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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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.

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MIPS packs positive—and potentially negative—punch for radiology

Sponsored by vRad

April 16, 2015, marked the beginning of a seismic shift in the healthcare landscape. On that day, the U.S. Senate passed H.R. 2, the MACRA, which repeals the SGR formula, extends the CHIP for two years, institutes a 0.5% increase in Medicare reimbursement over the next four and a half years and encourages physicians to transition to APMs.

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Merge imaging solutions help one practice establish lean, mean radiology process

Sponsored by Merge, an IBM company

Radiology has been hit hard by reimbursement cuts and regulations but the cutting-edge tools available are helping practices stay ahead of all the changes impacting the market.