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.

Heart attack patient’s $227K balance highlights inconsistent billing practices

A woman who was on the hook for nearly $227,000 in medical bills after suffering a heart attack and other complications had her balance wiped out by a medical charity waiver, Kaiser Health News reported. But that didn’t save Debbie Moehnke and her husband, Larry, the stress of mounting medical bills and calls from debt collectors, and the story highlights how inconsistent billing practices could impact other patients.

March 22, 2019
Jeff Tumbleson

Seizing the moment: How to set the stage for imaging practice growth

Sponsored by Merge, an IBM company

As reimbursement challenges grow for outpatient imaging, many practices are struggling to remain afloat. However, with the right technology, it’s very possible to stay ahead of the curve.

June 22, 2016

MIPS packs positive—and potentially negative—punch for radiology

Sponsored by vRad

April 16, 2015, marked the beginning of a seismic shift in the healthcare landscape. On that day, the U.S. Senate passed H.R. 2, the MACRA, which repeals the SGR formula, extends the CHIP for two years, institutes a 0.5% increase in Medicare reimbursement over the next four and a half years and encourages physicians to transition to APMs.

September 28, 2015
Stephen R. Holtzman, MD, MS

Merge imaging solutions help one practice establish lean, mean radiology process

Sponsored by Merge, an IBM company

Radiology has been hit hard by reimbursement cuts and regulations but the cutting-edge tools available are helping practices stay ahead of all the changes impacting the market.

September 28, 2015
Thomas W. Greeson

Medicare Overpayment Refunds in the Spotlight

The practice has identified a billing error or a compliance problem impacting Medicare coverage that resulted in the practice having received an overpayment from Medicare.

September 28, 2015

ICD-10 attitudes survey validates official delay

Just before the transition to ICD-10 was officially delayed, NueMD conducted a survey of 1,300 healthcare professionals to gauge their attitudes towards ICD-10.

April 17, 2014

Deadline Looms for “High Risk” Enrollees

According to an article in the Wall Street Journal, there is a significant segment of high risk individuals with pre-existing medical conditions currently enrolled in a federal health insurance program that is slated to close on March 31, 2014. This federal program was created shortly after the 2010 health law was passed to offer assistance to those people who couldn’t get coverage from commercial insurers because of their pre-existing medical conditions. There was $5 billion in funding set aside to cover this group’s medical claims through December 31, 2013. 

March 15, 2014

Feds Seize Records in Zwanger-Pesiri Medicare Probe

According to an article published in NewsDay, Federal agents raided the corporate headquarters of Zwanger-Pesiri Radiology in Lindenhurst on Tuesday, March 11, seizing the records of the business that operates 12 medical offices on Long Island, NY. 

March 14, 2014