Policy & Regulations

This channel includes news coverage of healthcare policy and regulations set by Congress, the states, Centers for Disease Control and Prevention (CDC), the Department of Health and Human Services (HHS), U.S. Food and Drug Administration (FDA), and medical associations and societies. 

Cigna

Cigna will pay $172M for allegedly filing false claims that lacked necessary imaging to back diagnosis codes

NPs purportedly would diagnose serious, complex conditions without the necessary medical imaging to reach such conclusions, the Department of Justice said Sept. 30. 

Medicare money payment

CMS agrees to broaden MRI pay policy in response to radiology societies’ advocacy campaign

“After back and forth correspondence, and multiple phone calls, we are thrilled to announce that this campaign was successful,” one of the trade groups said. 

Masking, social distancing ‘do not reduce and may enhance’ subjective well-being in the pandemic-wary

Regardless of effectiveness or lack thereof, pandemic-response measures like masking and social distancing give many people a sense of being better off with them than without them. 

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Radiology Partners scores key victory in court battle with UnitedHealthcare

A California federal judge has granted RP's request to compel arbitration in its ongoing dispute with UHC over alleged underpayment. 

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Medical malpractice lawsuits in interventional radiology most commonly stem from 2 procedure types

IR providers pay an average of $877,500 when settling such cases prior to a trial, while average jury awards total more than $2 million. 

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CMS grants transitional pass-through payment status for prostate cancer PET imaging agent

The federal agency typically grants this designation to allow Medicare beneficiaries broader access to new and innovative drugs. 

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FTC sues private equity firm, claims it’s trying to build a monopoly in radiology

Welsh Carson created US Anesthesia Partners to consolidate the market in Texas and then attempted to do the same in imaging and EM, authorities allege. 

cardiologists going through the certification process

Q&A: A closer look at the push in cardiology for a new, independent American Board of Cardiovascular Medicine

American College of Cardiology President B. Hadley Wilson, MD, discussed why the ACC and other leading cardiology groups are so eager to create a new, independent medical board. This has been a long-term goal for many years, he said, and now it may become a reality.