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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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. 

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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. 

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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. 

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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.

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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. 

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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.