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. 

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MIPS can’t be fixed, MedPAC argues in report to Congress

The Medicare Payment Advisory Commission has released its March 2018 report for Congress, which includes its recommendation to eliminate the Merit-based Incentive Payment System (MIPS) after only a one year of clinician reporting to the program.

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Should medical images be saved indefinitely?

It has become standard practice over the years for imaging providers to maintain data for at least five years, but according to an article published in the Journal of the American College of Radiology, perhaps that data should be kept indefinitely. 

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Billing woes: If something seems off, be proactive and investigate

The biggest problem we have as practice administrators or physicians is that we see management reports illustrating the end result and process failures contributing to revenue declines are not evident. As long as we, as an industry, insist on the lowest price, we will continue to get what we pay for in terms of over-automation and failures of process controls.

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Q&A: Mary Mahoney on Breast Density Reporting Laws and the Technologies of Tomorrow

Sponsored by vRad

Mary Mahoney, MD, spoke with imagingBiz about what life is like as a department chair and shared her thoughts on several hot topics affecting breast imaging today.

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GW Health Workforce Institute: Nonlicensed and tele-health savvy health workers to shape future healthcare staffing needs

Sponsored by vRad

Health-policy educator and researcher Patricia (“Polly”) Pittman, PhD, co-founded the GW Health Workforce Institute at George Washington University (GWHWI) in April 2015.

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CMS answers key question around Medicare overpayment refund obligations

Practice leaders are aware that the Affordable Care Act requires repayment of an overpayment within 60 days of identifying it and that retaining an overpayment may result in significant penalties under the False Claims Act.

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MedData’s CEO Barnes: ICD-10 will be a big-data journey

Sponsored by vRad

Radiographs of the ankle, hip and knee getting coded as mammograms; a popular code-assist product failing right out of the gate and remaining troublesome months later; small billing companies shuttering their offices, leaving physician practices without any billing services at all. These are some of the scenarios reported in the wake of the Oct. 1, 2015, launch of the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).

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Mounting an informed, intelligent transition to ICD-10

Sponsored by vRad

Countless healthcare providers of every type heaved a sigh of relief when CMS announced a one-year grace period following the Oct. 1, 2015, launch of ICD-10.