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.

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.
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.

There has been a growing shortage of cardiologists the past several years, but this has accelerated due to burnout from the pandemic, falling reimbursements and increasing administrative burdens. This prompted a joint session on this topic with the ACC and the Heart Rhythm Society at HRS 2024, with ACC President Cathie Biga, MSN, FACC, president and CEO of Cardiovascular Management of Illinois, former ACC president Ed Fry, MD, chair of the Ascension National Cardiovascular Service Line, and EP Parin Patel.

Addressing staffing shortages in cardiology

ACC President Cathie Biga, MSN, RN, Edward Fry, MD, and electrophysiologist Parin Patel, MD, discuss the growing cardiologist shortage.

AMA wants insurers to be accountable when prior authorization harms patients

The American Medical Association (AMA) House of Delegates this week approved two policies aimed at increasing insurer accountability and transparency amid an explosion of prior authorization requirements.

Joel Sauer, MBA, MedAxoim, explains why there is a big business trend in cardiology toward remote monitoring and telehealth to cut costs. #ACC #MedAxiom #Telecardiology #remotemonitoring #ACC2024

Telemedicine, remote monitoring help reduce healthcare costs

As profit margins in healthcare continue to shrink, telemedicine and remote monitoring are seeing a large increase to help cut costs while still delivering care outside of the hospital.

physician tracking patient data and reporting on outcomes

Q&A: Cardiologist Karen Joynt Maddox on why new healthcare policies are not improving outcomes

Healthcare's ongoing shift toward value-based care is a good thing, Joynt Maddox explained, but its implementation has been far from ideal. She also discussed population health, the pandemic, health disparities and the rising influence of private equity investments.

Drawing inspiration from the World War II “Why We Fight” campaign that rallied support for the U.S. war effort, American Medical Association (AMA) President Jesse M. Ehrenfeld, MD, MPH, drew comparisons with the uphill battles physicians are facing today with dwindling reimbursements, physicians shortages, burnout and administrative fights against prior authorization burdens and attempts to preserve access to telehealth. #AMA #AMAHOD24 #AMAHOD2024 #HOD #HOD24 #HOD2024

AMA president calls for physicians to take war-time footing in fight over reimbursement, care quality

Drawing inspiration from the World War II “Why We Fight” campaign that rallied support for the U.S. war effort, AMA President Jesse Ehrenfeld, MD, spoke on the uphill battles physicians are facing today.

How cardiologists and hospitals get paid

Joel Sauer, MBA, executive vice president of consulting with MedAxiom, reviews the intricacies of how cardiologists and hospitals are reimbursed.

AI-based coronary plaque assessments 1 step closer to Medicare coverage

According to a new proposal, using AI to evaluate CCTA results and quantify plaque buildup is “reasonable and medically necessary” in certain clinical scenarios.

U.S. News & World Report children’s hospitals cardiology heart surgery

New one-stop cardiology clinic focuses on patient relationships, not insurance

A cardiologist in Billings, Montana, says her new-look practice was designed to reach patients faster and ditch unnecessary red tape. Patients pay an upfront fee, and insurance does not play a role in treatment decisions.

Revenue & Reimbursement

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

Boston Scientific’s coronary DCB gains new Medicare reimbursement