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.

CMS expanding coverage for CT lung cancer screening, drawing imaging advocate praise

ACR and the Society of Thoracic Surgeons said they will work with the feds, medical providers and patients to implement new screening recommendations.

February 10, 2022

What radiology providers need to know about 2022 CPT coding updates

The American Medical Association has added nearly 250 new Current Procedural Terminology codes this year, but only a select few impact imaging.

January 25, 2022

American Heart Association supports new ‘surprise billing’ legislation, but physician groups have serious doubts

According to the AHA, the No Surprises Act will "make a truly meaningful difference" to millions of patients. Physicians, on the other hand, have shared significant concerns about the legislation.

December 7, 2021

CMS finalizes 2022 Medicare Physician Fee Schedule—payments to cardiologists take a hit

Also, penalties for failing to comply with the Appropriate Use Criteria program have been delayed yet again.

November 3, 2021

High‐billing cardiologists order more tests when treating AFib—but outcomes do not improve

What do these findings say about current billing policies?

October 21, 2021

Cardiologists oppose 2 key CMS proposals, warn of ‘unintended consequences’

The American College of Cardiology has published a thorough analysis of the proposed 2022 Medicare Physician Fee Schedule, making many recommendations and comments related to the future of patient care.

September 15, 2021

Cardiologists urge CMS to reconsider MPFS changes that could ‘jeopardize the delivery of care’

The American College of Cardiology and Society for Cardiovascular Angiography (SCAI) and Interventions are just two of the medical societies concerned about this proposal.

September 10, 2021

Providers predict radiology practice closures if CMS fails to fix Medicare fee schedule

Payments for some office-based services are slated to fall 20%, potentially devastating private groups, experts said recently.

September 9, 2021

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