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.

MGMA outlines healthcare policy progress in Congress for 2026
The Medical Group Management Association explains some positive federal healthcare policy movement since the start of 2026, including extending telehealth and rural health payments, and possible solutions to the prior authorization burden in Medicare Advantage.
RBMA shares concerns over major Medicaid cut impacts
"It is almost a tidal wave of change from the federal level that is going to begin impacting state legislatures across the country. I think folks should probably be aware of that,” said RBMA's Kit Crancer.
Cardiology groups to Trump administration: AI still has a long way to go
Multiple cardiology societies responded to an HHS request for public feedback by outlining some of the current barriers to wider AI adoption. "It is essential that any policy frameworks must reaffirm that clinicians—not algorithms—remain at the center of patient care," ACC President Christopher Kramer, MD, said.
Did you make the list? CMS targets cardiologists for new heart failure payment model
More than 2,000 cardiologists are required to participate in the new payment model. According to CMS, the long-term goal is to track and reduce the high healthcare costs associated with treating heart failure.
Cardiologist says new legislation would delay flawed payment cuts, preserve access to care
The efficiency adjustment cuts introduced in the 2026 MPFS are based on assumptions many doctors believe to be false. The American Society of Nuclear Cardiology and other medical societies are pushing back.

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.

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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.

ACC President Cathie Biga explains the American College of Cardiology advocacy efforts in Washington D.C. in 2025.

ACC president details key advocacy efforts in cardiology

American College of Cardiology President Cathie Biga, MSN, says Medicare payment reform remains a top priority going forward. Site-neutral payments and improved access to PAD screening are two other issues close to the ACC's heart.

A graphic released by the AMA showing that cumulative Medicare payment cuts to physicians between 2001-2025 has resulted in a 33% cuts, which medical societies and numerous physicians in Congress says is not sustainable without Medicare patients losing access to care.

Congressional bill could reverse Medicare cuts and increase physician pay

A bill in Congress would reverse the 2025 Medicare cuts and increase physician pay, but a March deadline looms to make this happen.

money court scale of justice ruling legal settlement

Oklahoma cardiologist and his clinic pay $270K to settle whistleblower lawsuit

A Tulsa-based cardiology clinic was accused of submitting false claims for E&M services over a period of several years.

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Cardiologist-supported bill to stop ‘harmful’ Medicare cuts returns to Congress

A bipartisan bill designed to block recent Medicare payment cuts has been reintroduced to Congress after failing to pass in 2024. Will things be any different this time around?

Medicare Advantage faces criticism for administrative burdens, pushing doctors to opt out

Medical Group Management Association (MGMA) Senior Vice of Government Affairs, Anders Gilberg, explains the frustration surrounding the Medicare Advantage program.

Revenue & Reimbursement

MGMA outlines healthcare policy progress in Congress for 2026

RBMA shares concerns over major Medicaid cut impacts

Cardiology groups to Trump administration: AI still has a long way to go

Did you make the list? CMS targets cardiologists for new heart failure payment model

Cardiologist says new legislation would delay flawed payment cuts, preserve access to care