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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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?

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Wearables & Workflow: How One Practice Is Hurdling Time, Liability & Billing

Sanjaya Gupta, MD, MBA, details how his practice is leverage wearables as a patient engagement tool.

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Cardiologist found guilty of billing insurers $13M for needless angina treatments

An eight-day trial and two-hour jury deliberation has culminated in the conviction of Pennsylvania cardiologist Samirkumar J. Shah, who on June 14 was found guilty of two counts of healthcare fraud for falsely billing insurers for unnecessary angina treatments.

Heart attack patient’s $227K balance highlights inconsistent billing practices

A woman who was on the hook for nearly $227,000 in medical bills after suffering a heart attack and other complications had her balance wiped out by a medical charity waiver, Kaiser Health News reported. But that didn’t save Debbie Moehnke and her husband, Larry, the stress of mounting medical bills and calls from debt collectors, and the story highlights how inconsistent billing practices could impact other patients.

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Seizing the moment: How to set the stage for imaging practice growth

Sponsored by Merge, an IBM company

As reimbursement challenges grow for outpatient imaging, many practices are struggling to remain afloat. However, with the right technology, it’s very possible to stay ahead of the curve.