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.

The business of cardiology is changing—and cath labs are working to keep up
Financial literacy is no longer optional for physicians. “If you're not financially viable, you can't function,” explained Nirat Beohar, MD. “The business education is probably just as important as learning a new procedure.”
Aetna covers AI-powered coronary plaque assessments, joining other major insurers
This news follows similar announcements from Humana, Cigna and UnitedHealthcare; a majority of insured Americans can now be treated with these technologies and have the procedure covered by their provider.
Cardiology needs to evolve in the face of employment trends
Cardiology has largely shifted to hospital-employed models, driven by reimbursement compression and evolving physician priorities. This has created challenges as well as opportunities.
Radiology dominates FDA-cleared AI, but reimbursement lags far behind
As of January 2026, there will only be two CPT category 1 payment codes for newer AI, despite there being hundreds of FDA-cleared medical imaging algorithms.
How to get reimbursed for renal denervation
Herbert D. Aronow, MD, reviewed the many ways the reimbursement landscape is changing thanks to new Medicare policies. “This is a really exciting time in the renal denervation space," he said.

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.

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.

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.

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.

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.

Revenue & Reimbursement

The business of cardiology is changing—and cath labs are working to keep up

Aetna covers AI-powered coronary plaque assessments, joining other major insurers

Cardiology needs to evolve in the face of employment trends

Radiology dominates FDA-cleared AI, but reimbursement lags far behind

How to get reimbursed for renal denervation