key points included in the 2025 Medicare Physician Fee Schedule proposed rule.

Medicare money payment reimbursement dollar decline george washington

Doctors sound alarm over ‘dangerous’ payment cuts in proposed Medicare Physician Fee Schedule

According to the new proposal, the 2025 conversion factor would be $32.36, down approximately 2.8% from 2024. SCAI, MGMA and other groups have already stepped forward with warnings that these cuts could do significant damage to patient care.

Jim Melton, DO, vascular surgeon and co-founder of the CardioVascular Health Clinic in Oklahoma City, explains the use of mobile outreach cardiology clinics to help rural and Native American populations.

Mobile cardiology clinic reaches rural, Native American populations in Oklahoma

Jim Melton, DO, a vascular surgeon in Oklahoma City, explains his efforts to reach patients in rural Oklahoma and Native American tribes with a mobile cardiovascular clinic program.

AMA graphic showing Medicare payment inflationary updates for most providers, but not physicians. #AMA #medicarereform

AMA: Community practices unsustainable with low Medicare and Medicaid physician payments

The American Medical Association says payment policies are challenging the viability of smaller physician practices, which will eventually cause healthcare access issues.

Jason Wasfy, MD, associate professor at the Harvard Medical School and director of quality and outcomes research, Massachusetts General Hospital Heart Center, spoke at the Heart Rhythm Society 2024 meeting in the business of cardiology sessions about the current and future models of value based payments.

Value-based care gives cardiology practices an opportunity to thrive

Value-based payments can impact cardiology practices in many ways, helping cardiologists acquire new technology and boost patient care.

AMA will aggressively support permanent telemedicine reimbursement

The American Medical Association said it will lobby for an indefinite extension of Medicare reimbursement for telemedicine services, fighting a Dec. 31, 2024, sunset date.

Revenue & Reimbursement

MGMA: Congress needs to act soon to preserve access to telemedicine programs

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

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

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

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