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.

Office-based interventional labs see boost in pay in 2026
CMS has made it a priority to increase payments for procedures performed by office-based labs and ambulatory surgical centers. This was reflected in policy changes made as part of the 2026 Medicare Physicians Fee Schedule.
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.

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.

Medicare Overpayment Refunds in the Spotlight

The practice has identified a billing error or a compliance problem impacting Medicare coverage that resulted in the practice having received an overpayment from Medicare.

ICD-10 attitudes survey validates official delay

Just before the transition to ICD-10 was officially delayed, NueMD conducted a survey of 1,300 healthcare professionals to gauge their attitudes towards ICD-10.

Deadline Looms for “High Risk” Enrollees

According to an article in the Wall Street Journal, there is a significant segment of high risk individuals with pre-existing medical conditions currently enrolled in a federal health insurance program that is slated to close on March 31, 2014. This federal program was created shortly after the 2010 health law was passed to offer assistance to those people who couldn’t get coverage from commercial insurers because of their pre-existing medical conditions. There was $5 billion in funding set aside to cover this group’s medical claims through December 31, 2013. 

Feds Seize Records in Zwanger-Pesiri Medicare Probe

According to an article published in NewsDay, Federal agents raided the corporate headquarters of Zwanger-Pesiri Radiology in Lindenhurst on Tuesday, March 11, seizing the records of the business that operates 12 medical offices on Long Island, NY. 

Revenue & Reimbursement

Office-based interventional labs see boost in pay in 2026

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