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.

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DBT coverage mandates increase use but have no impact on patients’ out-of-pocket costs

More than a dozen states have required private payers to cover digital breast tomosynthesis, producing a $39 decrease in average price for the exam. 

Imaging center operator Akumin announces CEO’s departure following board of directors vote

After closing its purchase of Alliance Healthcare, the company had deployed two chief executives, but ended the arrangement March 18.

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Radiology Partners’ revenues reach more than $2B, a 13-fold increase in five years

Rad Partners has “aggressively” acquired imaging groups in recent years, leaving the company highly leveraged, S&P Global analysts reported. 

Congress dome capitol Washington

‘Deeply troubled’: Doc groups blast MedPAC call for zero physician services pay update in 2023

Congress has provided billions in relief during the public health emergency, and patient volumes continue to rebound, the commission contended. 

District of Columbia DC congress capitol hill

ACR among dozens of doc groups urging feds to forgo looming Medicare cuts

Congress paused planned sequester cuts for the first three months of 2022, but they'll starting hitting docs on April 1, imaging advocates noted. 

ultrasound appendix appendicitis pediatric imaging

Study unearths low compliance and high outpatient imaging price variability at children’s hospitals

An MRI of the brain, for instance, could run for $1,693, a more than sevenfold difference from Medicare’s $230 rate.

CT scan showing lung cancer nodules with measurements of each nodule to track growth or regression from treatment. Image courtesy of RSNA

ACR outlines changes in Medicare lung cancer screening coverage

The American College of Radiology recently released a detailed summary of the National Coverage Determination related to screening for lung cancer with low dose CT.

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Cardiology societies want to help Congress reform Medicare

Multiple cardiology societies, including the ACC, ASE and SCAI, want to work with Congress to update Medicare payment policies. 

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