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.

Eko Health’s AI platform for digital stethoscopes granted new CPT code
The Sensora platform, which includes multiple FDA-approved algorithms, has a new Category III CPT code.
Cardiologist demand is on the rise—can hospitals keep up?
Demand for inpatient and outpatient cardiology services is expected to increase significantly in the next decade, putting hospitals and health systems in a position where they need to plan ahead or risk falling behind.
SCCT leaders unpack the 2025 Medicare payment increase for coronary CTA
The Society of Cardiovascular Computed Tomography is cheering as a “huge win” the 2025 CMS payment increase for coronary CTA that more than doubles the current payment and “better aligns with the cost of providing CCTA services." The panel expects the move to bring an increase in CT utilization, more adoption with financial sustainability and greater access in currently underutilized areas.
Cardiologist receives 35 months in prison for health insurance fraud
Fazal Panezai, MD, faced up to 10 years in prison for coordinating a years-long fraud scheme from 2017 to 2022. His New Jersey medical license has already been permanently revoked.
Cardiology societies push Medicare to pay for tricuspid TEER
Six multispecialty cardiovascular societies have called on CMS to approve Medicare payments for tricuspid transcatheter edge-to-edge repair (T-TEER).

'Major victory': Texas physicians score key court win in national fight over surprise billing ban

Radiologists praised the ruling while AHIP, the nation's largest health insurance lobbying group, called it "misguided."

February 25, 2022

Lawsuit targets hospital system’s ‘astonishingly high’ charges for CT imaging and other care

Vidant Health has allegedly hid prices from patients, allowing it to overcharge for computed tomography exams and other common procedures, attorneys charged.

February 23, 2022

CMS expanding coverage for CT lung cancer screening, drawing imaging advocate praise

ACR and the Society of Thoracic Surgeons said they will work with the feds, medical providers and patients to implement new screening recommendations.

February 10, 2022

What radiology providers need to know about 2022 CPT coding updates

The American Medical Association has added nearly 250 new Current Procedural Terminology codes this year, but only a select few impact imaging.

January 25, 2022

American Heart Association supports new ‘surprise billing’ legislation, but physician groups have serious doubts

According to the AHA, the No Surprises Act will "make a truly meaningful difference" to millions of patients. Physicians, on the other hand, have shared significant concerns about the legislation.

December 7, 2021

CMS finalizes 2022 Medicare Physician Fee Schedule—payments to cardiologists take a hit

Also, penalties for failing to comply with the Appropriate Use Criteria program have been delayed yet again.

November 3, 2021

High‐billing cardiologists order more tests when treating AFib—but outcomes do not improve

What do these findings say about current billing policies?

October 21, 2021

Cardiologists oppose 2 key CMS proposals, warn of ‘unintended consequences’

The American College of Cardiology has published a thorough analysis of the proposed 2022 Medicare Physician Fee Schedule, making many recommendations and comments related to the future of patient care.

September 15, 2021

Revenue & Reimbursement

Eko Health’s AI platform for digital stethoscopes granted new CPT code

Cardiologist demand is on the rise—can hospitals keep up?

SCCT leaders unpack the 2025 Medicare payment increase for coronary CTA

Cardiologist receives 35 months in prison for health insurance fraud

Cardiology societies push Medicare to pay for tricuspid TEER