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.

ASNC calls on members to fight 57% Medicare cut for cardiac amyloid imaging
Jamieson M. Bourque, MD, MHS, president-elect of the American Society of Nuclear Cardiology, shared the group's concerns with Cardiovascular Business. “This is going to have a highly negative impact," he said.
Looming end of Medicare rural pay adjustment raises concerns about doctor shortages
Anders Gilberg, senior vice president of government affairs at the Medical Group Management Association, explains why Congress needs to renew the Medicare geographic pay adjustments in rural areas—to make payments competitive with urban areas and help retain physicians in those communities.
MGMA raises alarm over 2026 Medicare Physician Fee Schedule, warns of access crisis
Many make federal reimbursement plans into an issue about high-paid specialists complaining about pay cuts, but these fees also compensate nurses, technicians, support staff and administrators. Payment keeps the doors of brick-and-mortar medical practices open, MGMA warns.
MGMA warns of government overreach in the proposed 2026 Medicare Physician Fee Schedule
The Medical Group Management Association shares concerns about the draft fee schedule published in July. A major concern is the government possibly changing how RVUs are set, rather than allowing the medical specialty representatives to have a say.
Boston Scientific’s coronary DCB gains new Medicare reimbursement
The first coronary DCB to gain FDA approval just received an additional reimbursement that could improve patient access.

Cardiologists lead push for Aetna to reconsider ‘restrictive,’ ‘inconsistent’ reimbursement proposals

The policies cover a wide range of interventional therapies, including Shockwave Medical's IVL technology and intravascular ultrasound.

Kit Crancer RBMA president on Medicare cuts RSNA 2023.

The impact of Medicare payment cuts on radiology and patient care access

RBMA President Kit Crancer said continued cuts will result in Medicare patients losing access to care when health systems and providers determine it is no longer economical.

Large crowd in the recruiters row on the RSNA expo floor. There was a record number of recruiters at RSNA this year as the radiologist shortage begins to hurt many healthcare systems. The shortage was also brought up in nearly all discussions Radiology Business has at RSNAS 2023. #RSNA #RSNA23 #RSNA2023

4 key trends in radiology at RSNA 2023

The rapidly growing shortage of radiologists and technologists was by far the biggest concern discussed across the Radiological Society of North America meeting.

CMS increases reimbursement for AI-powered heart failure platform

Ultromics thinks the significant payment increase will help ramp up utilization among U.S. healthcare providers.

CMS increases reimbursement for CVRx’s implantable Barostim device for heart failure

Implanting the Barostim device is now associated with an average payment amount of $45,000, up significantly from the previous average of $29,000.

Medicare money payment reimbursement dollar decline george washington

Cardiologists, heart surgeons and imaging experts push for changes that could prevent ‘permanent and unjustifiable Medicare cuts’

More than 100 U.S. medical societies are throwing their support behind a new proposal that could reform out-of-date Medicare policies and help limit future payment cuts.

IVL gains higher level of reimbursement with one of biggest coding updates for PCI in decades

Intravascular lithotripsy therapy to break up calcified coronary lesions will now be reimbursed at a higher rate under new in-hospital codes the went into effect Oct. 1.

Ken Rosenfield, MD, Mass General Hospital, explains the impact wider CMS reimbursement for carotid artery stenting will have on patient stroke care and interventional cardiology. CAS

Q&A: Ken Rosenfield explains the impact of new reimbursement coverage for carotid stenting

Ken Rosenfield, MD, helped spearhead the recent Medicare policy change that made carotid stenting procedures available to more patients.

Revenue & Reimbursement

ASNC calls on members to fight 57% Medicare cut for cardiac amyloid imaging

Looming end of Medicare rural pay adjustment raises concerns about doctor shortages

MGMA raises alarm over 2026 Medicare Physician Fee Schedule, warns of access crisis

MGMA warns of government overreach in the proposed 2026 Medicare Physician Fee Schedule

Boston Scientific’s coronary DCB gains new Medicare reimbursement