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.

Video of Erik Rockswold explaining the administrative burdens of the MIPS program.

Radiology groups face hardships under the Medicare MIPS program

Erik Rockswold, director research and quality, Rayus Radiology, explains the administrative burdens radiology groups experience for little return from the Merit-Based Incentive Payment System.  

Heart Rhythm Advocates (HRA), the political advocacy wing of the Heart Rhythm Society (HRS).

Heart Rhythm Society legislative advocacy group raising funds for electrophysiology

This week, Heart Rhythm Advocates announced its establishment and called on cardiologists and EPs to support its efforts with membership and joining committees to guide efforts.

healthcare policy reform government

ACC urges RFK Jr. to make Medicare reform a priority, warns against mass layoffs

The American College of Cardiology has sent a letter to HHS Secretary Robert F. Kennedy Jr. that outlines some of the organization’s central priorities and concerns. 

Edwards Lifesciences Corporation has shared new one-year data on the safety and effectiveness of its Evoque transcatheter tricuspid valve replacement (TTVR) system among patients with tricuspid regurgitation (TR)

CMS approves Medicare coverage for transcatheter tricuspid valve replacement

CMS will cover TTVR for the treatment of symptomatic tricuspid regurgitation on a national level. The agency first proposed such a policy in December, taking time to consider public comments before finalizing its decision.

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Cardiology groups urge Congress to ‘take a stand’ after spending proposal fails to fix Medicare cuts

A new spending proposal that would extend government funding for another seven months does not address the Medicare payment cut that went into effect on Jan. 1. More than 100 healthcare groups, including the ACC, STS, SCCT and SCAI, are now voicing their disappointment. 

Konica Minolta Healthcare Americas Inc. and ImagineSoftware announced an integration agreement to integrate the ImagineOne artificial intelligence (AI)-driven platform for automated radiology billing with Konica Minolta’s Exa PACS-RIS solution.

Konica Minolta and ImagineSoftware partner to expand revenue cycle management offerings

Konica Minolta partnered with ImagineSoftware to integrate its AI-driven revenue cycle management platform into the Exa PACS-RIS solution. 

David A. Rosman, MD, MBA, deputy chief, radiology enterprise service, Mass General Brigham, explains details of a recent AJR article that showed imaging outside of hospitals could potentially save billions.

Shift toward imaging outside the hospital could save billions

Harvard’s David A. Rosman, MD, MBA, explains how moving imaging outside of hospitals could save billions of dollars for U.S. healthcare.

healthcare value value-based care money dollar

CABG, TAVR top list of most lucrative heart procedures for hospitals

Other procedures are associated with higher profits—heart transplants, for instance—but CABG and TAVR are performed much more often.