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.

ACC Vice President Cathie Biga explains issues with cardiology reimbursements at ACC23. #ACC #ACC23

Reimbursement challenges raising concerns in cardiology

Cathie Biga, vice president of the American College of Cardiology, spoke to Cardiovascular Business at ACC.23 about challenges in the world of cardiology reimbursements. "As that healthcare dollar goes up, it is not going to the physicians," she said.

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Cardiologists received $1.1B in industry payments in 6 years

Diving deeper into the data, researchers noted that 40.8% of the payments were tied to speaker fees. Another 19% were from consulting fees.

The integration of artificial intelligence (AI) into radiology PACS and enterprise imaging systems has become a big topic of discussion with IT vendors over the past couple years. This has become a bigger question from hospitals and radiology groups as there are now about 400 radiology related AI algorithms that have U.S. Food and Drug Administration (FDA) clearance. Amy Thompson, a senior analyst at Signify Research, is monitoring AI trends in radiology and discusses trends.

Trends in the adoption and integration of AI into radiology workflows

Amy Thompson, a senior analyst at Signify Research, explains why AI adoption has been slow in radiology, common barriers and trends in the market.

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Florida cardiology practice, 10 cardiologists pay $2M to settle fraud allegations

The practice and many of its cardiologists allegedly submitted false claims to Medicare, Medicaid, TRICARE and the Federal Employee Health Benefits Program. 

Cleveland Clinic CEO warns of $200M loss in 2022

Cleveland Clinic CEO and President Tom Mihaljevic, MD, gave the healthcare organization’s State of the Clinic speech on Jan. 18, sharing optimism for the company’s future despite a $200 million loss in 2022.

Clyde W. Yancy, MD, MSc, vice dean for diversity and inclusion, chief of cardiology in the Department of Medicine, and a professor of medicine in cardiology and medical social sciences at Northwestern Medicine, discusses health equity issues in cardiology at the American Heart Association (AHA) 2022 meeting.

VIDEO: Health equity and diversity is a business model

Clyde Yancy, MD, vice dean for diversity and inclusion, chief of cardiology, and a professor of medicine in cardiology and medical social sciences at Northwestern Medicine, discusses health equity issues and how greater inclusion should be a business model because of changing demographics.

Claire Ernst, director of government affairs, Medical Group Management Association (MGMA), explains the list of priorities for the association. These include staving off the large, planned 2023 Medicare reimbursement cuts, fighting for continuation of reimbursements for telehealth, and revamping prior authorizations.

VIDEO: Top priorities for the Medical Group Management Association in 2022

Claire Ernst, director of government affairs, Medical Group Management Association (MGMA), explains the list of priorities for the association, include staving off the large Medicare reimbursement cuts, continuation of telehealth reimbursements, and revamping prior authorizations. 

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Health spending reached $4.3 trillion in 2021

After a significant jump in healthcare spending in 2020 with the onset of the COVID-19 pandemic, healthcare spending in the United States only increased 2.7% in 2021, according to new analysis from the Office of the Actuary at the Centers for Medicare and Medicaid Services (CMS), published in Health Affairs.