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.

AMA leader outlines major threats facing U.S. healthcare: Payment cuts, AI denials, immigration bottlenecks and corporate takeovers
American Medical Association Board Trustee Scott Ferguson, MD, FACR, a diagnostic radiologist, explains the urgent need for Medicare payment reform, concerns about Trump administration public health policy, insurance prior authorization, medical student immigration and the rapid growth of private equity ownership of physicians.
AMA president warns prior authorization hurting patients, driving burnout and practice closures
American Medical Association President Bruce Scott, MD, explains the growing issues with insurance prior authorization impacting patient care and what the AMA is doing about it.
AMA to advocate for improved Medicare payments for office-based labs
SCAI and other healthcare groups want changes made to how healthcare providers are paid after performing office-based lab procedures. "As much as we love delivering care as doctors, if we are losing money doing something, we cannot sustain it," one cardiologist explained.
AMA President highlights growing crisis facing U.S. physicians
American Medical Association President Bruce Scott, MD, explains some of the key issues facing physicians, including burnout, growing medical staffing shortages, doctors leaving rural areas, increasing patients and declining Medicare payments.
Society of Interventional Radiology joins others in urging Medicare payment for high-cost disposables
The resolution urges the AMA to advocate for separate payment for certain services using supplies priced above $500, as well as those containing high-cost equipment.

Stephen Little, MD, discusses trends in echocardiography at ASE 2023. #ASE23 #ASE2023 What is new in cardiac ultrasound.

Back in the spotlight: Exploring echocardiography's revival

American Society of Echocardiography President Stephen Little, MD, says several trends and technologies are coming together at once, leading to renewed interest in echo.

Interventional cardiologists, electrophysiologists ask CMS to clarify policy after unexpected denials

Three cardiology societies have reached out to CMS with questions about how MACs are interpreting a policy related to shared decision-making.

Nearing a ‘breaking point’: Cardiologists support legislation designed to mitigate Medicare cuts to office-based services

These latest cuts could be a "breaking point" for physicians, according to a new letter to lawmakers.

Sam Jones, MD, explains why CMS reduced payments for EP ablation and how it will negatively impact electrophysiology. #HRS #HRS2023 #EPeeps #EPlab #Medicare

Making sense of the huge Medicare reimbursement cuts in electrophysiology

Samuel Jones, MD, examines the large reimbursement reductions in cardiac ablations and what the impact might be on access to care in EP labs.

Conifer, Welldoc partner in digital health app

Conifer Health Solutions, a revenue cycle and value-based care solution provider, has teamed up with Welldoc to launch a new digital health app, Conifer Connect.

Cardiologists, cardiac surgeons support new bill that could limit Medicare cuts

More than 100 U.S. medical societies—including the ACC, ASNC and others—have united in support of a new bill that would make a long-term impact on Medicare payments.

SCAI blasts Medicare payment cuts to cardiology, asks members to take action

The group hopes its members can increase congressional support of a new bill introduced in the House.

Private-payer billings not radiology’s revenue category to lead

Going by claims submitted to commercial insurers, radiology ranks 15th out of 18 physician specialties.

Revenue & Reimbursement

AMA leader outlines major threats facing U.S. healthcare: Payment cuts, AI denials, immigration bottlenecks and corporate takeovers

AMA president warns prior authorization hurting patients, driving burnout and practice closures

AMA to advocate for improved Medicare payments for office-based labs

AMA President highlights growing crisis facing U.S. physicians

Society of Interventional Radiology joins others in urging Medicare payment for high-cost disposables