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.

Women in cardiology receive less money from CMS, submit fewer charges

More research is still needed to find out why these differences exist, but the authors did offer some possible explanations.

‘Grave concern’: Radiologist reimbursement expected to plummet after CMS clinical labor wage update

The Society of Interventional Radiology said the proposed cuts represent a “perfect storm,” resulting from the feds’ failure to keep labor rates and product tables current with inflation.

Interventional cardiologists back prior authorization bill, call current policies ‘costly' and ‘time consuming’

The Society for Cardiovascular Angiography and Interventions is the latest industry organization to show its support of the new legislation.

American College of Radiology highlights imaging CPT code changes for 2022 and sooner

Two code additions for next year cover a new procedure—destruction of the intraosseous basivertebral nerve—that provides relief for certain back pain.

COVID-19 congress coronavirus Washington

Radiologists ask Congress for $3B to offset looming cuts in Medicare Physician Fee Schedule

In a letter to lawmakers, 63 medical groups said the pandemic continues to challenge physician practices.

Cardiologists join fight for better MIPS transparency

The American College of Cardiology, Heart Rhythm Society and Society for Cardiovascular Angiography and Interventions joined dozens of other U.S. healthcare groups to request more clarity and better communication from CMS when it comes to MIPS updates.

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.

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.

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