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.

ACC urges RFK Jr. to make Medicare reform a priority, warns against mass layoffs
The American College of Cardiology has sent a letter to HHS Secretary Robert F. Kennedy Jr. that outlines some of the organization’s central priorities and concerns.
CMS approves Medicare coverage for transcatheter tricuspid valve replacement
CMS will cover TTVR for the treatment of symptomatic tricuspid regurgitation on a national level. The agency first proposed such a policy in December, taking time to consider public comments before finalizing its decision.
Cardiology groups urge Congress to ‘take a stand’ after spending proposal fails to fix Medicare cuts
A new spending proposal that would extend government funding for another seven months does not address the Medicare payment cut that went into effect on Jan. 1. More than 100 healthcare groups, including the ACC, STS, SCCT and SCAI, are now voicing their disappointment.
Konica Minolta and ImagineSoftware partner to expand revenue cycle management offerings
Konica Minolta partnered with ImagineSoftware to integrate its AI-driven revenue cycle management platform into the Exa PACS-RIS solution.
Shift toward imaging outside the hospital could save billions
Harvard’s David A. Rosman, MD, MBA, explains how moving imaging outside of hospitals could save billions of dollars for U.S. healthcare.

Cardiologist’s legal fight against fraud conviction may be heard by Supreme Court

Kentucky cardiologist Richard Paulus was first found guilty back in October 2016, but he was granted a new trial in 2021.

Imaging industry advocate slams feds’ failure to address PET coverage gap in recent ruling

The Society for Nuclear Medicine & Molecular Imaging expressed "strong opposition" following CMS' decision, arguing there is no evidence to support limiting pay for such scans.

American College of Radiology, patient advocacy groups urge feds to fix CTC coverage gap

ACR and others have submitted a formal national coverage determination request, asking the agency to address payment gaps for virtual colonoscopies.

District of Columbia DC congress capitol hill

CMS delays start of Radiation Oncology Alternative Payment Model yet again

The mandatory bundled payment initiative was slated to kick off Jan. 1, 2023, following numerous delays, but will now launch on a to-be-determined date.

S&P downgrades radiology provider Envision Healthcare, citing ongoing cash crunch

Analysts expect the Nashville, Tennessee-based physician firm's liquidity position to "meaningfully deteriorate" over the next year under its current operating structure.

Moody’s upgrades RadNet’s outlook to ‘positive’ amid full recovery from COVID-19, improved financials

Analysts highlighted the imaging giant's “strong” competitive position, multifaceted revenue streams through the delivery of various imaging modalities, and payer diversity.

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.

Revenue & Reimbursement

ACC urges RFK Jr. to make Medicare reform a priority, warns against mass layoffs

CMS approves Medicare coverage for transcatheter tricuspid valve replacement

Cardiology groups urge Congress to ‘take a stand’ after spending proposal fails to fix Medicare cuts

Konica Minolta and ImagineSoftware partner to expand revenue cycle management offerings

Shift toward imaging outside the hospital could save billions