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.

Dhanunjaya "DJ" Lakkireddy, MD, executive medical director for the Kansas City Heart Rhythm Institute at HCA Midwest Health, professor of medicine at the University of Missouri, Columbia, deputy editor for the the Journal of Atrial Fibrillation, and serves on the HRS Board of Trustees and section steering committee chair for the ACC, explains the potentially devastating impact of Medicare cuts on electrophysiology (EP) and patient care.

VIDEO: Medicare cuts could devastate the field of electrophysiology

"By imposing a 35%-42% cut, [CMS] has essentially created a scenario where it is going to destroy electrophysiology as a field," explained Dhanunjaya "DJ" Lakkireddy, MD.

October 4, 2022
Medicare money payment physician. The CardioVascular Coalition and Society for Cardiovascular Angiography and Interventions have both issued new statements highlighting their issues with the 2024 MPFS proposed rule. 

The fight continues: Cardiologists turn up heat on Congress to stop Medicare payment cuts

Dozens of medical societies have signed a new letter urging Congress to stop upcoming Medicare payment cuts. “The Medicare payment system remains on an unsustainable path threatening beneficiaries’ access to physicians," they wrote. 

September 23, 2022
Supplemental breast imaging modalities of automated breast ultrasound (ABUS) and molecular imaging.

VIDEO: Use of supplemental imaging in women with dense breasts

Society of Breast Imaging (SBI) President John Lewin, MD, discusses the types of supplemental breast imaging used to aid cancer detection in women with dense breast tissue.

September 1, 2022
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How would the proposed 2023 MPFS impact your cardiology practice? Use this free tool to find out

The American College of Cardiology has developed a helpful calculator that allows cardiologists and practice managers to estimate just how much the proposed 2023 MPFS could impact their practice.

August 11, 2022
How to get paid, reimbursed, for cardiac CT, CTA CCTA. #SCCT #SCCT2022

VIDEO: How imagers get reimbursed for coronary CTA

Ahmad M. Slim, MD, associate professor of medicine with the University of Washington and regional chief medical officer with the Pulse Heart Institute, explained how imagers get paid for coronary computed tomography angiography (CCTA) exams.

July 29, 2022
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Proposed Medicare Physician Free Schedule would decrease cardiology payments, ACC calls it ‘the continuation of a troubling trend’

CMS also announced that the penalty phase of its Appropriate Use Criteria Program has been delayed yet again.

July 11, 2022
American Society of Echocardiography (ASE) past president Jonathan Lindner, MD, FASE, is a newly named advisor to the Medicare Evidence Development and Coverage Advisory Committee (MEDCAC), which advises the Centers for Medicare and Medicaid Services (CMS) on whether services and supplies are reasonable and necessary under Medicare.

Cardiologist Jonathan Lindner to advise influential Medicare committee

As a MEDCAC advisor, American Society of Echocardiography past president Jonathan Lindner, MD, will help decide whether services and supplies are reasonable and necessary under Medicare.

July 6, 2022
Doctor patient

AFib ablation makes financial sense, especially among heart failure patients

The additional costs associated with AFib ablation appear to be justified, researchers wrote.

July 1, 2022