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.

Video interview with ACC President Cathie Biga on goals for college over the next year and trends she saw at ACC 2024.

New ACC President Cathie Biga wants to improve quality reporting in cardiology

Biga, who originally trained as a nurse, specializes in the business side of cardiology. She also emphasized the increasing importance of AI and other new technologies. 

Radiology Business Management Association (RBMA) President Christopher (Kit) Crancer, senior vice president of radiology and public policy partnerships, and executive director of the Rayus Quality Institute, explains the highlights from the 2024 RBMA meeting.

Highlights from RBMA's 2024 PaRADigm annual meeting in Las Vegas

Radiology Business Management Association (RBMA) President Christopher Crancer shared some early highlights from the group's 2024 PaRADigm annual meeting in Las Vegas. "We have a very engaged membership," he said. 

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New Jersey cardiologist faces up to 10 years in prison for $1.9M fraud scheme

The doctor, 76, admitted to billing multiple insurance providers for office visits that never happened at all.

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Cardiologist salary update: Compensation jumps to $525K per year, No. 3 among all specialties

In addition, cardiologists average an additional $75,000 per year in incentive-based bonuses. That number is only higher for two other specialties. 

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Critics call out ‘woefully inadequate’ CMS proposal for inpatient Medicare payments

CMS has issued its proposed rule for the 2025 Medicare hospital inpatient prospective payment system, suggesting a payment increase of 2.6%. According to the American Hospital Association, this update would not be enough at a time when hospitals are already struggling to stay open. 

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Former radiology group employees settle lawsuit over retirement benefits for $19M

About 180 former employees settled a suit with the former managers and owners of their radiology practice, saying their retirement benefits were mismanaged. 

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Cardiologists received $1.3B in industry payments over 10-year period, No. 3 among all healthcare specialties

Only orthopedic surgeons and neurologists/psychiatrists received more industry payments from 2013 to 2022 than cardiologists. Also, the two prescription medications associated with the most physician payments were a blood thinner and an anticoagulant. 

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ACC, SCAI say new funding bill did not do enough to limit Medicare reimbursement cuts to cardiology services

President Joe Biden signed a funding bill worth $460 billion on March 9, but it only included partial relief for cardiologists, cardiac surgeons and other cardiology professionals.