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.

Cardiologist says new legislation would delay flawed payment cuts, preserve access to care
The efficiency adjustment cuts introduced in the 2026 MPFS are based on assumptions many doctors believe to be false. The American Society of Nuclear Cardiology and other medical societies are pushing back.
Cardiology, cardiac imaging groups support new bill delaying cuts to physician pay
Nearly 40 healthcare organizations signed a letter in support of the bipartisan legislation, noting that Medicare's “efficiency adjustment” decreases reimbursement during a challenging time for physicians.
Imaging industry group concerned about paltry insurance payment rates
Chairman Rich Fabian says AdvaMed Imaging is concerned about low Medicare pay rates and onerous rules created by private insurers.
Edwards celebrates double-digit TAVR sales growth in Q4
It was another strong quarter for Edwards Lifesciences as the company's TAVR platform continues to gain momentum. The FDA's approval of multiple Edwards valves for the treatment of asymptomatic severe AS represents a potential game-changer for the entire industry.
Office-based interventional labs see boost in pay in 2026
CMS has made it a priority to increase payments for procedures performed by office-based labs and ambulatory surgical centers. This was reflected in policy changes made as part of the 2026 Medicare Physicians Fee Schedule.

Robert Hendel, MD, Tulane University and former ASNC president, explains the pressing business aspects of nuclear cardiology and why ASNC included business management sessions at its 2023 annual meeting. #ASNC #ASNC23 #ASNC2023

Business considerations in the modern nuclear cardiology practice

Robert Hendel, MD, discussed everything from declining reimbursements in cardiology to prior authorization policies in an exclusive new interview.

Cardiologists at heart of alleged kickback scheme—imaging provider, CEO to pay $85M to settle

The allegations revolve around payments referring cardiologists received to supervise PET scans from March 2014 to May 2023.

healthcare value value-based care money dollar

Cardiologists, cardiac surgeons push insurance company to rethink billing policy

The American College of Cardiology, Society for Cardiovascular Angiography and Interventions and Society of Thoracic Surgeons raised the issue, which is related to the billing of transcatheter heart procedures such as TAVR.

Top trends in cardiac CT from SCCT 2023

Cardiac CT has been evolving rapidly in recent years. Brian Ghoshhajra, MD, outlined some of the main trends he has seen at the 2023 annual meeting of the Society of Cardiovascular Computed Tomography.

Kumar Aditya, director, information technology, Atlantic Health System, explains how the system automated more than 60% of its radiology prior authorization workflow.

How Atlantic Health automated its radiology prior authorization workflow

Director of IT Kumar Aditya explains how the New Jersey hospital system automated more than 60% of its radiology prior authorization workflow.

Mark Rabbat, MD, director of cardica CT at Loyola, discusses legislative advocacy efforts by SCCT to gain wider reimbursement for cardiac CT. #SCCT #SCCT23 #SCCT2023

SCCT hopes to increase cardiac CT reimbursements through advocacy

Mark Rabbat, MD, discusses the Society of Cardiovascular Computed Tomography's efforts to make an impact by lobbying in Washington.

Video of Denise Garris, ASE regulatory consultant and principal of the Korris Group, explaining how reimbursements from insurance andMedicare work to pay or cardiac ultrasound exams. #ASE #ASE360 #ASE23 #ASE2023 #healthcarereimbursment

Understanding reimbursements and coding for echocardiography

"I think everyone would agree that the current fee-for-service model is not working appropriately and there needs to be a fix," regulatory consultant Denise Garris explained in a new interview.

Video of ASE lobbyists explaining issues with Medicare funding policy reform in Washington DC.

Key government policies impacting cardiac ultrasound

Two experienced lobbyists who represent the American Society of Echocardiography detailed some of the biggest issues they are working on in Washington.

Revenue & Reimbursement

Cardiologist says new legislation would delay flawed payment cuts, preserve access to care

Cardiology, cardiac imaging groups support new bill delaying cuts to physician pay

Imaging industry group concerned about paltry insurance payment rates

Edwards celebrates double-digit TAVR sales growth in Q4

Office-based interventional labs see boost in pay in 2026