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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Radiologists demand greater transparency from CMS in Merit-Based Incentive Payment System

Docs are “particularly concerned” that the dearth of data could be concealing issues with cost measures or benchmarks, 45 physician groups including the ACR wrote recently.

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Prominent imaging groups push for first radiology-specific artificial intelligence CPT code

The Category 3 code proposal would cover AI analysis for the detection of vertebral fractures and could take effect as soon as Jan. 1, 2022. 

What radiology practices need to know about 2021 CPT coding changes

In particular, the code for low-dose lung cancer screening has been replaced, with financial implications for physicians. 

Congress dome capitol Washington

Cardiologists, other healthcare providers speak out against ‘detrimental’ cuts included in MPFS final rule

A large coalition, including several cardiology groups, is asking Congress to pass legislation that would help protect healthcare providers from the final rule's "arbitrary" Medicare cuts. 

vaccine syringe covid-19 coronavirus

American Medical Association releases new CPT codes to report COVID-19 vaccinations

AMA said it’s rolling out this info before any drug is available so that practices can prepare their EHRs ahead of time. 

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American College of Radiology proposes two new imaging-related CPT codes

If approved by the American Medical Association's editorial panel, one revision could go into effect as soon as July 1. 

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CV societies ‘very concerned’ about proposed coverage changes for MR therapy

The American College of Cardiology, Society of Thoracic Surgeons, American Association for Thoracic Surgery and Society for Cardiovascular Angiography and Interventions all collaborated on the response. 

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What it Takes to Walk the Talk on Value

Medical practices are increasingly pressured to showcase the details of their contribution to medicine. But radiology isn’t like most other medical specialties, is it?